Doctor insights on:
Does Methotrexate Work Well To Help With Psoriasis
Methotrexate was originally used in the early 1950's as a treatment for cancer but was also found to be effective in many other diseases including rheumatoid arthritis and psoriasis. It has anti inflammatory and immunosuppressive properties which make it an excellent first line therapy for RA ...Read more
How well does humira (adalimumab) actually work for psoriasis? And what does it mean to be moderate/severe?
Well enough: Humira (adalimumab) targets the tumor necrosis factor (tnf) which is involved in inflammation and immune response. However when there is too much, the target may get damaged. Psoriasis involving mainly the skin, phototherapy may be helpful. But for arthritis, Humira (adalimumab) (and other tnf inhibitors) is a good option. They all have similar side effects- the risk of severe infection. Good luck to you. ...Read moreSee 1 more doctor answer
Better to be on methotrexate and hydroxychloroquine or methotrexate and a biologic when treating jra? Methotrexate only doesn't help
Depends on severity: Since you have already been on Methotrexate and its not helping you get complete relief from symptoms, further addition of therapies will depend on severity of your current symptoms. Hydroxychloroquine is milder in efficacy as compared to biologics & both have different side effect profiles. Talk to a rheumatologist who can assess your clinical course & treatment needs & then advise accordingly. ...Read moreSee 1 more doctor answer
3-6 months, but: 3-6 months, but sometimes within a month. ...Read more
Equal to other a-TNF: Overall, all a-tnf drugs are equal, but for some patients, one may work better than another, and for some conditions, such as uveitis, Remicade (infliximab) may work better, Remicade (infliximab) helps about 75% of patients, and has the advantage of being able to vary the dose, if a higher dose or more frequent dose is needed. Higher doses do have a higher infection risk. ...Read more
None approved: No dietary supplements, especially not those marketed on tv & in magazines, have any randomized, double blind, placebo controlled trials published in peer reviewed journals demonstrating any benefit in treating, preventing, diagnosing or curing erectile dysfunction. Beware that there is a high rate of unlabeled contamination w/sildenafil & other similar pde5 inhibitor medications. ...Read more
What shampoo, ointments and creams you prescribe to your patients with psoriasis? My scalp is flaking and i want to control it as well as my skin
No way!: Never heard this to be an option of treatment. I would advise you to stay away from it as it is not a proven form of treatment for much of anything medically known. ...Read more
Usually well: In most people it works remarkably well. Stopping the med is usually for some other reason. Give it a try but expect your insurance company to substitute some other brand. It shouldn't matter where acne is concerned. It may take your body up to three months to adjust to the new hormones. Remember they are never a substitute for safe sex practices. ...Read more
Does going gluten free help with Hashimoto's thyroiditis? Or can you recommend anything that will help? Medication isn't helping with symptoms at all.
My doc is starting me on methotrexate in addition to plaquenil (hydroxychloroquine). Will the methotrexate help to prevent flares or only help to keep my prednisone doses lower? Or both?
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