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Doctor insights on: Psoriatic Arthritis Medication Arava

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Dr. Thomas Namey
980 doctors shared insights

Psoriasis (Definition)

Psoriasis is an autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more


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I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, i will start start the medicine

I took myself off methotrexate for psoriatic arthritis without my doctor knowing it. I was on arava and enbrel and my enzymes were slightly elevated. I want to see if psoriasis comes back. If it does and my enzymes go down, i will start start the medicine

No, bad idea: You are on the same team as your doctor. Use your doctor as a consultant to help you make the best decisions for your care. If you alter your treatment plan yourself, you are at the very least putting yourself at risk for a flare of disease, and at worst putting yourself into danger if your medicines require a taper to be done safely. Call your doctor now--tell him/her you'd like to stop your meds. ...Read more

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Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Can severe symptoms of psoriatic arthritis be reduced with routine medications?

Yes, but...: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends continued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

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Is there medication for someone to live in a more humid area with psoriatic arthritis?

Is there medication for someone to live in a more humid area with psoriatic arthritis?

Moderate humidity?: Moderate humidity is good. High humidity and arid (dry) air is bad for psoriasis. Significant humidity can lead to excessive perspiration, with bacterial and dungal growth in areas prone to psoriasis and worsen the skin disease. Zinc oxide 5% found in gold bond extra-strength can help with skin disease. Otherwise, the medication for psa for joint disease can be increased. ...Read more

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Why are doctors so hard on prescribing pain medication if it seems to be the only thing getting through day by day with psoriatic arthritis pain?

Why are doctors so hard on prescribing pain medication if it seems to be the only thing getting through day by day with psoriatic arthritis pain?

Psoriasis pain: The issues is the type of pain medication. With a chronic condition a long acting steady state drug is the best as this avoids the ups and downs that a short acting agent will do. Using a short acting agent for a long duration is a very bad idea. Taking a short acting agent infrequently is not a problem. ...Read more

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I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

I've had high liver enzymes for years which keeps me from using medication for psoriatic arthritis, what else can I do?

Biologics: With high liver enzymes, you will not be able to take some oral medications that we use for psoriatic arthritis. If your symptoms are severe and demonstrate functional difficulties, your doctor may recommend one of the biologics such as Enbrel or humira. These medications also have significant other side effects that your doctor will review with you. These are not appropriate for everyone. ...Read more

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My psoriatic arthritis pain in the spine and fingers is mild. Doc has decided not to use any medication yet. When should he consider using DMARDs?

My psoriatic arthritis pain in the spine and fingers is mild. Doc has decided not to use any medication yet. When should he consider using DMARDs?

Quality: It really has to follow a detailed conversation about the risks and benefits of such in light of your quality of life and the severity of your condition. You should be an active part of the decision making process. ...Read more

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I have psoriatic arthritis and suffer chroinc fatigue. Can you suggest additional medication to ask my gp for in addition to methotrexate?

I have psoriatic arthritis and suffer chroinc fatigue. Can you suggest additional medication to ask my gp for in addition to methotrexate?

See details: If your disease is poorly controlled you need to be on a biologic agent in addition to the methotrexate. You need to be under the direct care of a rheumatologist even in the National Health System. Finally, stop smoking as this makes the psoriatic arthritis much worse. ...Read more

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Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Has any one taken the disease modifying drug (dmards) for their psoriatic arthritis?

Most patients need a: Psoriatic arthritis can be a very inflammatory disease. We all want pain relief for our patients, but rheumatologists understand the need to reduce inflammation, because it portends coniued damge to joints, as well as much earlier cardiac disease. My personal favorites: sulfasalazine with methotrexate, the latter given sc. Some, albeit few, patients need tnf-alpha inhibitors. ...Read more

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Can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

Can you tell me about taking the disease modifying drug (dmards) for their psoriatic arthritis?

See details: The two major DMARDs for treating psoriatic arthritis are Methotrexate and the biologics such as Remicade, Enbrel and Humira among others. All are extremely effective, especially the biologics. All have potential side effects such as infection risk, reduced blood counts and liver disease. ...Read more

Dr. Tracy Lovell
196 doctors shared insights

Psoriatic Arthritis (Definition)

An inflammatory arthritis associated with psoriasis. The arthritis can affect a few joints (oligoarticular), many joints (polyarticular), tips of fingers (dip only), the spine (spondylitis) or a severe deforming of hands (arthritis mutilans). Arthritis severity does not ...Read more


Dr. Robert Lowe
1,403 doctors shared insights

Painful Joints (Definition)

Juvenile rheumatoid arthritis (JRA) is a term used to describe a common type of arthritis in children. It is a long-term (chronic) disease resulting in ...Read more