Doctor insights on:
Psoriatic Arthritis Mood Swings
I take Ultram 50mg 3-4/day for psoriatic arthritis and the meds have a large impact on mood, is this normal and ok? What's an alt. For prolong use?
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
Treat psoriasis: Treating the psoriasis usually will help the inflammatory portion of the psoriatic arthritis. If you are still having trouble with the arthritis, there are many options for medicines that can decrease your body's inflammatory response which then will give you relief. See your doctor, and if you aren't getting adequate relief, consider a rheumatology consult. ...Read moreSee 1 more doctor answer
See your doctor.: A rheumatology referral may be necessary, but a nsaid, with sulfasalazine and Methotrexate given once weekly are my first treatments. The biologics work (enbrel, humira, remicade) work, but are quite expensive, not generic, require prior authorization, and almost always require prior Methotrexate therapy. Leflunomide, azothioprine, and Cyclosporine are options, given by someone in rheumatology! ...Read more
No cure, but remitts: Few people should face significant joint issues, if this most common of rheumatic diseases was diagnosed early and treated with remitting agents once diagnosed. If you have no sx, do you have disease? ...Read more
Depends...: ...On what you do now. Multiple treatments, ranging from oral medications to biologics like enbrel, humira, and stelara, are effective in treating psoriatic arthritis and preventing damage to joints. If you do not address the problem now, your joints will suffer damage in later life and your mobility will be compromised. See a dermatologist skilled in psoriasis treatment asap. ...Read more
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
Is how a patient says they feel, or how someone feels internally, versus how someone's mood appears, which is called "affect." if you say your mood is "happy, " and you appear to be so, we would say that your affect is congruent. If, however, you actually look really angry, we would say your mood is "happy" and ...Read more
I read the description of mood swings as alternating between euphoria and depression. I would add to this that sometimes mood swings are not this extreme. Moods may be bored, mildly unhappy, irritable, sad, or back to "okay" or stable. Extreme mood swings are those in ...Read more
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