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Doctor insights on: Treat Sleep Apnea Psoriatic Arthritis

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What can I do to treat psoriatic arthritis?

What can I do to treat psoriatic arthritis?

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

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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What options are best to treat my 20 month old daughter for psoriatic arthritis?

What options are best to treat my 20 month old daughter for psoriatic arthritis?

Only peds rheumatolo: Psoriasis affect 2-4% of adults, psoriatic arthritis affect 30% of those a 20 month old child with psoriatic arthritis is very rare--arthritis in children are classified into multiple subcategories methotrexate the only commonly used-it slow destruction---enbrel, remicade, Humira has not had enough testing in children only a child rheumatologist can give you best guidance. ...Read more

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I'm taking methotrexate along with folic acid. Are there any holistic medicines to treat my psoriatic arthritis?

I'm taking methotrexate along with folic acid.  Are there any holistic medicines to treat my psoriatic arthritis?

Yes, many: There are a huge array of holistic/complementary approaches to treating psoriasis and psoriatic arthritis. See http://www.Thorne.Com/altmedrev/.Fulltext/12/4/319.Pdf ; http://www.Familynaturopath.Ca/tips-resources/articles/solving-psoriasis/ ; http://homeopathyplus.Com.Au/psoriasis-treated-by-homeopathy/ ; http://bit.Ly/17eaeuh i advised working with a good holistic md ;/or homeopath. ...Read more

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Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?

Can I use methotrexate to treat psoriatic arthritis when I also have gallbladder stones and severe attacks?

Yes, but...: ...Why are you enduring the pain and risk of frequent gallbladder attacks? In the modern era of minimally invasive surgery, the risks are often greater to continue to have gallbladder attacks rather than the risk of surgery. Have you spoken with your primary care physician or rheumatologist about these attacks? ...Read more

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It's okay to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones and severe attacks right?

It's okay to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones and severe attacks right?

Yes: You mean want to use the injectable form rather than the oral form. Using it subcutaneously gives a better response with less risk of side effects. ...Read more

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Is it safe to use methotrexate to treat psoriatic arthritis when you also have gallbladder stones?

Yes.: Because mtx suppresses the immune system, you would not give it to someone who has an infected gall bladder. Asymptomatic stones without infection or duct obstruction, where surgery is not recommended would be ok. Mtx can cause liver injury (chemocal hepatitis) but it doesn't affect the gall bladder. ...Read more

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How can psoriatic arthritis be treated?

Yes: Multiple meds. Check with rheumatologist what is appropriate. ...Read more

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I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! is that possible?

I am being treated for psoriatic arthritis and hypothyroidism... And now they think I have sjorgens syndrome bc of mouth problems! is that possible?

Yes: It is fairly common for someone with one autoimmune disease to concurrently have one or two other autoimmune diseases. I have seen patients with hypothyroidism, psoriasis and sjogren's. This combo may not be so rare. ...Read more

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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. Patrick Melder
1,009 doctors shared insights

Apnea (Definition)

Apnea is a symptom in which a person stops breathing for a period of time (about 10-20 seconds) and then starts breathing again. Babies can get apnea from some types of infections. Adults can have sleep apnea, often related to loud snoring and some ...Read more