Saw the Rheumatologist today

[jiml]

I had my regularly scheduled appointment today which I knew would result in a change in medication for my psoriasis and psoriatic arthritis.  

As expected, Cosentyx is not going to happen, largely because of insurance demands and cost.

I have used sulfasalazine and most recently Otezla, which worked great, but failed after about a year.  I told her I didn't want to use Methotrexate, and she said she thought I was past that point anyways.  

So...drumroll please...

Humira.  She is on the conservative side and wants to try the biologic with a large data set, so here we go.  I trust her, so I'm ok with this.

Awaiting the TB test results and will likely start in a week and a half.  I'm not going to lie, I'm nervous about compromising my immune system.  Hopefully I'll  be ok.  But I got to the point where I just hurt too much and had to raise the white flag.

We shall see.

Hi Dave I hope all goes well with the TB test and you can get started on the humira and it will be successful for you, but the compromise should be worth the risk, Several of our members are on humira and doing well. It's a good starting place
I havent got to the biological treatments yet but I'm holding them in reserve in case my current treatment ever gives up on me

Good luck   I will follow your progress with great interest