About to start Fumaderm

[jiml]

I would say give it a month on full dose and see if there’s any improvement . If not then I would start looking at your options... if they have ruled methotrexate out as you’re not suitable for it that should count as a failure in my book ... but if they insist on another ask for apremilast (otezla ) although the side effects listed for that look a bit scary ... whatever they throw at you I say give it a go. Most side effects or damage repairs itself if you stop the treatment .... and it’s another box ticked and closer to a biological drug

I’m still hopeful that Skilarence will work for you ... but it’s good to have a plan b