Jims continued use of Fumaderm

[Caroline]

Great results, Jim. I really don't see why you couldn't be managed by your GP as you have worked out an effective dosing regime. Your main needs at present are blood tests and scripts. You should only need to see a dermatologist if things start going awry.

I think it's because certain treatments can only be prescribed by dermatologist. GP's here can only prescribe topicals, so my guess is the UK is the same Bill.

But It is not everywhere the same. In The Netherlands you can get kind of a release document for the GP to prescribe chronic medications. It is signed by the derm and therefore valid for pharmacy and insurance.
A logical, cheap and easy way to go, but we Dutch are quite logical.  
So don’t rule everything out, based on suspicion, you only are sure when you have tried.