Jims journey on Skilarence

[Caroline]

I'm intrigued Jim. Is this tuning being done off your own back or is this something you discussed with your Dermy.

I generally get the feeling mine takes a dim view when if comes to self experimentation

I had the discussion with my dermatologist when I started to get psoriatic arthritis he sent me  to the rheumatologist who said she wanted me on methotrexate I asked if it was to combine with the Skilarence but she said no and  to stop them and just use methotrexate. I asked why couldn't I increase the dose of the Skilarence (it was actually fumaderm at the time but using skilarence now so I'll  relate it to that as it's a basic swap like for similar) after telling her I was not going down that route as for the first time in 50 years I  had a drug that worked ...she more or less told me to go away if I wouldn't take her advice so went and spoke to dermatology and explained my predicament and told him that in Europe it is used widely and works well on the arthritis.. he repeated there was no evidence that it worked on the arthritis but let me have my way and let me increase the dose from 4 tablets which controls the psoriasis to 5 which I was hopeful would help with the arthritis and it makes a huge difference. So he was happy with me increasing the dose and pleased that it worked. He seems happy that my bloods are done regularly and stay well within the normal ranges

So in answer to your question no he doesn't Mind as I don't increase beyond his prescribed dose but reduced to see if I could manage on lower dose

And then to know that MTX does NOT work for the arthritis!!!
Look for the article : A randomized placebo-controlled trial of methotrexate in psoriatic arthritis
In: Rheumatology 2012;51:1368?1377

The insanity of this hits me everytime.

In practice, from a recent interview with a rheumatologist, they only have 50% max success with MTX anyway.