[split] Dimethylfumarates and Psoriasis

[Caroline]

My plan is to take

1x30mg for 4 days
2x30mg another 4
3x30mg further 4 days

and then to follow "recommended" Fumaderm schedule

1x120mg / week 2x120mg / week etc...

do you think it is too fast?
I am now taking 2x30mg and I have absolutely no side effects.

J.

Joanna,

To me this looks like quite a quick build up.
I myself have built up slowlier, more like
Week 1: 30 mg
Week 2: 60 mg
Week 3: 120 mg
Week 4: 150 mg
Week 5: 180 mg
Week 6: 210 mg
etcetera.
It will take a longer time, but gives a bit more information on the moment it will definitely starts working.
If it starts working you should stick with that dose and continue with that dose during the same time you have built up. So if it took you 9 weeks to build to "starts working", then you should also use 9 weeks for consolidation.
After that you can try to lower again by 30 mg /week until the point that you see it coming back. Then go up 1 step of 30 mg, and than that should be your dose.

Are you under control of a doctor?
Did you make a snapshot of your current bloodvalues?
If you need an overview on what to snapshot, I can send you some.

Caroline

Yes it has been prescribed by my dermathologist, however they have not much information about this medicine. I took detailed blood test, I will repeat it next month. So far all is in very good order and within its limits.

My idea was only to raise the dose faster as I expect it as not working in somehow below 250mg for sure?

Joana

Hi Joana,

What's necessary on information is available for the medication, most of it is on the website i mentioned. Your dermatologist can of course contact the patients group for possible more detailed info.
For e.g. Fumaderm there is really not more information available.

The working of the medication depends on the person. There are people that already react on 60 mg, and there are one that need, 8x120mg. This range is quite large.

So there is no need to build up quickly.
You need to give the medication its time to get working. It is not a quick solution.

Caroline