The Journey Begins! AGAIN!!!!

[Fred]

I'm a bit confused, you have been prescribed treatment but they now say you need to be referred. If the person treating you is a dermatologist then they can prescribe a bio. 

Not sure if this is still the same today: NICE issues new guidance for GPs treating psoriasis

Quote:

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In this guideline, first-line therapy describes traditional topical therapies (such as corticosteroids, vitamin D and vitamin D analogues, dithranol and tar preparations). Second-line therapy includes the phototherapies (broad- or narrow-band ultraviolet B light and psoralen plus UVA light [PUVA]) and systemic non-biological agents such as ciclosporin, methotrexate and acitretin. Third-line therapy refers to systemic biological therapies such as the tumour necrosis factor antagonists adalimumab, etanercept and infliximab, and the monoclonal antibody ustekinumab that targets interleukin-12 (IL-12) and IL-23.