Sun-09-11-2014, 17:01 PM
(Fri-07-11-2014, 12:23 PM)Fred Wrote:(Fri-07-11-2014, 12:01 PM)jiml Wrote: That would be great if they made Stelara a first port of call missing the methotrexate and other damaging drugs as they seem to be drugs very few tolerate but most have to fail on before being considered for stelara. I fear though with the cost of stelara it will still be on the back burner and only used if cheap drugs fail. It is another problem for health systems to juggle funds for
Yes if stelara was a frontline treatment it would save a lot of patients a lot of discomfort going through the current regimes
Well let's look at it another way.
If the government insist on giving the cheap poison Methotrexate they will end up spending more in the long run as it will fail, you can't stay on it for long, and you will probably end up with a ruined liver.
Once people get to that state, they tend to give up and then it causes issues with the economy. We stop going out to public places spending our money, we take more time off work, we keep throwing are repeat prescriptions away.
The burden to the government of lost hours due to psoriasis is huge, now I'm not saying put everyone on Stelara without trying something else first but it's likely that is where people will end up in a few years down the line so it should be considered in sever cases at least.
Also the governments should fight the pharma's for a better price.
Interesting there was no mention of the DMF's yet they have shown good results.
You view this from the point of a sensible real world vision.
Insurances, doctors and governments are nests of inadequacy, there is probably no possible way to have the insurances have a more than 2 year vision into the future, while you are looking for at least ten years ahead.
Strange they are missing DMF's, seen from the current interest into DMF for MS, it may very well be that the hated MTX will go down the drain and in a few years DMF will be the first to go for, followed by Stelara and the other MAB's.