In need of advice

[jiml]

I can see your problem Much clearer now. You have been on the Methotrexate and cyclosporin and to move on from those they should have considered something other that UV
Can I ask are you Breastfeeding, and do you intent to have more children in the near future as this may be why they have moved you Backwards on treatments.
If you are doing neither of the above and your blood counts are good there is no reason not to be prescribed Fumaderm ..  I know it's a hobbyhorse of mine but if you can tollerate it.....it is a life changer....

I'm sure the stress of all the travelling in the future and trying to fit in Phototherapy and bring up a new baby will be extremely stressful and we all know how bad that is for our  psoriasis

I would phone the hospital and explain your situation  tell them what you have told us but emphasise how difficult it's going to be and how you are already stressed at the prospect, and financially you cannot afford the travelling ....tell them . But on the other hand you are desperate for some relief, and could you try Fumaderm with regular monitoring of your bloods by a local doctor ..

I have great sympathy with your predicament and hope you can get it sorted out fairly quickly...
Jim,