Starting MTX

[Fred]

Given that I have started taking MTX again would I be safe in the assumption that it will be as effective this time around in alleviating my psoriasis.

Does MTX simply stop being effective after a period of time. I know a lot of people stop using MTX due to better alternatives but I am also interested in how people transition from one therapy to another? Do you stop psoriasis returns and start an alternative? Do you stop MTX and for example jump straight onto Fumaderm?

Just thinking of planning for the future as it would not be difficult to get off MTX all I would have to do is report some well documented side effects and seek an alternative therapy but I am worried about transitioning etc.

No guarantee it will be as effective as it was. Sometimes people have started and stopped a treatment and it's been fine, other times it's never been the same.

Also some treatments just stop working and some will slowly fail, so again it's difficult to say.

And just to not answer your last question. Some treatments need you to come off your last one before going onto another, but with some you can just go onto a different one.

Sorry not a lot of help, and it's just my opinion.