[split] Dimethylfumarates and Psoriasis

[Caroline]

Continued from [post=65424], as we were stealing Angels thread.  

You dont pick your drug like you pick the flavours of gelati or milkshakes, nor do you necessarily get your drug of choice. In this instance the insurance company is rescinding access to a very effective drug because of its cost. Cost is a major factor, which is why drugs like methotrexate are still used. The reason you dont see regimes like the one I suggested is because the treatment protocol involves treating patients with the cheapest drugs available. By the time you go on Enbrel and its ilk you dont have other options. Sadly you dont have access to DMF in the US for treating p. Why? Because it doesn't work? It leaves mtx for dead in terms of efficacy and safety and could be saving the health system a substantial amount.

Cheers,

Bill

Very true Bill. We all are very dependent on our doctors, GP's and dermatologists. And they again are tied to protocols that were made together with the insurances.
There are other reasons why the US does not give access to DMF. They are hidden in all kinds of regulations AND influences of Pharma.
I mean, of course it also works on that side of the ocean.
It would be a change to have "the" aspirin for psoriasis and PsA, but then no one can earn money on it. It would be extremely cheap, and personally I think that is the problem.

cheers,
Caroline