Health Boards
So you've failed on creams and potions, puva, the next step is not more creams ....be assertive and demand an oral treatment
they are unlikely to put you on biological treatments until you gave failed on oral systemics, the most likely first one will be methotrexate it can work very well, and although it's not a drug I like and I had to stop because I couldn't tolerate it. But many on here get good results with it .....I am on a different systemic called Fumaderm you could ask about that when you see him it's kept me clear for over 4 years
Don't let him fob you off with steroids as they are for short term use and will thin your skin ( I speak from experience of years of repeat prescriptions without question)
Tell the dermatologist how it's affecting your self esteem and ruining your social life, lay it on, if they can get away with a cheap option they will....but they have a duty of care which they should be taking all things into account your mental health ( how it's affecting you) as well as the pain and the plaques
Look through the health boards they are packed with advice and information, unfortunately you are stuck with me tonight
they are unlikely to put you on biological treatments until you gave failed on oral systemics, the most likely first one will be methotrexate it can work very well, and although it's not a drug I like and I had to stop because I couldn't tolerate it. But many on here get good results with it .....I am on a different systemic called Fumaderm you could ask about that when you see him it's kept me clear for over 4 years
Don't let him fob you off with steroids as they are for short term use and will thin your skin ( I speak from experience of years of repeat prescriptions without question)
Tell the dermatologist how it's affecting your self esteem and ruining your social life, lay it on, if they can get away with a cheap option they will....but they have a duty of care which they should be taking all things into account your mental health ( how it's affecting you) as well as the pain and the plaques
Look through the health boards they are packed with advice and information, unfortunately you are stuck with me tonight