Psoriasis - a bitch of an illness

Gargle some Dupixent®.

No. 10 sandpaper will buff that patch right out.

I have psoriasis OP. Not sure how bad yours is but dont the biologics have serious side effects?

You type itchy.

Buy a drugstore moisturizer containing salicylic such as CeraVe.

I used tacrolimus last summer and it was brilliant. For 3 months. Then it no longer worked. Your case sounds VERY severe and I think you need to fight your insurance company to get the treatment you need. Get a lawyer if necessary. Your doctor should be able to force the treatment. But what do I know I am in Switzerland.

Cerave SA is helpful. I just bought another tub yesterday. It should be covered by insurance but it's not.

OP, does your insurer require step therapy (i.e., trying and failing cheaper meds first)? Have you tried methotrexate or Otezla? If you have and the insurance company is still withholding biologic coverage, your doctor's office should be able to fight for approval on your behalf.

I either had psoriasis or eczema. MSM-Glucosamine-Chondroitin is a supplement that got rid of it by taking 2 pills a day. It only took a week or two. No more itching, scabbing, scaling or inflammation. Fruit is known to cause flareups and I noticed that was true for me but since taking the pills I can eat fruit without problems. MSM alone worked some but the combination three-in-one pill is what got rid of it totally.

Before that I'd tired a bunch of different drugstore creams and nothing worked. I found out about the supplement from a self-published book I bought on Amazon written by a woman who had the condition.

Years ago I had a young dermatologist try and prescribed methotrexate. I was hesitant and went to another dermatologist. He said if I went on methotrexate kiss my liver goodbye.

Reminds me I need to rewatch The Singing Detective.

I've been on methotrexate (in addition to a biologic) for almost 10 years now and my liver is fine. Quarterly blood draws make it easy to identify problems early on and discontinue it if necessary. It's a decent, low-cost medication for a lot of people. Unfortunately, there have been occasional shortages within the last year.

I took Neotigason (Acetretin) for about 8 years and while it improved my psoriasis, the side effects were horrible. Thinning of the nails, nose bleeds, dry skin around the ears, and dry eyes.

I stopped taking it last year and thankfully my psoriasis hasn’t come back as badly as before. The treatment was worse that the disease for me.