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Psoriasis

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  • Closed Accounts Posts: 215 ✭✭Misguided1


    Just need to say a big thank you to the people who post here
    Advice was invaluable
    After years of this psoriasis and lots of different treatments I’m starting on a biologic tomorrow
    Advice from posters here was the nudge in right direction
    I’ll post how it goes.
    Thanks again

    Good luck - hope it works for you!


  • Moderators, Music Moderators Posts: 3,728 Mod ✭✭✭✭eeloe


    Just need to say a big thank you to the people who post here
    Advice was invaluable
    After years of this psoriasis and lots of different treatments I’m starting on a biologic tomorrow
    Advice from posters here was the nudge in right direction
    I’ll post how it goes.
    Thanks again


    Keep us updated, best of luck.

    When the skin starts to clear it’s genuinely life changing.


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23


    Just need to say a big thank you to the people who post here
    Advice was invaluable
    After years of this psoriasis and lots of different treatments I’m starting on a biologic tomorrow
    Advice from posters here was the nudge in right direction
    I’ll post how it goes.
    Thanks again

    Be aware that Biologics are not a miracle and take time to work so you need to be patient. It will change your life though.

    What one specifically are you going on?


  • Registered Users Posts: 15 Delldweller


    Gael23 wrote: »
    Be aware that Biologics are not a miracle and take time to work so you need to be patient. It will change your life though.

    What one specifically are you going on?

    It’s called Guselkumab. Two weeks now and I’m already seeing results
    I always get a bad flare up at Christmas which I attributed to wine and chocolate
    Interesting couple of weeks ahead
    Thanks again Guys


  • Registered Users Posts: 10,673 ✭✭✭✭senordingdong


    It’s called Guselkumab. Two weeks now and I’m already seeing results
    I always get a bad flare up at Christmas which I attributed to wine and chocolates

    So will the guselkumab help your body process the wine and chocolate?


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  • Registered Users Posts: 8,513 ✭✭✭brevity


    It’s called Guselkumab. Two weeks now and I’m already seeing results
    I always get a bad flare up at Christmas which I attributed to wine and chocolate
    Interesting couple of weeks ahead
    Thanks again Guys

    Tremfya?

    I’m on that too. Taking a lot longer to clear my skin than other biologics I have been on.


  • Registered Users Posts: 15 Delldweller


    So will the guselkumab help your body process the wine and chocolate?

    I don’t think so.
    Normal body function will process them
    And hopefully the biologic will just sort the psoriasis. I’m not a Doc
    D


  • Registered Users Posts: 15 Delldweller


    I don’t think so.
    Normal body function will process them
    And hopefully the biologic will just sort the psoriasis. I’m not a Doc
    D

    Tremfya is the company name
    D


  • Moderators, Music Moderators Posts: 3,728 Mod ✭✭✭✭eeloe


    Tremfya is the company name
    D

    The company name is Janssen

    They make Stelara also, which is the biologic I’m on.


  • Registered Users Posts: 118 ✭✭Chacha97


    I seem to be having bit of an issue around my ear. It seems to be like where my ear joins my head! And along hairline above ear. At first I was thinking scalp psoriasis but seems to be a bit different? Granted I shouldn't be doing this but sometimes I pick to see and it seems like scalp psoriasis but then kinda oozes and sometimes so a bit at a loss. Should I just try capasal shampoo? Nizoral or dermalex

    Sorry meant to add i do suffer from psoriasis. I have it on elbows, back, leg and scalp and a bit on forehead!


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  • Registered Users Posts: 6,215 ✭✭✭khalessi


    Chacha97 wrote: »
    I seem to be having bit of an issue around my ear. It seems to be like where my ear joins my head! And along hairline above ear. At first I was thinking scalp psoriasis but seems to be a bit different? Granted I shouldn't be doing this but sometimes I pick to see and it seems like scalp psoriasis but then kinda oozes and sometimes so a bit at a loss. Should I just try capasal shampoo? Nizoral or dermalex

    Sorry meant to add i do suffer from psoriasis. I have it on elbows, back, leg and scalp and a bit on forehead!

    Could try it along with cream. I sometimes put dollops of doube emollient on back of my ears when they are irritating me.


  • Registered Users Posts: 4,445 ✭✭✭wonga77


    Chacha97 wrote: »
    I seem to be having bit of an issue around my ear. It seems to be like where my ear joins my head! And along hairline above ear. At first I was thinking scalp psoriasis but seems to be a bit different? Granted I shouldn't be doing this but sometimes I pick to see and it seems like scalp psoriasis but then kinda oozes and sometimes so a bit at a loss. Should I just try capasal shampoo? Nizoral or dermalex

    Sorry meant to add i do suffer from psoriasis. I have it on elbows, back, leg and scalp and a bit on forehead!

    The shampoos you mention dry my scalp out terribly. I found just using hot water for a while helped a lot. I also stopped eating white bread and for some reason my scalp cleared completely, stayed everywhere else mind...


  • Registered Users Posts: 214 ✭✭Looptheloop30


    Are those on biologics able to get 'the jab'?


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23


    Are those on biologics able to get 'the jab'?

    Yes you can and should


  • Moderators, Music Moderators Posts: 3,728 Mod ✭✭✭✭eeloe


    Are those on biologics able to get 'the jab'?

    Once it’s not a live version of a vaccine you should be fine.


  • Registered Users Posts: 16,717 ✭✭✭✭dahat


    Are we classed as being immune compromised in terms of COVID vaccination?


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23


    dahat wrote: »
    Are we classed as being immune compromised in terms of COVID vaccination?

    It depends what medication you are on really


  • Registered Users Posts: 16,717 ✭✭✭✭dahat


    Gael23 wrote: »
    It depends what medication you are on really

    Enbrel & MTX combo?


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23


    dahat wrote: »
    Enbrel & MTX combo?

    Yeah then your in group 7.


  • Registered Users Posts: 16,717 ✭✭✭✭dahat


    Gael23 wrote: »
    Yeah then your in group 7.

    Thanks.


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  • Registered Users Posts: 509 ✭✭✭The DayDream


    I've suffered with psoriasis for over 20 years now, it's migrated around different parts of my body, the worst is that i get inverse p in my groin and crack when it's very flared.

    I've cut out alcohol and sugar which helped a lot but can't do the entire pagano diet it's just too restrictive and would require quite an increase in both cost and time (and I want to eat pizza sometimes, dangit!)

    I've been on dovonex and dovobet for years which barely does anything, I dont like using steroid creams in the latter unless it's a bad flare. Currently have plaques up and down my arms and legs, back, elbows and small ones on hands. I find dead sea baths the best job, also have a UVB light i spent a fortune on, from Germany. It's too tedious to use and I burnt myself a few times so i only use it on my hands which dont burn easily and is the only area not covered usually.

    I was on the public derm list for so long I was eventually told after 2 years if I couldn't take a bus to Dublin from Donegal they couldn't help me. I couldn't afford that at the time especially knowing it would take multiple trips and Id need to book somewhere to stay.

    By some miracle I got a job last September in the middle of all, but the added stress has cause my psoriasis to flare up, mostly I have more plaques.

    I was wondering what the cost is to go private now I'm working I could maybe afford it. They haven't taken my medical card yet so I can still get medication with it but I've heard the biologics arent covered. Then I heard the consultation isnt but you can get the meds.

    I'll be getting the jab soon as I'm technically a healthcare worker (working in an opticians) and work with the public. I was wondering if anyone could recommend a good derm who will point me in the direction of a good biologics since I've tried literally everything else, and if they can give me an idea what to expect price wise.


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23



    I was on the public derm list for so long I was eventually told after 2 years if I couldn't take a bus to Dublin from Donegal they couldn't help me. I couldn't afford that at the time especially knowing it would take multiple trips and Id need to book somewhere to stay.

    By some miracle I got a job last September in the middle of all, but the added stress has cause my psoriasis to flare up, mostly I have more plaques.

    I was wondering what the cost is to go private now I'm working I could maybe afford it. They haven't taken my medical card yet so I can still get medication with it but I've heard the biologics arent covered. Then I heard the consultation isnt but you can get the meds.

    I'll be getting the jab soon as I'm technically a healthcare worker (working in an opticians) and work with the public. I was wondering if anyone could recommend a good derm who will point me in the direction of a good biologics since I've tried literally everything else, and if they can give me an idea what to expect price wise.

    My advice is to go private for the first consultation and then if needed go public. I paid €250 6 years ago but think of it as getting your life back. Biologics are covered by the medical card but you won’t get them straight off. They will try uV therapy next probably tablets first. Then if none of those work you go onto biologics. They are extremely expensive so tend to be given as a last resort rather than first option.


  • Registered Users Posts: 8,513 ✭✭✭brevity


    So I have been on Tremfya for about a year now. I was put on it because Stelara stopped working and the dermatologist and rheumatologist felt that Tremfya would kill two birds with one stone. It has helped with my psoriatic arthritis but my psoriasis is not improving.

    Today I found out that I am being put on rinvoq.
    https://www.rinvoq.com/ a tablet a day for the forceable future...

    What’s a bit concerning is that this stuff seems specifically for arthritis rather that psoriasis. It does seem to be a biologic so perhaps it will target the skin too. It of course has its laundry list of dodgy side effects.

    I sometimes wish I had the discipline to try and sort all this with diet. Even though diet isn’t necessarily a sliver bullet, it seems like a healthier approach.


  • Registered Users Posts: 10,673 ✭✭✭✭senordingdong


    brevity wrote: »

    I sometimes wish I had the discipline to try and sort all this with diet. Even though diet isn’t necessarily a sliver bullet, it seems like a healthier approach.

    No it isn't (a silver bullet) let me tell you. I'm two months into an elimination diet and it's a serious pain in the neck. Practically everything is a trigger for inflammation.


  • Registered Users Posts: 12,100 ✭✭✭✭Gael23


    brevity wrote: »
    So I have been on Tremfya for about a year now. I was put on it because Stelara stopped working and the dermatologist and rheumatologist felt that Tremfya would kill two birds with one stone. It has helped with my psoriatic arthritis but my psoriasis is not improving.

    Today I found out that I am being put on rinvoq.
    https://www.rinvoq.com/ a tablet a day for the forceable future...

    What’s a bit concerning is that this stuff seems specifically for arthritis rather that psoriasis. It does seem to be a biologic so perhaps it will target the skin too. It of course has its laundry list of dodgy side effects.

    I sometimes wish I had the discipline to try and sort all this with diet. Even though diet isn’t necessarily a sliver bullet, it seems like a healthier approach.

    I wouldn’t be concerned about it being an RA drug, many autoimmune drugs are interchangeable, I’ve never heard of that medication though


  • Registered Users Posts: 509 ✭✭✭The DayDream


    Gael23 wrote: »
    My advice is to go private for the first consultation and then if needed go public. I paid €250 6 years ago but think of it as getting your life back. Biologics are covered by the medical card but you won’t get them straight off. They will try uV therapy next probably tablets first. Then if none of those work you go onto biologics. They are extremely expensive so tend to be given as a last resort rather than first option.

    Thanks. This is part of why I avoided going to one. Pay a bomb for a bunch of tedious time wasting (i don't drive and my work is considered essential so it will be hard to organize appointments) and given things I've already tried (I have a UV lamp, it takes forever to clear plaques that way and they come back as soon as you stop, plus you can get burned).

    250 is crazy money, too. considering they and I know there is no cure!

    I wish I could stick to the diets too. When I stock up on fruit and veg half of it goes off before I have had the chance to eat it. Meals get more expensive and less tasty, too when you have to cut out most bread, pasta, pizza, tomato sauce, potatoes, fried foods, spicy stuff, red meat, all fizzy drinks, sugar, alcohol. Can't remember if dairy is allowed, I think small amounts on the Pagano diet but he says to drink black coffee/tea (blech) but most anti inflammation diets say to cut it out as anything high in fat can make you inflamed.


  • Registered Users Posts: 10,673 ✭✭✭✭senordingdong


    but most anti inflammation diets say to cut it out as anything high in fat can make you inflamed.

    My hope with my elimination diet is to reduce to a blank canvas and then reintroduce each allergen one at a time to see if I can pinpoint a trigger(s).
    Allergy testing is unbelievably expensive.


  • Registered Users Posts: 8,513 ✭✭✭brevity


    Gael23 wrote: »
    I wouldn’t be concerned about it being an RA drug, many autoimmune drugs are interchangeable, I’ve never heard of that medication though

    Yea, it seems to be quite new. I thought I was going to be on another injection. Talz or Cosentex maybe..

    Will give it a go anyways.


  • Moderators, Music Moderators Posts: 3,728 Mod ✭✭✭✭eeloe


    Thanks. This is part of why I avoided going to one. Pay a bomb for a bunch of tedious time wasting (i don't drive and my work is considered essential so it will be hard to organize appointments) and given things I've already tried (I have a UV lamp, it takes forever to clear plaques that way and they come back as soon as you stop, plus you can get burned).

    250 is crazy money, too. considering they and I know there is no cure!

    I wish I could stick to the diets too. When I stock up on fruit and veg half of it goes off before I have had the chance to eat it. Meals get more expensive and less tasty, too when you have to cut out most bread, pasta, pizza, tomato sauce, potatoes, fried foods, spicy stuff, red meat, all fizzy drinks, sugar, alcohol. Can't remember if dairy is allowed, I think small amounts on the Pagano diet but he says to drink black coffee/tea (blech) but most anti inflammation diets say to cut it out as anything high in fat can make you inflamed.

    It was the best €250 I’ve ever spent. I’m 99% psoriasis free, compared to 80% body coverage.

    There may not be a cure, but they can certainly give you your life back.


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  • Registered Users Posts: 4,664 ✭✭✭makeorbrake


    brevity wrote: »
    So I have been on Tremfya for about a year now. I was put on it because Stelara stopped workinge
    How long had the Stelara been working before it stopped being effective? Has anyone else had the same experience.


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