Sounds like the medication has stopped working. You should check with your doctor.

I have been back on Tremfya since December. Went off it when the pandemic hit because I worked in a school and did not need my immune system to be lowered for any reason.I stayed clear for a year and a 1/2 then it started to creep up again. I suffer from sinus infections as well, but I can't say for sure that it is due to Tremfya because I did suffer with them before I ever took the medicine. What I have noticed is little moles more like skin tags around my neck and I really believe it's from the meds because when I stopped taking it for awhile they quieted down, but now I have noticed more since I started again. There are different biologics now that you can try if you think the sinus infections are from the Tremfya. I make sure I take vitamin C and D everyday since the meds do lower your immune system.

I do get the influenza and pneumonia vaccines, but shingles I can't because I'm too young.

Anyone with psoriasis or PsA should really get the Influenza, Shingles, and Pneumonia vaccines. Of course check with your MD first. It does make a huge difference