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It started with one that looked like a ringworm. He had that one "ringworm" for like 4 months prior to this August and the moment a 2nd one popped on his leg, we decided to take him to a doc who prescribed unrelated topical meds which suddenly caused a whole bunch of them to occur all over his body including his scalp. Then we requested to see a dermatologist from there. The derm submitted TALTZ to my son's insurance but they denied it and proposed methotroxate, UV light, or Enbrel which are… read more
I am on Enbrel and have had no issues....but I'm nowhere near being a teenager!! I do not find Enbrel to be that great for the psoriasis...wonder drug for my PsA, but I still deal with psoriasis. Both my rheumatologist and dermatologist agree something else would be better for my psoriasis. My PsA was the far bigger problem for me, so I'm sticking with the Enbrel and dealing with tropicals like Zoryve and Clobetasol which offer long term psoriasis relief for me.
General rule of thumb to consider is starting LOW dose on oral stuff see how it is tolerated, try a dermatologist for managing skin as they can use topicals more. Also look at Otezla as I am having to and see there is NOT cancer risk reported with that ...initial side effect risk of possible diarrhea or vomiting but that isn't always the case (low doses reduces risk) until body adjusts to. +Depends on insurance coverage
Great you do research first..
Methotrexate I agree is risky too, I took it until they said it lowered my white cells too much ..then I resorted to fish oil capsules (just can't stomach the oily fishes otherwise). It is heart beneficial, cancer prevention, slows the progression down of psoriasis I researched..but it can be risky to have bleeding risk IF someone is on any blood thinner (as it thins blood and improves circulation). ASK a Dr about the dosage that's ok to use and be aware they have to stop using 2 weeks before any surgery..as one needs to blood clot form after many surgery.
Hope the dermatologist and or supplement idea is of any use.
I let my condition just go as is at some point , my body has autoimmune neutropenia (ongoing low white blood cells) as the body had to manage it...and flare ups are painfully unpleasant.
May your son find what works best..in his early start years in this.
One more idea: omega 3 from food can be helpful to fight the inflammation on this too.
Try to get food source help?
Thanks a lot dor the feedback. I agree that enbrel has worked for some kids but down the road, there is a huge risk for cancer with these TNF biologics, and don"/ forget heart issues given that my son has a congenital heart defrct and a heart murmur..
What treatment options work best for a 12-year-old with plaque and guttate psoriasis?
First, please know that your concern for your son is completely understandable, and you're doing the right thing by advocating for him. Insurance denials can be incredibly frustrating, especially when dealing with a child's health.
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