Is it normal for scalp psoriasis to worsen after starting Tremfya?
It's understandable to feel concerned when your scalp seems worse after starting a new treatment. While Tremfya (guselkumab) has shown strong results for scalp and skin psoriasis, it typically takes time to see improvement rather than causing symptoms to Show Full Answer
Is it normal for scalp psoriasis to worsen after starting Tremfya?
It's understandable to feel concerned when your scalp seems worse after starting a new treatment. While Tremfya (guselkumab) has shown strong results for scalp and skin psoriasis, it typically takes time to see improvement rather than causing symptoms to worsen first.
Psoriasis treatments generally don't follow a "worse before better" pattern. However, it can take several weeks for biologics like Tremfya to start working. Recent studies showed that many people achieved clear or almost clear skin after 16 weeks of treatment, but everyone responds at different rates.
A few things to consider:
- Your scalp may be reacting to other factors like stress, weather changes, or hair care products
- Scalp psoriasis can be particularly stubborn because plaques under hair tend to be thicker
- The timing might be coincidental with a natural flare
Since you've just had your first dose, give the medication time to work while monitoring your symptoms. If your scalp continues to worsen or becomes very uncomfortable, reach out to your dermatologist. They can assess whether you need additional topical treatments to help manage symptoms while the Tremfya takes effect.
January 22
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