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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyPsoriasisTeam Member asked a question 💭
Coaldale, AB
April 8
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A MyPsoriasisTeam Member

Yes it could be a number of factors. People could be prone to things genetically and not know it yet even. I have a former co-worker who's still a friend of mine she got multiple myeloma but she said she's not surprised because both her parents died from cancers. She didn't say it was the same kind but still there's a genetic link. Taking something may or may not pose a risk it depends on what serious side effects are for that medication. Thankfully many people have tried the medications and became the case studies that way. That should be listed and disclosed up front. Newer medications scare me because there's not enough research done for people to be aware of what the serious side effects could end up being.

I hope for the sake of all taking medication that everyone stays safe and those that are not able to avoid greater risks heal quickly from that.

Back in the day when I didn't research my medicine because I didn't have access to and it wasn't shared with me by doctors maybe they didn't know fully?, I took my risks. Thinking I had to treat what was the problem and the doctor should know better what to do. Now I thoroughly research what I can upfront. Kind of knowledge is power but yet James I do agree Google is a search engine but it is limited as to its ability. It even says that some points if you look further down it may be prone to inaccuracy. To me it kind of became the replacement for the encyclopedia Britannica. Just don't know how much it follows the outline of that though. Back then they had to have people research stuff to put that in the Britannica. Now I don't know if it's just all AI generated. That's where the error comes in to play possibly in that.

April 13
A MyPsoriasisTeam Member

Interesting point, @A MyPsoriasisTeam Member. I thought the same thing when I read Peter's question so I asked the all knowing Google.
There is a confounding variable here-our autoimmune disease itself which increases our risk of cancer.
Is it the methotrexate or the PsA/Ps? Since those of us with PsA or Ps are more likely to be on methotrexate than the general population you could say it was the methotrexate but it might just be our disease leading to the increased risk. Truth is, we are exposed to so many carcinogens, I think it is rare to know with any statistically significant certainty what specific agent causes any cancer (aside from exposure to things like asbestos).
I guess the point is Peter can't takemethotrexate anymore.
For my rheumatologist, he said methotrexate is a last resort; only when biologics and other options fail would he go with methotrexate.

April 9 (edited)
A MyPsoriasisTeam Member

Yes. It was diagnosed as being caused by the methotrexate.

April 8
A MyPsoriasisTeam Member

Well that's really not the typical course it takes. Are you sure it wasn't something else that caused that? I'm just asking because it is well known that methotrexate is a well-established chemotherapy medication used to treat various cancers by destroying fast-dividing cells.

Sometimes when we have other conditions or any kind of family history of cancers we could be prone to getting something. We just never know until it develops.

That would be one of the biggest ironies that it's used as an anti-cancer medication to end up causing a cancer. I've never heard of that before. And I think that drug has been around for quite some time now.

I know it can affect other parts of the body like white blood cell count and it can affect the liver. That's why these have to be monitored all the time if on it.

April 8 (edited)
MyPsoriasisTeam

What are alternative treatment options if methotrexate can't be used?

I'm sorry to hear about your lymphoma diagnosis. That must be incredibly difficult to deal with on top of managing psoriasis.

Since methotrexate is no longer an option for you, there are other systemic treatments available for psoriasis. The good news Show Full Answer

What are alternative treatment options if methotrexate can't be used?

I'm sorry to hear about your lymphoma diagnosis. That must be incredibly difficult to deal with on top of managing psoriasis.

Since methotrexate is no longer an option for you, there are other systemic treatments available for psoriasis. The good news is that you have alternatives to explore with your dermatologist.

Biologic medications are a common next step for moderate to severe psoriasis. These drugs work differently than methotrexate by targeting specific parts of the immune system involved in psoriasis. They're typically given by injection or IV infusion.

Topical treatments like steroid creams or ointments can also be effective, especially for milder cases or as part of a combination approach.

Your doctor will consider your medical history, including your lymphoma, to determine which treatment is safest and most effective for you. Some medications may not be appropriate given your cancer history, so it's crucial to have an open conversation with both your dermatologist and oncologist.

They can work together to find a treatment plan that manages your psoriasis while keeping your overall health and cancer history in mind.

April 8

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