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May 18
That's a really valid concern, and it's great that you're thinking carefully about this before starting treatment. Living in a high-tick area does add an extra layer of consideration when it comes to biologics.
Biologics do work by adjusting your immune system, which means there is an increased risk of infections. This is Show Full Answer
That's a really valid concern, and it's great that you're thinking carefully about this before starting treatment. Living in a high-tick area does add an extra layer of consideration when it comes to biologics.
Biologics do work by adjusting your immune system, which means there is an increased risk of infections. This is the primary thing doctors monitor when patients are on biologics. However, this doesn't automatically mean biologics are off the table for you. Here are some things worth discussing with your dermatologist:
- Tick prevention strategies — Using permethrin-based repellent on clothing and gear, sticking to trails, and checking your body after being outdoors can significantly reduce tick bite risk
- Monitoring plan — Your doctor can set up a close monitoring schedule so any infections are caught and treated early
- Weighing the benefits — Biologics have an 85–90% success rate for psoriasis and treat inflammation throughout the whole body, not just the skin
One MyPsoriasisTeam member shared that despite experiencing infections while on biologics, the treatment was still life-changing for their psoriasis — though they acknowledged the trade-off required careful thought.
The key is having an open, honest conversation with your dermatologist about your specific environment and daily tick exposure. They can help you weigh the real risks against the very real benefits for your situation.
May 18
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