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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.

been taking Methotrexate for 8 weeks now, at first it started to work, my plaque went away and the redness reduced, but came back last week

A MyPsoriasisTeam Member asked a question 💭
June 2
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Psoriasis and Itching: 4 Ways To Manage the Itch Read Article...
A MyPsoriasisTeam Member

Thank you for your advice

June 3
A MyPsoriasisTeam Member

Hi the flare ups are a direct result of what is happening in your gut. I do water fasting for 36 hours twice a week and intermittent fasting the rest of the week no sugar no gluten no seed oils the itching has drastically subsided the scales on my skin are gone and my skin is now healing naturally . You must go to YouTube and watch Dr Pradip Jamnadas fasting for survival lecture to learn more about water fasting it has helped me tremendously and I know I will be fasting for a long time to come it is definitely better than anything I have tried in the past and it is completely natural. Also twice a day I have half a teaspoon of black seed oil mixed with a tablespoon of olive oil as a carrier oil. I make my own lentil bread and rolls use coconut oil and ghee for cooking and no fried foods
Happy healing to you
Thank you kindly

June 3
MyPsoriasisTeam

It's frustrating when symptoms start to improve and then flare back up — that rollercoaster feeling is something many people with psoriasis know all too well.

The good news is that methotrexate can take up to six months to reach its full effect, so 8 weeks in is still relatively early in the process. Some initial Show Full Answer

It's frustrating when symptoms start to improve and then flare back up — that rollercoaster feeling is something many people with psoriasis know all too well.

The good news is that methotrexate can take up to six months to reach its full effect, so 8 weeks in is still relatively early in the process. Some initial improvement followed by a temporary setback doesn't necessarily mean the medication isn't working. A MyPsoriasisTeam member shared a similar experience with a biologic — they saw great results at first, then plaques returned before eventually stabilizing with an adjusted treatment plan.

It's worth having a conversation with a dermatologist about what's happening. They may consider:

- Adjusting the dosage of methotrexate
- Giving it more time, since full results can take up to 6 months
- Combining it with another treatment if needed
- Switching to a biologic, which tends to have a higher success rate (around 80–85%) compared to methotrexate (25–30%)

Don't stop taking methotrexate without speaking to a doctor first, as stopping suddenly without guidance isn't recommended.

June 2

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Has anyone done the light treatment? And if do, what was your experience? Thank you Laurie

A MyPsoriasisTeam Member asked a question 💭
Louisville, KY
June 3