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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 💭
Poperinge

February this year, the reumatologist diagnosed poriasis artirits - ra. He suggested as a treatment physical exercise and in need Biofenac. I have a feeling that when I don't take the NSAID, the flares get stronger and the ups and downs are growing. So after contacting reumatologist, started to take daily 2 tablets, which makes me feel good and able to grow my activity
In view of a consultation, I had my blood checked and it revealed that several values reacted to the intake of these tablets.… read more

June 19
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A MyPsoriasisTeam Member

It is important to have doctors listen to you and let you be part of the decision....I went to see another doctor in our group because I could not get in with my primary all last year nor my husband...my thyroid meds felt off....he took blood, asked if I took on an empty stomach....after 34 years of taking them no one told me not to take with my other meds just like waiting an hour after taking you also need to take it by it self and hold off on my other pills for an hour...so important to get informed not just told yep let's change your dosage and you are ready to go oh shit..the light bulb in my head just lit up...maybe the 56lb weight loss was due to changing how I took my thyroid medicine.

June 21
MyPsoriasisTeam

It sounds like you're doing everything right — staying active, doing physiotherapy, aquagym, and trying to manage your medication responsibly. Yet you're still caught in a difficult cycle where stopping the NSAID brings flares back, and your rheumatologist isn't offering additional options. That's genuinely frustrating, and Show Full Answer

It sounds like you're doing everything right — staying active, doing physiotherapy, aquagym, and trying to manage your medication responsibly. Yet you're still caught in a difficult cycle where stopping the NSAID brings flares back, and your rheumatologist isn't offering additional options. That's genuinely frustrating, and your concerns are completely valid. Seeking a second opinion is absolutely reasonable in this situation. There are other treatment options beyond NSAIDs that can help manage psoriatic arthritis more consistently, including:

- DMARDs (like methotrexate) — which can slow the disease over time
- Biologics — injected medications that target specific parts of the immune system
- Oral medications — such as JAK inhibitors or PDE4 inhibitors, which help control inflammation

These options may provide more stable, long-term relief rather than the "on/off" cycle you're currently experiencing. A MyPsoriasisTeam member shared this advice: *"Find a rheumatologist who will listen to your concerns and symptoms and not just rely on blood work."* Good communication with your doctor is essential — you should feel heard, especially when symptoms are affecting your ability to work. Before or during any new consultation, it may help to:

- Keep a symptom journal — tracking flares, medication use, and how you feel day to day
- Write down your questions ahead of appointments
- Be clear about the work impact — explaining how flares affect your ability to be present Monday to Friday gives doctors a fuller picture

A second opinion isn't a betrayal of your current doctor — it's advocating for yourself, which you clearly deserve to do.

June 19
A MyPsoriasisTeam Member

Yes Natalie, my Cousin Margarite , has to take her thyroid pill b4 she has anything to eat or drink for an hour. Iknow this becuz we speak every morning hi there, cuz, hehe but she will Always say. Call you when i can Drink my coffee, in a. Hour, and then we Talk. But she understands, that this is the ONLY Medication she Has To take, daiky, she is 81years, that To me is really something. If i hit 81 years of age, i probably would have taken at least , many, many ,many Medications by then. Already Have, since 1970, for Goodness Sake. So yes i know about throid issues becuz of my Cousin. ONE (1) PILL DAILY since 2015, WOW take care

June 22
A MyPsoriasisTeam Member

You are right, I don't feel heard, don't feel that they understand what i am suffering. So I think I will go for a second opinion. Not on the diagnosis, but on the way to treat it.

June 20
A MyPsoriasisTeam Member

Kris, nsaids are terrible. You feel better for awhile because they lower inflammation that is causing pain. Try something with less side effects. I swear by white willow bark. It's so much less expensive and very low to zero side effects. Easily available on Amazon.

June 20

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A MyPsoriasisTeam Member asked a question 💭
Louisville, KY