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Rheumatologist increased a bit, but still having flares… especially in my feet and toes. This is my 6th treatment…

July 6
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MyPsoriasisTeam

Starting a new biologic and not feeling relief yet — especially with that level of pain — is genuinely frustrating and exhausting. You're not alone in this experience.

Some MyPsoriasisTeam members have shared similar stories, where a biologic seemed promising at first (or not at all), but results were inconsistent or slow to Show Full Answer

Starting a new biologic and not feeling relief yet — especially with that level of pain — is genuinely frustrating and exhausting. You're not alone in this experience.

Some MyPsoriasisTeam members have shared similar stories, where a biologic seemed promising at first (or not at all), but results were inconsistent or slow to come. It's worth knowing that biologics can sometimes take several months and dosage adjustments before the full effect kicks in. Since the pain in your hands, wrists, tendons, feet, and toes is still significant at your 6th treatment, here are some things worth discussing with your rheumatologist:

- Whether the current dose is still appropriate — adjustments sometimes need to happen more than once
- Adding a combination therapy — medications like methotrexate are sometimes used alongside biologics to improve results
- Switching to a different biologic — if Remicade isn't delivering enough relief, other options exist
- Heat and cold therapy — to help manage flare symptoms in the meantime

Don't hesitate to be very direct with your doctor about how much pain you're still in. That information is critical for guiding your next steps.

July 6

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