My Rheumatologist suggested a trial of Otezla. I am also very concerned about the aggressive nature of these medications. I have had an exposure to Hepatitis B in my past that shows up when Im tested. I don’t want to take anything that could allow that to become active. I don’t need any more dx.

I wish I could give you better advice other than you need to find a doctor that you trust! There is no one shoe fits all solution. Your doctor is going to give you the best advice on what will be best for you. I have found that to treat my symptoms it’s a combination of diet and medications. Albeit the medications haven’t been so effective as of late.. Listen to your doctor but more importantly listen to your body!

Hi AnnM,
I think Willy hit the nail on the head, There is no good suggestions for this and you should listen to your Doctor if you have a trust built up with them, and if not maybe try looking for another one and listen, you can google medications and doctors, and make a better decision from that good luck with whatever you decide to do sending gentle hugs your way

Hi AnnM, if you were asking me about Xeljanz, I have taken it only for two months. I believe it is helping but will need more time to tell Never take it without food in your belly. It is a once a day time-release drug. It can affect your stomach even later in the day.

Hi Ann, I know that it is very frustrating all the very serious side effects of immunosuppressants. Xeljanz is the only pill approved for PsA. It is not I biologic, but works to repress the immune system which is attacking your skin as if it were a disease. I have no experience with the diets.