Hello from Wisconsin!

[mataribot]

Stelara may be out of the question, but Enbrel and Humira are not. It depends on your age, sex, and other medical concerns. I started with Enbrel.

[Fred]

Stelara may be out of the question, but Enbrel and Humira are not. It depends on your age, sex, and other medical concerns. I started with Enbrel.

That's interesting, here they start on Remicade. Eric as you and Mataribot are in the USA he may have more relevant info.

[mataribot]

I'm assuming private insurance is involved. Traditional DMARDs are out of the question for anyone interested in eventually having children, especially women. Other medical issues also may inhibit the use of traditional drugs. Don't get me wrong, it's still difficult to get approved and the monthly copay cost will probably be 2k USD. However, the copay assistance cards can help offset those costs.

Remicade typically isn't used for psoriasis here in the states. After Humira failed, I wanted to try it, but my dermatologist refuses to subscribe it and wouldn't say why. My rheum speculated the reason why is because I'm overweight and carry increased rate of liver complications.

Anyways good luck with your appointment! Let us know how it goes.

[Ericn]

Thanks for the information everyone!

I think the biggest thing for me is the cost of treatments. Since Obamacare hit we got a nice increase in our insurance costs at my company for less coverage. I'll see how it goes, but will definitely ask about Enbrel and Humira. One reason I picked the clinic I'm going to is that they have a doctor in the practice that specializes/ has interest in treating psoriasis, so I'm thinking I can get a referral if anything.

[mataribot]

I would call your pharmacy (insurance provided) and talk to the specialty pharmacy. Find out your monthly responsibility and call the copay assistance company to see if they cover. Remember that the starting dose may cost more than the regular dose.

[Troll]

Belated hello Eric

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