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Psoriasis Club › HealthHealth Boards › Prescribed Treatments For Psoriasis v
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[split] Acitretin

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[split] Acitretin
Caroline Offline
You must hurry if you ever want to catch a chicken...
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Forum Helper
Posts: 26,597
Threads: 113
Joined: Nov 2011
Gender: Female
Location: In between the tulips
Psoriasis Score: 3
Psoriatic Arthritis Score: 3
PQOLS: 4
Treatment: Got back to DMF slow release
#121
Thu-05-05-2016, 16:06 PM
Hi Christopher,

I am really sad for you that the Acetretin did not work.

If you go for Biologicals, that seems a good direction. As far as I can see the ones that are heading for the IL-17 receptor are doing the best, that means Stelara or the new Cosentyx.

If it would be impossible to afford it, there are still other options to try.

Cheers,
Caroline.
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JohnB Offline
I wanted to be an Engineer when I grew up, but was told I could'nt do both

100 + Member I Just Cant Stop !
Posts: 4,725
Threads: 36
Joined: Jan 2016
Gender: Male
Location: Lancashire UK
Psoriasis Score: 10
Psoriatic Arthritis Score: Hmm Maybe
PQOLS: 5
Treatment: Otezla/Apremilast & Enstilar occasionally.
#122
Thu-05-05-2016, 19:58 PM
Hi Christopher
Such a shame Acitretin seems to be failing you. I know the side effects can be uncomfortable and the hair loss is not good for anyone, but I think I would be tempted to run just a  little longer on it. Has the Ps changed at all?
kh924's thread on Acitretin Acitrecin - week 1 is a good read. I found it beneficial and was one of the threads that had me decide to run the Acetretin route as my first foray into systemics, but I am aware it may be a long haul to a blotch free existence.
I'm sure you will make the correct decision Thumb
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Christopher Hendriks Offline
Member


Posts: 12
Threads: 0
Joined: Mar 2016
Gender: Male
Location: South Africa
Treatment: UVA
#123
Fri-06-05-2016, 09:46 AM
(Thu-05-05-2016, 19:58 PM)JohnB Wrote: Hi Christopher
Such a shame Acitretin seems to be failing you. I know the side effects can be uncomfortable and the hair loss is not good for anyone, but I think I would be tempted to run just a  little longer on it. Has the Ps changed at all?
kh924's thread on Acitretin Acitrecin - week 1 is a good read. I found it beneficial and was one of the threads that had me decide to run the Acetretin route as my first foray into systemics, but I am aware it may be a long haul to a blotch free existence.
I'm sure you will make the correct decision Thumb

Hi JohnB, no improvement at all - really disappointed - do you think i should run another month ? or Dive to Biologics. 2.5 months is generally a decent time to tell if acitretin works ? Am so confused, i need to make a decision. Biologics is a huge sacrifice for me.....because am doing it cash - no medical aid. but if i have to do it.....il do.....

Blessings to everyone.
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jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#124
Fri-06-05-2016, 09:57 AM
(Fri-06-05-2016, 09:46 AM)Christopher Hendriks Wrote:
(Thu-05-05-2016, 19:58 PM)JohnB Wrote: Hi Christopher
Such a shame Acitretin seems to be failing you. I know the side effects can be uncomfortable and the hair loss is not good for anyone, but I think I would be tempted to run just a  little longer on it. Has the Ps changed at all?
kh924's thread on Acitretin Acitrecin - week 1 is a good read. I found it beneficial and was one of the threads that had me decide to run the Acetretin route as my first foray into systemics, but I am aware it may be a long haul to a blotch free existence.
I'm sure you will make the correct decision Thumb

Hi JohnB, no improvement at all - really disappointed - do you think i should run another month ? or Dive to Biologics. 2.5 months is generally a decent time to tell if acitretin works ? Am so confused, i need to make a decision. Biologics is a huge sacrifice for me.....because am doing it cash - no medical aid. but if i have to do it.....il do.....

Blessings to everyone.

I know you are worried by the side effects of acetretin and at 20 mg it's not doing anything apart from the side effects, it might be worth increasing the dose if the doctors approve it and see if the side effects stay the same or even improve
It's a lot of money to pay out for biologicals..... I would tough it out another month maybe at higher dose
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Kat Offline
Take my advice; I don't use it anyway.

100 + Member I Just Cant Stop !
Posts: 9,829
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Joined: Aug 2014
Gender: Female
Location: GA
Psoriasis Score: 3
Treatment: Clobetasol Topical
#125
Fri-06-05-2016, 12:33 PM
There is no easy answer I'm afraid. It could be that if you give it another month, it might work for you. It's possible that if the doctor increases the dosage, that might do the trick. But it is also possible that it just isn't the treatment that is going to work for you.

I think if I were you I would schedule an appointment and ask your doctor if you should try to wait a bit longer, increase the dosage or switch to biologics. There are also ways to get help with the costs of biologics with patient assistance plans. Some of the companies that make biologics have plans to offset the cost. I don't know how that works and you may or may not be eligible, but something else you could ask your doctor about perhaps or check the manufacturer's website and see if you can find information there.
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Fred Online Author
I Wanted To Change the World But Got Up Far Too Late.
Moderator
Posts: 67,210
Threads: 3,902
Joined: Aug 2011
Gender: Male
Location: France
Psoriatic Arthritis Score: 1
PQOLS: 1
Treatment: Bimzelx / Coconut Oil
#126
Fri-06-05-2016, 12:59 PM
(Fri-06-05-2016, 12:33 PM)Kat Wrote: Some of the companies that make biologics have plans to offset the cost.  I don't know how that works and you may or may not be eligible, but something else you could ask your doctor about perhaps or check the manufacturer's website and see if you can find information there.

Christopher I have found a Stelara contact for your country I will PM it to you.
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Christopher Hendriks Offline
Member


Posts: 12
Threads: 0
Joined: Mar 2016
Gender: Male
Location: South Africa
Treatment: UVA
#127
Fri-06-05-2016, 13:26 PM
(Fri-06-05-2016, 12:59 PM)Fred Wrote:
(Fri-06-05-2016, 12:33 PM)Kat Wrote: Some of the companies that make biologics have plans to offset the cost.  I don't know how that works and you may or may not be eligible, but something else you could ask your doctor about perhaps or check the manufacturer's website and see if you can find information there.

Christopher I have found a Stelara contact for your country I will PM it to you.

Thanks guys !!!  - i have chosen to go one more month - then failing that - Am heading for Biologics. 

Fred ! I would appreciate that .......
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JohnB Offline
I wanted to be an Engineer when I grew up, but was told I could'nt do both

100 + Member I Just Cant Stop !
Posts: 4,725
Threads: 36
Joined: Jan 2016
Gender: Male
Location: Lancashire UK
Psoriasis Score: 10
Psoriatic Arthritis Score: Hmm Maybe
PQOLS: 5
Treatment: Otezla/Apremilast & Enstilar occasionally.
#128
Fri-06-05-2016, 15:36 PM
(Fri-06-05-2016, 13:26 PM)Christopher Hendriks Wrote:
(Fri-06-05-2016, 12:59 PM)Fred Wrote:
(Fri-06-05-2016, 12:33 PM)Kat Wrote: Some of the companies that make biologics have plans to offset the cost.  I don't know how that works and you may or may not be eligible, but something else you could ask your doctor about perhaps or check the manufacturer's website and see if you can find information there.

Christopher I have found a Stelara contact for your country I will PM it to you.

Thanks guys !!!  - i have chosen to go one more month - then failing that - Am heading for Biologics. 

Fred ! I would appreciate that .......

Probably the best choice Christopher. I have just hit the 2 week mark on 25mg Acitretin and there is a difference in how the plaques feel and I am shedding huge flakes. Its a bit early for me to say whether it is an improvement, but the itching has receded considerably .  It is beginning to sound like the biologicals are calling though  Confused you will have given the Acitretin a far crack of the whip.
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Acedaly Offline
Newbie


Posts: 2
Threads: 0
Joined: Jul 2016
Gender: Male
Location: Darwin, NT
Treatment: Acitretin
#129
Tue-12-07-2016, 14:01 PM
Hi guys, I am new to the forum and was encouraged to join by the support for each other I read on the forum. Very encouraging to see. 
  I have now started my journey with Acitretin. I will keep everyone up to date with my progress.
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jiml Offline
100 + Member I Just Cant Stop !

100 + Member I Just Cant Stop !
Posts: 47,972
Threads: 357
Joined: Oct 2013
Gender: Male
Location: Norwich England
Psoriasis Score: 3
Treatment: Skilarence 5x120mg a day
#130
Tue-12-07-2016, 14:14 PM
(Tue-12-07-2016, 14:01 PM)Acedaly Wrote: Hi guys, I am new to the forum and was encouraged to join by the support for each other I read on the forum. Very encouraging to see. 
  I have now started my journey with Acitretin. I will keep everyone up to date with my progress.

Great to see you  Welcome  to the club you have already seen that we are a friendly bunch, but always here for each other passing on and receiving information and support ....I think we are a great support group and provider of up to the minute information about the disease,
I will look forward to Following your acetretin journey and comment more there  Thumb
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