Fumaderm and hormone injections

[Fred]

If it is psoriatic arthritis Jim Rheumatology will probably say Methotrexate. They love doing that.  

I can understand you wanting to stay on Fumaderm as it has been good to you, but if you are getting the onset of psoriatic arthritis it may have been holding it back but can no longer do so.

You also say you don't want to get psoriasis back. I can fully understand that too as being clear is one hell of a boost to ones well being, but believe me when psoriatic arthritis comes after you hard I would rather be covered in flakes any day.

But Jim stop and think for a moment. If they do put you on something else it will also help the psoriasis so it's unlikely to come back is it?

At the end of the day it's your body and your choice. You have to ask yourself what you are willing to take and how long you can live with the inconvenience and pain of psoriatic arthritis if indeed that is what it is.

I would say weigh up your options before you go and arm yourself with the various treatments available for psoriatic arthritis. That way you will have something to put on the table at the meeting if they do decide it is psoriatic arthritis.

Good Luck.