Fumaderm and kidney problems

[jiml]

Thanks Caroline - do appreciate your comments. I think frankly when Dermo asked what we wanted to do, I sort realised it was going to be a loss/gain analysis rather than a black and white answer.

 I will discuss reducing the Fumaderm as an option when I get to speak to the dermo - just hope he has not had a flare up in the meantime. I do realise that some of these drugs can be quite toxic on the elderly but until the cyclosporine and the fumaderm he literally could not walk - the pain in his feet was so bad, and it does come down to quality of life. I do find it hard to make decisions for my much older husband when I have no medical knowledge.  I guess I wait now and hopefully the dermo should have latest kidney tests results when he phones and we can navigate way forward. The Lupus does complicate things as it does limit some of the treatment options.

Hi krug personally with his kidney condition and his psoriasis fairly well controlled. I would reduce by at least 1 tablet and see how it goes. I would never advise on increasing but in view of his kidney problem he should stop the fumaderm, but I can understand your reluctance... So in the meantime try dropping the dose by one tablet