Advice needed about DMARDs

[Fred]

Thanks Fred I intend to enjoy myself without changing my drug of choice unless the pain gets intolerable ....although she did warn that it could get aggressive and do real damage and she was keen to halt the damage before it got bad, I have her phone number if I need a quick appointment and she has given me some Cochrane reviews to read
But I'm in no hurry while my pain is mainly in the mornings  


I'm off for a drink in the bar now  

I'm picking up the tab in the bar tonight Jim so fill your boots.  

Last serious post from me tonight: Trust me Jim (and anyone else reading this) I would say yes you should be checked for psoriatic arthritis and it should be checked often with all psoriasis patients in my opinion. But I would say (and again this is a personal opinion) even if you do have psoriatic arthritis, hold off for the the more serious treatments (Bio's) as long as you can as like All treatments for psoriasis and psoriatic arthritis they will eventually fail and you will need something else.  

There is no cure for psoriasis and as you know it's all about management, but psoriatic arthritis is a B******d and can/will ruin ones life and it's harder to manage.

Give me flakes of skin all over the place any day over being locked up and unable to move.

Merlot Time, see you in the bar.