Frustrated to the max .. methotrexate ?

[jiml]

Hi I disagree that what you did was irresponsible. It is standard procedure to increase the dose of methotrexate up to 20 mg a week
I think it is your hospital being irresponsible leaving you so long on such a low dose ( bear in mind the dosing for psoriasis is far lower than when it's used for chemotherapy )
I can understand the frustration of having the tablets to do the job and no one in authority at the hospital to authorise it

Dosages may be adjusted gradually to achieve optimal response.
-Limited experience shows a significant increase in the incidence and severity of serious toxic reactions, especially bone marrow suppression, at doses greater than 20 mg per week in adults.
-Therapeutic response usually begins within 3 to 6 weeks and the patient may continue to improve for another 12 weeks or more.

I agree it's time to get tough and demand better care. The fact that the hospital is without a dermatologist should not impact on your quality of life .
Had I been in your shoes and knowing that tests had been done and my body was tolerating the drug . I would probably have done the same thing

I'm not saying it's right, but desperation drives you to take chances .

So certainly don't give up Fred has pointed you at the DLQI page so I hope you take note and give them hell... because that's what they have been giving you .