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Aside, She’s Trying Methotrexate
Hello Ed, I LOVE YOUR
WEBSITE! My name is Tanya and
I'm 34 years old. I have two
wonderful boys and have been married to the same wonderful caring man for
17 years. I have had psoriasis
for about 5 years. I wanted to
just say thank you for your support to so many of us out here.
I felt like I was alone in this world,
no one understanding me and how I felt.
When I first saw your website,
I laughed for the first time about psoriasis!
I told my husband about it and he was happy that I was laughing.
I have been down and out for a while and really needed something to
lift my spirits.
It wasn't until about
1 year ago that the psoriasis got really bad, on my arms and legs, ankles,
forehead and scalp and in areas we won't mention.
I just continued to apply the creams and gels that the doctor gave
me. I wasn't real faithful on
applying them every morning and night, so the condition worsened.
It was about 6 months
ago that I started feeling pain in my knees and went to see my primary
doctor. After giving me Vioxx
for the pain, I found that I couldn't take it every day as it did not
agree with me. So he referred
me to an arthritis doctor. She
diagnosed me with psoriatic arthritis and told me I would benefit from
Methotrexate. I put it off as
the side effects really scared me. I
don't want to lose my hair, or have sores in my mouth!
Worse yet, I don't want something to happen to my liver!
I've been in a lot of
pain with my arthritis. I just
had some blood work done and my sed-rate is too high at 54 when it should
be 0-15 (sed-rate measures your inflammation).
I went to my dermatologist and he has also advised me that I would
benefit from Methotrexate. I
have decided to try it and see what happens.
He wants to skip the pill and go right to the injection since I'm
in a lot of pain. Well, I go
to him today. I have been out
of work for about 3 weeks now and I'm hoping this makes me feel better so
I can get back to work. I
couldn't drive the 30 miles it took to get to work because by the time I
got there, I was in so much
pain, I had a really hard time
getting out of my car!
My father has
psoriasis, but not the
arthritic type. He's totally against me taking the Methotrexate and I can
understand what he's saying, you know, with the side effects and
everything. But I don't know any other way to relieve the pain.
Thank you very much
for reading this e-mail. I'm
sure you get a lot, so if during you busy day,
you have a chance to respond, please
do, I would really appreciate
it. Thank You, -Tanya
Don't be afraid of the MTX. Your
derm will monitor you closely with blood work-ups at least every three
months and probably every month for the first few.
Boy can I identify
with what you have gone through! I
made my decision to try methotrexate when I could
My first round with
MTX literally eliminated my joint pain in about 4 months.
Even a year later, when I switched to cyclosporine, the PA stayed
away for almost another year. When
the joint pain started to return my blood pressure was also rising (a
well-known side effect of cyclosporine) and I went back to MTX (hence the
recent biopsy) and, so far, it has arrested any increase in the
And while I certainly
advocate methotrexate for someone in your condition, I also appreciate
your father’s point of view. I
would not counsel my own children towards the drug unless their cases were
also disabling. Methotrexate
isn’t a drug I would take just to “look better.”
(In fact, MTX has never completely cleared my lesions — and the
literature suggests it shouldn’t. It’s
as though complete clearing would be a sign of over-dosing;
but that’s just my interpretation.)
Thanks for writing and your kind words! -Ed