Psoriatic Arthritis and Methotrexate

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New Member

Date Joined Oct 2016
Total Posts : 5
   Posted 10/25/2016 7:18 AM (GMT -7)   
Hi I am new here and have just registered. I have had Psoriasis since the age of 18 (stress related I think brought on by stressful childhood and being thrown out of the house at 18) the skin condition ranged from bad to very bad but has gradually diminished over the years to the point of virtually non-existence for the last 7 years or so, I am 63 now. During most of this time I have had a variety or joint pain in feet/ankles/tendons/toes/elbows and knees and a period where I had a problem with eye ulcers. None of these problems were, back then anyway, associated with my Psoriasis but put down to lifestyle, badly fitting shoes, ladder work. cycling (racing and mountain biking), work, overuse etc, etc, etc. They came and went and I just dealt with it and put it down to advancing age etc. Another painful flare up this July in the ball of my foot and one of my toes, so bad that I could hardly put my foot on the ground took me off to the Doctors, blood tests and a visit to the Rheumatologist who diagnosed Psoriatic Arthritis with Dactilytus (sausage toes)..(based on my history, examination and blood CRP of 30) All of that previous pain has now become clear but the issue is that she has prescribed Methotrexate which I am ultra dubious about taking after my research into this drug. My pain isn't so bad at the moment to stop me working even though every step hurts somewhat so for me it is a pain vs side effect of the drug problem at moment. I am fit and healthy, good blood pressure and normal cholesterol, low resting heart rate and on no other medications (I do have gastritis) and Ii am very worried that even if this drug worked then I make be giving myself other health problems down the line caused by this drug!!! Also, a concern for me is that inflammatory conditions can increase your chance of heart attacks or strokes significantly and the drug will drastically reduce this risk. Would appreciate your comment please, I have another appointment in 3 months time so I would like to be able to get enough real life info to make and informed decision by then.... many thanks


Forum Moderator

Date Joined Feb 2003
Total Posts : 15326
   Posted 10/27/2016 7:28 AM (GMT -7)   
Hi Paul & welcome to Healing Well. Psoriasis is an auto-immune disease & generally if a person has one it leads to others appearing at some point. Stress cannot cause psoriasis but stress can be a trigger to cause it to rear its ugly head. My worst outbreaks are when I am supper stressed out.

I hear your concerns about starting on the medication. Something you need to remember is all medication comes with potential side effects. If you read the potential side effects of Tylenol you would probably never take another one. Keep in mind these potential side effects do not mean it will happen to you. They are required to list any potential side effect that has been reported. One of the best sources to learn about medication is Methotrexate is an older medication used for many auto-immune diseases with very good success.

I also suggest that you go to the Mayo Clinic's website & type in PA & you can read about all of the treatments offered for PA. By the way the symptoms you described above match what they have listed. I like their website because the information is reliable & correct. So much of what is out there on the net is not reliable & just garbage.

Keep us posted.
Moderator in Chronic Pain & Psoriasis Forums

New Member

Date Joined Oct 2016
Total Posts : 2
   Posted 10/27/2016 9:47 AM (GMT -7)   
Hi Paul,
I have taken methotrexate for over 10 years for psoriatic arthritis. Doctor has never mentioned using it for psoriasis. I have regular blood tests every 2-3 months to make sure everything is okay and have never had any problems. As far as I can see, it does not help me with the psoriasis on my foot. I have been given an ointment to use, but it does not seem to work. It's not painful so I just deal with it. Tired of going to doctors!

New Member

Date Joined Oct 2016
Total Posts : 5
   Posted 10/27/2016 2:09 PM (GMT -7)   
So, has Methotrexate helped the P.A? I found the best thing for my Psoriasis (skin) was the sun. A 6 week holiday in Australia a number of years back made it disappear ( I even had to cancel the UVB light treatment I had booked at the local hospital as there was hardly anything to treat!!) and it took over a year to return. From that time on it has gradually diminished until today it is as good as gone. Interestingly back when I was first diagnosed in 1972 my doctor did tell me there was no permanent cure but he did say that some people tend to "grow out of it" as they get older, don't know how true that is but I have been virtually clear for about 7 years.. Just the joints now
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