I never start threads these days, mostly I visit to offer my twopenny worth, especially to those of you who have PsA like me. There are always posts from recently diagnosed people who are quite understandably worried about starting on Methotrexate and other drugs.
I started with Methotrexate just over 2 years ago and have been through most of the DMARDs. All of them have helped me to some extent. I was very ill, virtually paralysed, at first but either Mtx sorted that out or possibly it was a severe flare, the like of which I've not experienced since. By nature I'm drug averse, but I've come to see the drug therapy for RD as pretty much the only way forward for many of us. There may be some who find another way that works but my experience is that the drugs have not had any real adverse effects, they've just helped plain & simple.
Last week I started Humira. It's amazing that someone like me is so happy about this, so hopeful. With PsA it's easier to meet the criteria for Biologics than it is for RA - you only needs 3+ swollen/tender joints. I had 10 so that wasn't really an issue. But there's a pay-off in that patients with PsA only have one or possibly 2 shots at Biologics at most. So in just over 10 weeks I need to have made significant improvement in order to be certain of continuing Humira. And if I 'fail' it may be a bit of a palaver to be approved for a second Biologic. The NICE criteria are a straitjacket for all of us I feel.
Never mind all that though, I am so pleased to have a chance of Biologic therapy. And I just want to say to 'newbies' - don't be scared of the drugs. This summer what I see in the mirror is quite a healthy-looking person who has taken quite a cocktail of drugs over the last few years. And more importantly I feel well too - plenty of energy, plenty of hope. If you are newly diagnosed, go forward and don't look back, things change but it's not all bad by a long chalk.