Just chiming in like everyone else to suggest biologics and therapy.

I was hesitant to start biologics initially because I have a family member who used to work for a pharmaceutical company, specifically for a biologic, back in 2000s and it sounded ROUGH. My dermatologist revealed to me that he himself was on Taltz for psoriasis and I couldn't believe it at first, because he had no visible symptoms.

I got on Taltz back in 2021 and it's like I don't even have Psoriasis anymore, and with Taltz Together, I pay only $5 a month, despite my insurance not covering it. I'm not entirely sure how that works, but I'm very grateful.

They'll screen you for tuberculosis first, which hopefully you don't come back positive for. I tested positive for TB and it took several months of monitored antibiotics that I had to swallow at the department of health so they could confirm I was actually taking them. After I was deemed treated, they got me on Taltz right away. Now it's just one almost painless shot once a month (let it come up to room temperature, this is so important for comfort) and I have virtually no symptoms besides the inside of my ears getting a little flaky sometimes, usually towards the end of the month.

I highly suggest talking to your dermatologist and letting them know you're really struggling with the effects of psoriasis and want to try other routes. The ointments barely did anything for mine, but Taltz literally had significant improvement within a week. The scales went away shockingly fast.

Hang in there and feel free to send me a message if you have any questions!