You’ve been through the mill a bit. Melanoma and then this PsA. Frightening and exhausting in equal measure, I’m guessing.
As I’m sure you know the reason that you’ve developed PsA is due to your immune system becoming abnormal. So the way to get your immune system working more normally again is through DMARDs and/or biologics. They help it stop working away in the background messing around with joint, ligaments, tendons, and a host of other things like eyes, and internal organs. It’s for this reason your doctor is pushing the meds.
Now to some better news, Cosentyx is classed a pretty good biologic. My rheumy says it’s gold standard treatment for PsA. It only targets one bit of the protein in your T cells, called interleukin 17. That helps to make it well tolerated producing in reality few if any side effects for most people. It’s also prescribed to people who have had side effects, some serious from other PsA meds.
I’m on it and it’s my 5th med for PsA. Mxt and sulfasalazine (DMARDs) failed me along with a biosimilar to Enbrel and a biosimilar to Humira. I’m 5 weeks in now (as in just finished the loading dose) and first it’s working and secondly I’ve no side effects. Correction I’ve got one, on the day I take it, I sleep incredibly well that night. I’m very happy with that side effect and will now miss it as I go on to monthly only doses.
Just like your treatment for melanoma was serious stuff, so too are the meds used for treating PsA. This is an autoimmune disease which tends not to go away. And it causes damage, none of that is repairable. So treating it as aggressively as possible from the start is the only way to go.
When I was first diagnosed nearly 4 years ago now, I couldn’t understand why we had to take these big bang drugs, which quite frankly also scared me to death almost. The good people on here educated me and made me realise the sense of it.
Which in turn means that whilst my symptoms have at times been fairly acute and disabling, I’ve haven’t significantly yet damaged anything. Not even through side effects.
This summer I had significant hip and back pain. My rheumy counted up 48 joints which were affected and 5 of them were swollen, none of them being my hips or back either. 5 weeks after starting cosentyx, my hip and back pain has almost disappeared and I can’t see any swollen joints anymore. Suddenly I’m smiling properly again, walking my dog with gay abandon much to his delight, able to socialise more coherently and of course do my job more consistently. Feel like a million dollars presently or maybe $900,000. But that’s good enough to me.
So I hope this helps.