Psoriatic arthritis and methotrexate

janetv

HI everyone. I was diagnosed with PA in January after several years back and forth to my GP. I was put on methotrexate orally but have now switched to subcut due to nausea. I did initially feel better but now don't feel the metho is working at all. The fatigue is overwhelming and pain hasn't improved at all. Does anyone else feel like the fatigue is so hard? What else have people tried? I'm not due to see the consultant until August. Thanks in advance and lively to meet you all x

chrisb

Hi @janetv,

Welcome to the versus arthritis forum.

I hope that you receive some useful feedback from forum members.

In the interim, this article, on our website may be helpful:

https://www.versusarthritis.org/news/2022/may/all-about-psoriatic-arthritis/

If you haven't browsed our website then you may find other useful articles there.

Best wishes

ChrisB (Moderator)

Ponee

Welcome!

Fatigue with PsA is honestly unreal, I've managed to get to a point where I'm not wiped out at the end if the day anymore but it's taken a lot of changes to my lifestyle. I try to keep to a mediterranean/anti inflammatory diet, low sugar and no dairy while resting when I need it (sometimes I go to bed several hours early on the weekends just to make sure I'm well rested).

I was lucky enough to have physio therapy for my hips which has drastically reduced my day to day pain, so I highly recommend low impact muscle building activities when you feel up to it. I have found the more you sit around not moving the worse my pain is, so pushing through the fatigue during the daylight hours and really making sure my sleep hygiene is great has been a game changer.

It's a struggle at first but making positive changes to my diet and sleep hygiene has really helped on top of my medication.

Pon x