Hi @roshanbilal1966, welcome. I moved your question to this existing discussion so you can connect with other members like @rashida @tcokeefe and @jamesbmakos. They may have some treatment experiences to share with you as well.

Roshanbilal, have you been diagnosed with psoriasis? How long have you had these symptoms?

@roshanbilal1966 I hope you are seeing a dermatologist.

I started out on eight 2.5mg Methotrexate once a week (5mg. Folic Acid the other six days) and although it took six months my psoriasis cleared up! It was wonderful!

Unfortunately I have fatty liver disease so my dermatologist didn’t want me to stay on the high dose and he suggested I gradually reduce the dosage to as low as I could go. At four 2.5 Methotrexate a week, the psoriasis on my head at the base of my neck and forehead hairline came back with a vengeance!

Since I cannot stay on the high dose of Methotrexate the next course of action was to start me on Stelara every twelve weeks and continue with two 2.5mg Methotrexate (and the 5mg Folic Acid rest of week) but that did not budge the psoriasis so the Stelara dosage has been increased to 90ml. and I am still taking two 2.5mg. Methotrexate once a week (5mg. Folic Acid rest of week). No positive results after two 90ml. Injections.

Dermatologist has said to wait and see if the 90ml Stelara will take effect after a few more doses and if not he will try something else. In the meantime he has prescribed Dovobet gel (comes in a red box) and that has almost cleared the psoriasis on my scalp. I have even started applying it to my elbow and although it is not working as well as it does on my scalp, I am seeing just a little improvement (less scaling) so I am going to continue till hopefully it will clear.