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  3. Budate Transpules 5 x 2 ml
  4. Health Queries for Budate Transpules 5 x 2 ml

  5. I have been suffering from dry, scaly psoriasis for the past 10 years and asthma for 3 years, along with obesity. I have been taking Folitrax 7.5 mg × 2 once weekly for the last 8 years and Folvite 5 mg daily. Recently, I have noticed worsening breathing difficulty despite using the Seroflo inhaler twice daily and Tiate once daily. There has been no improvement in psoriasis, and my asthma symptoms continue to worsen. What should be my next course of management?

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I have been suffering from dry, scaly psoriasis for the past 10 years and asthma for 3 years, along with obesity. I have been taking Folitrax 7.5 mg × 2 once weekly for the last 8 years and Folvite 5 mg daily. Recently, I have noticed worsening breathing difficulty despite using the Seroflo inhaler twice daily and Tiate once daily. There has been no improvement in psoriasis, and my asthma symptoms continue to worsen. What should be my next course of management?

Asked by Male, 35 · 3 months ago

Dr Bayyarapu Kumar

Dr Bayyarapu Kumar

M Pharmacy

3 months ago

Worsening asthma symptoms despite regular inhaler use warrant a reassessment of your current therapy. Long-term methotrexate use can occasionally lead to pulmonary (lung) toxicity, which may contribute to breathing difficulty. You should consult a pulmonologist promptly to evaluate for possible methotrexate-induced lung toxicity or worsening asthma. Pulmonary function tests (PFTs) and a chest X-ray or HRCT scan may be recommended. Based on the findings, your doctor may modify or discontinue methotrexate and adjust your asthma treatment plan accordingly.
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What are the alternative psoriasis treatments?How can my asthma be better controlled?Should I see a specialist for my asthma?What lifestyle changes can help my psoriasis?Can weight loss improve my asthma?

  1. Review of Current Psoriasis Management

    • Discuss the long-term use of Methotrexate and Folic Acid, considering the lack of improvement.
    • Consider dermatology reassessment for alternative treatments like biologics or phototherapy.

  2. Asthma Control Evaluation

    • Assess the current inhaler regimen (Seroflo and Tiotropium) due to worsening symptoms.
    • Recommend pulmonary function tests and possible therapy adjustments, such as increasing inhaled corticosteroids.

  3. Addressing Obesity

    • Highlight obesity's impact on psoriasis and asthma control.
    • Suggest lifestyle changes, including diet and exercise, and consider referral to a nutritionist.

  4. Multidisciplinary Approach

    • Emphasize coordinated care involving dermatology, pulmonology, and possibly endocrinology.

  5. Monitoring and Follow-up

    • Outline the need for regular follow-up visits to monitor treatment response and side effects.

  6. Patient Education and Support

    • Encourage medication adherence, awareness of triggers, and consider support groups or counseling.

Answered 3 months ago

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