Hi Beth-
The decision I have to make is: take Methotrexate( pill form), or take medication via transfusion- Remicade or Simponi, none of which I am thrilled to take. The potential side-effects sound horrible and risky. I guess I could do nothing anust treat the arthritis. But I have been told that once joint damage has occurred, it can't corrected. I am leaning to the Methotrexate and monitor it. The thought of having infusions every 8 weeks for the rest of my life, age 69 and healthy otherwise, really is a bummer! Guess I will see what my research bears and what my doc feels, although he is pushing the infusions. Thanks for your responses.

Hi Mike. In Australia, I have never come across anyone with PsA that gets transfusions. However, my ex-husband had RA (he has since passed). Many years ago, he got the transfusions, but he had RA.

I don't know anything about transfusions for PsA but came across below relating to RA.
(from website) B-cells are white blood cells, which normally produce ‘antibodies. Antibodies help protect the body from infections. In rheumatoid arthritis however, some B-cells produce harmful ‘autoantibodies’, which cause inflammation in the joints. These result in pain, joint swelling and stiffness, and can lead to joint damage. By temporarily removing the harmful B-cells, infusions reduce inflammation, lessens the symptoms and helps stop further joint damage. Transfusions also removes some ‘good’ B-cells, but these return some months after treatment.

Thanks BethHennessey- I eat largely a vegan diet, follow the Medditeranian Diet. I have a decision to make in 7 weeks, medication or transfusions every 8 weeks for the rest of my life. Diet can help I agree . I am open from anyone for alternatives. Thanks for Up Over.

Thanks Flore- I really don't want to take medication or transfusions every 8 weeks for the rest of my life, any alternative suggestions or resources to investigate?
Thanks, Mike