Hi Else! I don't think that you need or should try every topical medication available. I would inform the dermatologist that you will start with the common topicals used to treat PN: Clobetesol 0.05%, Triamcinolone 0.1%. Actually, if you have the insurance coverage, I would inform them that you prefer to try Dupixent and if that doesn't work, try Nemluvio. I don't think the dermatologist is accurate about the vaccines with PN either. I have had vaccines with no negative effects on PN. Actually, I would seek a second opinion and if that dermatologist is more knowledgeable and grounded, I would transfer my care to them immediately.
May 20
First, it's completely understandable to feel overwhelmed and exhausted — prurigo nodularis is genuinely tough, and nobody should have to fight this hard just to access care. You are not alone in feeling this way, and your frustration is 100% valid.
It sounds like there may be some confusion about what your doctor means by Show Full Answer
First, it's completely understandable to feel overwhelmed and exhausted — prurigo nodularis is genuinely tough, and nobody should have to fight this hard just to access care. You are not alone in feeling this way, and your frustration is 100% valid.
It sounds like there may be some confusion about what your doctor means by "trying every cream." Topical treatments are typically a starting point, but they are not the only path forward. Here are some steps that may help:
- Document everything — Keep a record of every topical treatment you've tried, how long you used it, and why it didn't work. This builds a strong case for moving to the next step.
- Ask specifically — Ask your doctor to clearly define what criteria need to be met before they'll consider other options, including vaccines or biologics like dupilumab (Dupixent).
- Seek a second opinion — Some dermatologists are more experienced with prurigo nodularis than others. A specialist may have a very different approach.
- Ask about patient assistance programs — Many medications have programs to help with costs. Ask your doctor or pharmacist. You absolutely deserve effective treatment, and advocating for yourself — even when it's exhausting — can make a real difference. You've already shown incredible strength just by pushing forward.
May 19
Dupixent is FDA approved as a first-line treatment for PN. Tell your doctor he is full of beans and to put you on Dupixent yesterday. Else, find a new doctor ASAP. Sorry to sound harsh but you need to know your rights and to stand up for yourself.
May 19