On 8/8/2019 at 8:22 PM, Jamman5v1 said:

I dont know what options are available in Thailand

 

I have recently been diagnosed psoriasis in Bumrungrad Hospital in Bangkok.

Actually, I have been diagnosed as affected by psoriasis more than 20 years ago, by coincidence, in the same hospital.

This time, I sought the help of an allergologist and a dermatologist for a severe skin allergy, I strongly suspected I had, without any clue of the cause. But both the dermatologist and the allergologist ignored my itchy allergy and focused instead on my psoriasis (which is, I guess, where the money to be made is).

 

The dermatologist offered me straight away to undergo a monoclonal treatment which, according to her, would have addressed all of my skin issues.

 

This is the quotation I received (paying out of my own pocket, i.e. without any insurance):

 

Scapho 300 mg / 2ml pre-filled injection pen: 24,000.00 THB

Nursing charges: 180.00 THB

Other Hospital charges: 485,00 THB

Physician Fee, Outpatient care: 1,500.00

TOTAL per DOSE: 26,175.00 THB (or approximately $790.00)

 

Recommended doses were: one on week 0, 1, 2, 3 and 4, followed by one each month afterwards.

Total cost in the first 4 weeks: 130,875,00 THB ($3,950.00). Monthly cost afterwards: $790.00.

 

Cost for the first year of treatment: $12,640.00.

Cost for any of the subsequent year: $9,480.00.

 

These costs exclude any additional laboratory test which may be required during the treatment.

 

As an alternative, she stated that UV-B therapy was also available, but she did not elaborate.

 

Since I positively knew my issue was an allergy, I changed hospital and, after a throughout investigation lasted 2 months, and a lot of additional expenses, we identified the cause as being a severe (and painful) allergy to clindamycin, which was promptly added to the list of antibiotics to which I am allergic.

 

And since my psoriasis is really mild, I keep on using Enstilar foam when needed to keep it at bay. Approximately $80.00 per bottle in any European pharmacy (paying out of my own pocket, but a physician prescription is required). I consume approximately 1 bottle per year. Unfortunately, it isn't yet available in Thailand.

 

I hope this post may be of help.

 

On 10/13/2024 at 11:24 PM, Ronenfe said:

I can't help too much. I used to get the Skyrizi injections in Israel using the national health insurance. It cost me maybe 10000 bhats for the injection. But I discovered once or twice a year is enough for me. No need for 4 times a year. Better wait until symptoms show again and are too severe before buying again. Now I'm in Thailand and I got pain in my left wrist joint and right shoulder joint and scalp scaling mostly. The restof symptoms are bearable. I found daivovat and elocom in pharmacy without prescription. But I don't know what to do with the wrist pain.

Has the wrist pain been diagnosed as due to psoriatic arthritis? If so you may need systemic treatment and should consult a rheumatologist.  Topical treatments will not address psoriatic arthritis. 

 

If the cause of the wrist pain has not been diagnosed start  with an orthopedic surgeon. 

I know it's probably related. I have pain in other parts. I don't know how someone got here methotrexate without prescription, because no one has it and the hospital asked me for a doctor visit first but he didn't want to give it to me.

I got the pills from a physician at mitrpacha hospital. They tried to get their profit by selling 60 pills of methotrexate for 2500 bhats. It should be maybe 300? I asked to give me only 20 because I won't pay so much. Next time I will have to go to a doctor again because they don't even let you keep a prescription and buy it somewhere else or buy the rest in another time. Cost me 1800 bhats for the doctor visit and 20 pills of 2.5mg methotrexate and 20 pills of 5 mg folic acid. Next time I will go somewhere else.

What are the biologics available here? I know of Scapho/Cosentyx.