Choosing systemic or biologic psoriasis therapy after years of topical treatment

[Oliver_W]

I've had plaque psoriasis for over a decade, and while topical steroids have provided some relief, the plaques on my elbows and scalp have become more persistent and resistant to my current regimen. My dermatologist recently mentioned moving to systemic treatments or biologics, but I'm hesitant due to the potential side effects and the commitment of regular injections or infusions. For others who have navigated this decision, what has been your experience with advanced psoriasis treatment options? How did you weigh the effectiveness against the risks and lifestyle impact, and are there specific questions you wish you had asked your doctor before starting a new systemic medication or biologic therapy?