I have Ankylosing Spondylitis, which is an auto immune form of
arthritis very similiar to RA.
In fact, AS and Psoriatic Arthritis are, I believe, in the same group:
Spondyloarthropathies.
Say that 10 times fast, LOL.
Almost all of the drugs that are available for you to take are immuno
suppressents (sp?). Your imuune system is attacking your body and
suppression is the only way to get some relief.
I have been on Enbrel for over a year now. It is not the miracle drug
for me that it is for some. For me, though, it definitely has cured the
overwhelming fatigue that I felt daily. I don't have any deformities
yet (though my fingers and toes have gone a little wonky).
It is not unusual to be on a sort of "cocktail" of drugs for these
conditions. I am on Enbrel, Azulfidine, Prednisone, Methotrexate, Soma
to sleep and Ultram for pain. It is important to get the inflammation
under control, EARLY, before any permanent damage is done.
At Arthritis.org, there is a fairly large section on drugs and
treatments that I found very helpful when I was first diagnosed.
Perhaps it would help you.
No one is going to be able to tell you what condition you will be in a
year from now. These types of arthritis can vary greatly from person to
person, as does reaction to various medicines. It seems to be different
for everyone.
Good luck with whatever you choose,
Charlene

I, too, have been diagnosed with psoriatic arthritis - it's my finger joints
that distinguish this, according to rheumy.  Two end joints on the right
hand have become "mushy" with no solidity to them.  Very painful, as if
there is a pin sticking in the "joint" and very large and inflammed.  The
orthopedic told me there was "nothing" there to fix with surgery.  I'm at a
loss, since this deterioration progresses so quickly.

What distinguished yours as psoriatic? - mine was the finger tips; however I
have rheumatoid and OA in the hands, as well.

I am, currently using C elebrex but doc has mentioned methotrexate to slow
progression.

Hiker