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Hi and welcome.
Which painkillers you have already tried?
How long are you suffering from psoriatic arthritis?
Thanks for reply,
As you are allergic to NSAIDS, the first line agent for you is paracetamol which you are already taking but still having pain. The next choice you have is opiods that is codein, tramadol etc (available only by prescription). Other remedy for your pain is a nerve block that is nerves that are causing pain are blocked by injecting local anesthetic. I would suggest you to visit a pain physician, he can examine you and can prescribe opiods pain killer and can offer you nerve block for pain relief for longer duration. You have to follow up with your dermatologist for psoriatic medications.
Let me know if you have further questions.
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