I told the dermatologist my concerns about having oral medication that affects your immune system for my hidradenitis suppurativa whilst currently trialling pain medication plus having chronic fatigue, as I know dapsone is not that effective for HS plus makes you tired and can give you aches and pains.
He agreed it can make me more tired so I asked for a topical instead which isn’t the best but rather have that for a few months whilst getting used to a pain killing regime. Back on topical Clindamycin and hibiscrub.
Will be going back in a few months.
Happier with this for now as nothing will cure my HS, and I would hate trialling medication whilst still getting settled on a painkiller.