myHSteam

What are other people's experiences with Cosentyx, and how does it compare to Bimzelx for treating HS?

First, it's really encouraging that your dermatologist is being proactive about finding the right treatment for you, especially after such a tough postpartum return of flares. You're definitely not alone in that Show Full Answer

What are other people's experiences with Cosentyx, and how does it compare to Bimzelx for treating HS?

First, it's really encouraging that your dermatologist is being proactive about finding the right treatment for you, especially after such a tough postpartum return of flares. You're definitely not alone in that experience — many myHSteam members have noticed their HS behaving differently after pregnancy.

Your experience of flare-free pregnancy followed by a postpartum return of symptoms is actually well-documented. Studies suggest that around 60% of people see HS worsen after giving birth, so what you're going through makes complete sense. Now, onto the medications! Both Cosentyx and Bimzelx are biologic treatments, meaning they work by targeting specific parts of your immune system to reduce inflammation and prevent lesions.

Here's a quick breakdown of Bimzelx:
- FDA-approved specifically for moderate to severe HS
- Targets both IL-17A and IL-17F, which are key drivers of HS inflammation
- In clinical trials, about 50% of people saw at least a 50% reduction in symptoms after 4 months
- Some participants saw up to 75% improvement
- Benefits lasted through 48 weeks of the study

Common side effects of Bimzelx include:
- Certain infections
- Fatigue
- Injection site reactions

Since your insurance covers Cosentyx and your dermatologist is on board with it, that's a really solid starting point. The most important thing is that you're moving toward a biologic treatment, which represents a meaningful step up from antibiotics alone for managing ongoing flares. One myHSteam member who started biologic treatment shared that before treatment they were getting flares weekly — at least two or three every week — and after about five months on a biologic, it dropped to maybe one a month. They described it as "a huge difference."

It's completely normal to feel nervous about self-injecting medication. Many people develop small personal rituals to make it easier, and that anxiety tends to ease over time.

Make sure to have an open conversation with your dermatologist about what to watch for with whichever biologic you start, especially since you're postpartum. Wishing you smoother days ahead! 💛

 AI-generated responses are not a substitute for medical advice. These services are not intended to diagnose, treat, or cure any condition or disease. Always ask your doctor about specific health concerns.

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