Hi - seems like there are some good things going on in the forum - we are going to see a derm this week and have alot of prescriptions to ask about - not sure how the derm will take that. Seems like some people have been helped with Protopic - think we will still plan to use the betagel first and then maybe the protopic - wonder if you could use them at the same time? also have been reading about epiceram again - seems to have been some good results with that. I know some people have said protopic doesnt work long term but as i've looked back through the posts some people have used it and haven't been back so hopefully they were cured or cured enough not to come back - here is i some people on the sjogrens forum who used Epiceram who said it helped: