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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicines For Psoriasis Along With Liver Problems

Hello, I am 57 year old female and have psoriasis (severe) since 1992 & Hep. B&C. In 2012 I took a year of my life and did the Ribavarin/Intefuron treatment and was Negative the entire time, however 2 weeks after completing treatment I RELAPSED. Anything I do for psoriasis effects my liver & vice versa. I have during this time been on every medicine available from creams, lotions, shampoos, injections etc., I am at a stand still right now plus I have arthritis in every joint. For the first time since 1992, the psoriasis seems to be in a Remission, not totally so I guess I cannot say Remission but it isn t covering my back at this time and I am so happy for this, I would like to know if you can inform me of any New Medications if available for my problem with my liver/psoriasis that I can TRY without it making the other out of control? Thanking you in advance Karen YYYY@YYYY
Mon, 6 Oct 2014
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Dermatologist,  's  Response
Hello,

I can understand your concern for Psoriasis with liver problems.

After analyzing your query I can make out that you have psoriasis since a long period of time. In general we prefer to give methotrexate in psoriatic patients but as you have liver problem so I would not suggest to take the same.

In your kind of condition I generally start with Vitamin D3 tablet on daily or weekly basis. Additionally I prefer to give a steriod based cream such as clobetasol or mometasone.

An antihistamine tablet like cetrizine is preferred to relieve the itching. I also suggest to do moisturization of the area.

All the best.
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Suggest Medicines For Psoriasis Along With Liver Problems

Hello, I can understand your concern for Psoriasis with liver problems. After analyzing your query I can make out that you have psoriasis since a long period of time. In general we prefer to give methotrexate in psoriatic patients but as you have liver problem so I would not suggest to take the same. In your kind of condition I generally start with Vitamin D3 tablet on daily or weekly basis. Additionally I prefer to give a steriod based cream such as clobetasol or mometasone. An antihistamine tablet like cetrizine is preferred to relieve the itching. I also suggest to do moisturization of the area. All the best.