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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Psoriasis

Resp. Sir,

i have been psoriase for the last few year and i have been trated by a no of doctor, dermologist and all have same view as the psoroase but all uses diff med. recently i have been gone for dermologist and he sugeest methotexate tab 2.5 mg. (mext.2.5), folvite 5mg & a cream pacroma of ajanta pharmacy. a injection of anacord per month for the last 7 months i have been treated but the result seems to be negilable. kindly advice.
Thu, 31 Jul 2014
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Dermatologist 's  Response
Hi,

You said you suffer from psoriasis vulgaris. Psoriasis is an autoimmune skin disease. It may be precipitated or exacerbated by various factors like stress, anxiety, sunexposure, alcohol,smoking,dry wheather,drugs lke chloroquine..etc
I would like to advise to take methoraxate 15 mg per week in devided doses 12 hourly. And I also add cap acitretin 10 mg twice a day for long time. I usually recommend blood test lor liver and renal function at regular interval. Apply steroid cream combined with salicylic acid like clop- s oint on the lesions. And i warn to for use of steroid injection you take monthly,as it may harm more then benefit. It may be responsible for the relapse of the disease. Keep the skin moist by use of moisturiser cream. Avoid smoking and alcohol, if you have habit. Avoid worries and stress. Have patience and positive attitude. You might get good improvement. Continue treatment even after good result. After satisfactory result,you may drop. If there is relapse, restart the treatment. I hope this would help you in your treatment. You consult expert dermatologist and have perfect treatment.

Thanks.

Dr. Ilyas Patel MD
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Suggest Treatment For Psoriasis

Hi, You said you suffer from psoriasis vulgaris. Psoriasis is an autoimmune skin disease. It may be precipitated or exacerbated by various factors like stress, anxiety, sunexposure, alcohol,smoking,dry wheather,drugs lke chloroquine..etc I would like to advise to take methoraxate 15 mg per week in devided doses 12 hourly. And I also add cap acitretin 10 mg twice a day for long time. I usually recommend blood test lor liver and renal function at regular interval. Apply steroid cream combined with salicylic acid like clop- s oint on the lesions. And i warn to for use of steroid injection you take monthly,as it may harm more then benefit. It may be responsible for the relapse of the disease. Keep the skin moist by use of moisturiser cream. Avoid smoking and alcohol, if you have habit. Avoid worries and stress. Have patience and positive attitude. You might get good improvement. Continue treatment even after good result. After satisfactory result,you may drop. If there is relapse, restart the treatment. I hope this would help you in your treatment. You consult expert dermatologist and have perfect treatment. Thanks. Dr. Ilyas Patel MD