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Suggest Medication For Psoriasis
Hi, i suffer with psoriasis, usually outbreaks are rare, but usually it follows a pattern first I will get it on my ankle, then my lower back then foreskin and other genital areas, then it will go. I usually use betnovate on most areas, but i m not sure if i can use betnovate on foreskin or other soft tissue areas.
Thu, 29 Jan 2015
Hi,
As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease.You consult nearby dermatologist for firm diagnosis and perfect treatment.
I would like to suggest few things as follow....
- acitretin 25 mg daily
- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.
- Blood tests ..routine & LFT may be done at regular intervals
- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities
- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.
- Soap bath should be avoided.
- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.
After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment.
Thanks.
Dr. Ilyas Patel MD
As you said, you suffer from psoriasis. It is a chronic and relapsing skin disease. I can understand your anxiety for your disease. But,you have to keep patience. You might get relief slowly. And due to some factors it might relapse...Remember it is a controllable disease.You consult nearby dermatologist for firm diagnosis and perfect treatment.
I would like to suggest few things as follow....
- acitretin 25 mg daily
- methotraxate 15 mg weekly in three devided doses of 5 mg 12 hourly.
- Blood tests ..routine & LFT may be done at regular intervals
- Steroid with salicylic acid oint may be applied twice a day on the psoriatic lesions...on trunk and extremities
- But, please avoid the use of betnovate on psoriatic lesions on foreskin and soft tissue areas..as it is a moderately strong steroid. You may apply mild steroid cream like mometasone.
- Soap bath should be avoided.
- All precautions may be taken to avoid dryness of skin. Winter might worsen due to dry weather. So, take care.
After few months,you may be alright. But, maintenance therapy may be continued. And if there is relapse, you may restart the treatment.
Thanks.
Dr. Ilyas Patel MD
I find this answer helpful
hi, welcome to HCM,
psoriasis need long term followup to keep disease under control.
betnovate is a potent steroid and it should used cautiously especially in soft tissue area. apply emollient twice daily. apply betnovate twice daily till the remission of disease. after this apply this cream only on weekends.
thansk
psoriasis need long term followup to keep disease under control.
betnovate is a potent steroid and it should used cautiously especially in soft tissue area. apply emollient twice daily. apply betnovate twice daily till the remission of disease. after this apply this cream only on weekends.
thansk
I find this answer helpful
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