Different medications may need to be used together or in rotation for best effect or to minimise side effects. Occlusive dressings. Relatively small, localised patches of psoriasis may improve with occlusion i.e. waterproof adhesive dressings. Information about the use of occlusion in the treatment of psoriasis. Using medications under occlusion means that a topical drug has been applied to the skin, and then covered. Drugs most often used under occlusion include topical steroids and coal tar, but almost anything you can put on your skin can be occluded. Beyond the increased risk of side effects from the drugs, an occlusive dressing typically makes the skin warmer and more moist, increasing the odds of it becoming a nice breeding ground for bacteria or fungi. Does anyone use special wraps, bandages or anything else that could be used in place of plastic wrap? It is VERY hot where I live this summer and sleeves I could wear in public would be very nice without having to cover the rest of my body in yet another layer of clothing. For anyone interested, I have a PDF of a journal article on Occlusion therapy in psoriasis. It gets quite scientific with jargon (I’m a recent college grad so I’m used to reading these types of articles), but it gives a lot of information on how the normalization of the epidermal calcium gradient with occlusion therapy helps P and why it works.
Occlusive devices have long been used in dermatology to treat inflammatory skin conditions. The successful treatment of psoriasis by occlusion of topical medications has been described in the literature. It has been estimated that 80 to 90 percent of patients with psoriatic arthritis develop nail involvement 6,7. Although infrequently used in clinical practice, clinical studies evaluating nail psoriasis therapies often use a version of the Nail Psoriasis Severity Index (NAPSI) to assess the severity of nail psoriasis and the response to treatment 19. The use of an occlusive dressing at night is encouraged to aid in absorption of the medication. Anthralin 0.1-3 cream has been used for long-term treatment of scalp psoriasis. Newer occlusive materials like the hydrocolloid dressing composed of a hydrocolloid layer on a flexible gas- and water-impermeable backing that adheres to the skin have been tried. Studies in which topical steroids have been used under occlusion have confirmed the efficacy of this treatment regimen.
Learn about steroids and the skin and when they are used to treat inflammatory skin disorders. Topical corticosteroids have been used for over 60 years and their introduction was a milestone in dermatology. For psoriasis, treatment success has been highly variable across studies, which have also suffered from poor methodology. Occlusive dressings increase absorption. Caution and close supervision are required. Whether the steroid cream is applied under occlusion (which increases the risk of systemic absorption). It is currently FDA approved and has been shown to be safe and virtually free of side effects. Taclonex ointment once daily used to treat one psoriatic plaque, along with the Hydrogel Patch used once daily. If the patch is removed due to these symptoms and signs, the subject will leave the lesion un-occluded until for 24 hours, at which time a new occlusive dressing will be placed. Treating these disorders, e.g. psoriasis, is significantly facilitated by occluding affected skin areas with a suitable barrier for a prolonged and continuous period of time. An advertisement for Diprolene Ointment for treating psoriasis has a specific instruction not to use an occlusive dressing (Journal of the American Academy of Dermatology, Vol. Even though occlusion has been used on a daily or more frequent basis to enhance penetration of topical agents, the value of prolonged, continuous, tight occlusion was neither recognized nor employed therapeutically by physicians for healing and clearing psoriasis.
Steroids And The Skin. Information About Steroids And The Skin
Topical efficacy may be increased by using a higher concentration or occlusive dressing therapy. Creams are suitable for most dermatoses, but ointments may also provide some occlusion and are usually used for the treatment of dry, scaly lesions. Newer occlusive materials like the hydrocolloid dressing composed of a hydrocolloid layer on a flexible gas- and water-impermeable backing that adheres to the skin have been tried. Studies in which topical steroids have been used under occlusion have confirmed the efficacy of this treatment regimen. Ambulatory treatment of psoriasis: combined use of occlusive dressings with locacorten tar at night and ‘open’ treatment with locasalen during the day 2.