Skip to content

Topical corticosteroids are usually the first treatment recommended for psoriasis

Over-the-counter, steroid and non-steroid topical treatments are used for mild psoriasis and in conjunction with other treatments for moderate to severe psoriasis. A number of studies have suggested that people with psoriasis may have an increased risk of cardiovascular disease, lymphoma and non-melanoma skin cancer. First-line therapy which includes traditional topical therapies – eg, corticosteroids, vitamin D analogues, dithranol and tar preparations. Topical use of potent corticosteroids on widespread psoriasis can lead to systemic as well as to local side-effects and the development of complications such as erythroderma or generalised pustular psoriasis. While mild disease is commonly treated only with topical agents, the use of topical therapy as adjuvant therapy in moderate-to-severe disease may also be helpful and can potentially reduce the amount of phototherapy or systemic agent required to achieve satisfactory disease control. Corticosteroids remain first-line treatment in the management of all grades of psoriasis, both as monotherapy or as a complement to systemic therapy. Lower-potency corticosteroids are particularly recommended to apply on the face, groin, axillary areas, and in infants and children, whereas mid- and higher-potency corticosteroids are commonly used as initial therapy on all other areas in adults.

Topical corticosteroids are usually the first treatment recommended for psoriasis 2Psoriasis treatments can be divided into three main types: topical treatments, light therapy and systemic medications. Low-potency corticosteroid ointments are usually recommended for sensitive areas, such as your face or skin folds, and for treating widespread patches of damaged skin. Before beginning a sunlight regimen, ask your doctor about the safest way to use natural sunlight for psoriasis treatment. Thus, we usually prescribe a topical corticosteroid alone as initial therapy. Based upon data from open-label or retrospective studies and case reports, a panel of experts suggested that patients with severe, unstable disease should be treated with cyclosporine or infliximab due to the rapid onset and high efficacy of these agents 12. Psoriasis is not curable, although many treatments are available to reduce the symptoms and appearance of the disease. Skin signs usually develop first, although about 15 percent of patients develop arthritis (joint swelling and stiffness) before symptoms of psoriasis. A combination of therapies is often recommended. These effects are most likely to occur when topical corticosteroids are used for long periods of time.

Medications applied directly to the skin are the first course of treatment options. The main topical treatments are corticosteroids, vitamin D3 derivatives, coal tar, anthralin, or retinoids. Foams and solutions are best for scalp psoriasis and other thickly hair-bearing areas, such as a hairy chest or hairy back. Topical corticosteroids remain one of the most widely used treatment modalities for psoriasis. High-potency corticosteroids are usually reserved for use on recalcitrant plaques or lesions on the palms of the hands and soles of the feet. Lotions and gels are best suited for the treatment of the scalp; creams can be used on all areas. First topical retinoid indicated by the FDA for treatment of psoriasis. Often the first treatment you’ll try is a skin cream or ointment. What it is: Corticosteroids, or steroids, are the most commonly used topical treatment for psoriasis. Higher-strength steroids are best for areas of the skin that don’t clear up with milder steroids or areas with thicker plaques.

Psoriasis Treatments And Drugs

The majority of people with psoriasis have a mild to moderate case, which can often be effectively managed using topical treatments such as the ones listed below. Topical steroids are one of the first treatment options for people whose psoriasis covers 5 or less of their body or is currently flaring. The NICE Guideline for the assessment and management of psoriasis makes some recommendations regarding the use of topical treatment for psoriasis. Topical steroids are very useful for treating flexural psoriasis, some limited plaque psoriasis, scalp psoriasis (see scalp care below) and sebopsoriasis. Calcipotriol may irritate at first (especially the ointment, which is more potent than cream or solution) but this usually lessens with continued use. A facial rash can occur so it is not usually suitable for facial psoriasis and you should wash hands after using it elsewhere. Treatment options for moderate to severe psoriasis include topical and systemic medications, phototherapy, and excimer laser, Combination therapies are often more effective than one treatment alone. Guttate psoriasis can occur as the initial outbreak of psoriasis, often in children and young adults 1 – 3 weeks after a viral or bacterial (usually streptococcal) respiratory or throat infection. To help determine the best treatment for a patient, doctors usually classify the disease as mild to severe. Diluting the drug with petrolatum or applying topical corticosteroids to sensitive areas may prevent this problem. Online, choose the best answer to each test question. ‘Topical’ treatments (i.e. treatments applied to the skin) are usually tried first. As chronic plaque psoriasis is a long-term condition, it is important to find out which treatments work best and what adverse effects they have. These products had similar effects when applied to the body, but corticosteroids worked better than vitamin D for scalp psoriasis. Patients with limited disease (affecting less than 5 body surface area), not significantly involving the hands, feet or genitalia are treated primarily with class I or II topical corticosteroids. Phototherapy is a first line therapy for moderate to severe psoriasis. A 2009 consensus conference advocates following the American College of Rheumatology guidelines for patients with no risk factors for liver injury and recommend considering liver biopsy or switching to another treatment after 3.

Psoriasis Causes, Symptoms, Treatment

Topical steroids are the topical forms of corticosteroids. Topical steroids are the most commonly prescribed topical medications for the treatment of rash, eczema, and dermatitis. Some recommend using the topical steroid for 3 consecutive days on, followed by 4 consecutive days off. Corticosteroids were first made available for general use around 1950. ‘Psoriasis has affected my whole life and is the first thing I think about when I wake up every morning. Most people with psoriasis can be treated by their GP. Topical corticosteroids are the most commonly used medicines for treating mild to moderate psoriasis. Calcipotriol has no side effects, provided you do not use more than the amount recommended by your GP. For this treatment, you will first be given a tablet called psoralean. Topical therapy is a more demanding option as the extent of the psoriasis increases. Topical corticosteroids are the most commonly used medications. Care has to be taken to avoid skin atrophy. Early treatment is recommended to prevent joint destruction.

Topical treatments are usually the first treatments used for mild to moderate psoriasis. Only use topical corticosteroids when recommended by your doctor. The following guidance is based on the best available evidence. Offer people with psoriasis topical therapy as first-line treatment.