1. Topical Creams/Ointments/Scalp Solutions
Most people with psoriasis have mild disease and get considerable relief with topical applications. These include topical steroids, coal tar and nonsteroidal vitamin D3 derivatives e.g. calcipotriol and calcitriol. For the face, hairline and groin areas, mild steroid or calcitriol creams can be used.
Psoriasis responds to ultraviolet (UV) light treatment. Ultraviolet light, either UVB or UVA have been found to be effective in clearing psoriasis if used in gradually increasing doses over a period of several months. UVA is usually given with psoralens to enhance the effect of phototherapy (PUVA).
Narrowband UVB Phototherapy Cabin
3. Oral Drugs
Your dermatologist may prescribe oral medications when psoriasis does not respond to topicals and phototherapy. Examples of such drugs include methotrexate, cyclosporin, acitretin and hydroxyurea. Unfortunately, these drugs can sometimes cause severe side effects. Patients who are taking such drugs will require regular blood tests to detect side effects e.g. liver damage, bone marrow damage, etc.
These are drugs which help to control extensive disease when other treatments have failed. Biologics have to be administered via injection just under the skin or into a vein. They work by balancing the immune system in the skin. As these are powerful drugs, side effects can occur and patients need regular blood test monitoring.