Brief Answer:
Detailed answer below.

Detailed Answer:
Hi Shriniwasrdy06,
Thanks fir the query. I undrrstand your concern.
Psoriasis is an autoimmune disorder.. that causes Irritation of skin to have accelarated cell growth/scaly itchy lesions (basic lesion)...It's a long running problem over many years /life long.
There are quick acting reliefs for flare ups ..which last for short periods/become useless after some time or is habit forming.(as you had observed)
It is known to be related to external triggers or psychological stress/trauma.
*So treatment is mainly objected to-
-Avoid triggers...Like physical or psychological stress or trauma.Have a balanced psychology by self control &meditations or
mind &body relaxations.
Manage triggering climatic changes(heat,cold)
Avoid cutss or bruises /infections
Avoid alcohol or smoking.
*local soothing regulatly with moisturisers/sunscreens as per need ,with local vitamin D cream plus steroids cream as &when flare ups (to be reduced &tappered off.
* ultraviolate treatment
* Oral medication as per need (methotrexate/steroid)with doctor's advise.
*healthy lifestyle with regular exercises,balanced diet with vitamins.
Thus a causious msnagement with skin specialist's guidance wouldbe needed to control the condition..with a hope that it goes away on it's
own.
I hope that helps you.any follow up query is welcome.
Thanks.

---

Brief Answer:
Effective but to be used sparingly.

Detailed Answer:
Hi Shriniasrdy06,
Thanks for the query.
Yes both the things cosentyx &phototherapy
are known to have good chances of healing psoriasis...
* Cosentyx is an immunosupressant drug &it offers about 75 %to 90% clearance of skin flare ups witin 3 months of therapy.About 40% of these continue to have the positive effect till 2 years of daily drug administration.
But the drug has side effects of severe allergic attacks/severe &repeated infections ..specially TB../ auto immune bowel diseases like crohn's or ulcerative colitis may flare up etc.
*Phototherapy is given with UVB phototherapy(source & time of exposure to be advised & adjusted by an expert)..the rays penetrate deep in skin & and slow down growth of skin. It is advised in severe plaque psoriasis with wide spread &multiple lesions.Treatment needs to be given several times in a week till the flare ups clear.About 20 hospital treatments suffice on an average.
But... after recovery skin needs to be checked up once or twice a year.. for skin damage or cancer.
**You would now understand that though the results are promising ... the treatments are to be started after an expert advise &care only.
I hope that answers your query. Any follow up query is welcome.
Thanks.

---

Brief Answer:
please read the steps of management of acute flares of psoriasis.

Detailed Answer:
Hi Shriniwasrdy06,
Thanks for asking.
Treating flare ups is a real challange in management of psoriasis....advent of some of the triggering factors starts the process of cell growth in skin which forms plaques ..dry scales &severe itching starts... to increase depression..anxiety &psychological stress ... which in turns triggers the problem &vicious circle goes on.
- Management of the acute flare ups therefore starts with prevention by avoiding triggering factors (discussed previouly)
-To break the process of cell growth ,dried plaques &itching...
First line of management consists of use of heavy moisture holding creames (moisturizers without fragrance ). Addition of vitamin D skin creme to the moisturizer&a dot of steroid creme ..with the physician's advice would help.
avoiding use of hard shampoos /soaps with strong fragrance &alcohol/adding oil to bath water,using XXXXXXX warm water &restricting time of bath to 10-15 minutes.
Addition of omega 3 fatty acids/retinoids in diet help in reducing inflammation.
-Continuing medicines advised by your doctor to start with helps in flare control.
-In case there is no relief... expert may advise for immunodepressants/phototherapy (discussed previouly)
A delicate balance between life style changes&medical advise forms a way to prevent/treat acute flareups &also mske the disease bearable & many a times
get cured over the time.
I hope that helps you. Any more information you want please feel free to sdk.
If you find answer to be helpful.. plesse grade the answer before you close the query.
Thanks.

---