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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Psoriasis

i have psriasis for the first time, i had it on my eyebrows for about 1 year on /off but all over my body has come up last couple of month and it is all over my belly, arms, legs, pubic area and crack of bum and it hurts really bad and i seem to ache all over im currently waiting to see a dermatoligist for the appointment isnt for another 3 months , and its got worser in the last couple of days , everything ive tried from my doctors hasnt worked ive tried steroid creams , tar baths , tar shampoos , aecrious creams and its just getting worse and worse is there anything i can do until i see the counsalant (dermatoligist) ?
Fri, 16 Jan 2015
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Dermatologist 's  Response
Hi,

As you said,you suffer from psoriasis vulgaris. You must be aware about psoriasis that it is a controllable disease and there is no complete cure. So, some factors like stress,disease anywhere in body,trauma,dry weather...etc might precipitate the the disease. In your case, it has exacerbated due to some factor. Avoid anxiety and have patience.Do not worry. You may take...acitretin cap 25 mg twice a day along with methotraxate 15 mg per week, 5 mg at 12 hour interval.
Regular blood check up may be done for liver function and renal function.

After control of disease, you may reduce the dose of acitretin to 25 mg per day. And also apply steroid with salicylic acid oint on the lesions. Tar shapoo may be continued. You might get good result after few months.I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD
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Dermatologist Dr. Shahid Hassan's  Response
thanks for contacting at health care magic,
as you have told that you disease is diagnosed as psoriasis. first thing keep in mind that it has only control no cure.
Methotrexate is a common drug and it has been used effectively for many years in psoriasis. It is usually given in small weekly doses (5 mg-15 mg). Blood tests are required before and during therapy.
Calcipotriene -containing topical ointment. it is related to vitamin D, has proven to be effective for treating psoriasis, especially when combined with a topical corticosteroid cream.
use good quality emollient containing urea+lactic acid+aloe vera and all over body 2-3 times daily.
hope this will effectively control your disease.
regards
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Suggest Medication For Psoriasis

Hi, As you said,you suffer from psoriasis vulgaris. You must be aware about psoriasis that it is a controllable disease and there is no complete cure. So, some factors like stress,disease anywhere in body,trauma,dry weather...etc might precipitate the the disease. In your case, it has exacerbated due to some factor. Avoid anxiety and have patience.Do not worry. You may take...acitretin cap 25 mg twice a day along with methotraxate 15 mg per week, 5 mg at 12 hour interval. Regular blood check up may be done for liver function and renal function. After control of disease, you may reduce the dose of acitretin to 25 mg per day. And also apply steroid with salicylic acid oint on the lesions. Tar shapoo may be continued. You might get good result after few months.I hope you got my answer. Thanks. Dr. Ilyas Patel MD