Last Updated on Oct 12, 2020

Treatment

Treatment for psoriasis is available in plenty but the disease continues to be a challenge. Therapeutic spas grow ‘Doctor Fish’, which feed on the patients’ excess skin and provide a natural way of disease treatment.

There are various different types of treatment available to treat psoriasis but given its recurrent nature, psoriasis is, indeed, a challenge to treat.

The type of treatment given to a patient largely depends on the age and gender of the individual and also on the severity of the disease.

Low risk medications are initially employed. If ineffective, the treatment is upgraded to a more potent one. This is referred to as the psoriasis treatment ladder.

The success of the treatment is subject to individual variations. Therefore the treatment of this disease is carried out on a trial- and- error basis. However, it must be noted that psoriasis is not a life- threatening disease; if the treatment causes more trauma than the disease itself, then the treatment should be stopped with immediate effect.

a) Topical therapy

Treatment for psoriasis usually begins with topical applications with bath solutions, moisturizers, ointments or creams containing Dithranol or coal tar, anthralin, calcipotriol, activated vit D or corticosteroids.

The aim of this treatment is to control inflammation and skin cell production. This kind of treatment can get clumsy for the patient and cannot be sustained for long periods.

b) Phototherapy

If topical therapy fails to bring about the desired effect then it is time to expose the patient to phototherapy. Here the patient is exposed daily to short periods of sunlight or ultraviolet (UVB) radiations. This photo exposure helps a psoriatic patient considerably.

c) PUVA

Sometimes a topical or an oral administaration of Psoralen along with exposure to UVA helps to bring about relief

d) Medication

Psoriasis that is resistant to both topical application and phototherapy is then treated with drugs . Drugs are either taken orally or they may be injected into the patient.This mode of treatment is called systemic treatment. Some of the popular drugs include-

  • Methotrexate (immunosuppressant)
  • Retinoids(vit A)
  • Cyclosporin (immunosupresant)

Antibiotics are administered when psoriasis is caused by a streptococcal infection.

The standard care for patients with psoriatic arthritis includes anti-rheumatic drugs, like methotrexate. They may also be treated with non-steroidal anti-inflammatory drug or steroid injections.

e) Other agents

Recently, monoclonal antibodies that are raised against entities, such as the Tumor Necrosis Factor(TNF-µ) involved in the psoriasis pathogenic pathway, have been proven to be an effective mode of treatment.

f) Alternative therapy

For a very long time alternative therapies like ayurveda, homeopathy, nature cure and Unani have been successfully employed to treat psoriasis.

Many believe that living in a certain climate helps psoriatic patients. Based on this belief several spas, complete with hot springs, have mushroomed in countries like Turkey, that offer the ideal ‘climate’ for patients. The sun and the sea are reported to have done wonders for many. Salt water alone is not singularly effective. It is the combination of ingredients found in sea water that is reported to do wonders for the patient. These natural ways of treating psoriasis always enjoy popularity.

Besides, there are ‘doctor fish’ that are grown in these spas that are encouraged to feed on the excess skin on the psoriasis patients.

The history of psoriasis treatment at a global level, is full of dubious treatment claims that are sometimes extremely toxic. Each geographic region has its peculiar treatment stories to tell and claims to treatment ‘miracles’. In ancient Egypt cat faeces was applied to the red lesions on the psoriasis patient. Other weird treatment methods have included applying sea salt and urine, goose oil and semen, wasp droppings in sycamore milk and even soup made from vipers.

References:

a) Br J Nurs. 2008 Mar 13-26;17(5):284-90.
Ryan S.

b) J Am Acad Dermatol. 2008 May;58(5):851-64
Gottlieb A, et al

c) J Reprod Med. 2008 Mar;53(3):183-7.
Ben-David G, Sheiner E, Hallak M, Levy A.

d) Clin Chim Acta. 2008 Apr 12.
Pietrzak AT, etal

e) Arch Dermatol Res. 2008 Apr 30
Gunes Y, etal

f)Principles & Practice of Medicine
Davidson

Comments

@Guest Friday, December 8, 2017

We at leucoderma foundation of India practicing immunology boosting rather than immunology suppression and advocating self blood 2ml with inj beta methadone 2mg intramuscular every 4th day or every week till patient had complete relief of presentation and on complete symptomatic relief ,administered in tapering dose , literature will be published very shortly

@Guest Thursday, June 5, 2014

Will psoriasis affect young adults, is that genetic or contagious disease?

mandysimpkins414 Saturday, February 8, 2014

I suffered from same problem too, but I was cured now. It was bad, and makes me very unhappy. I live in China. Here we use Traditional Chinese Medicine to treat skin problems, I went to many hospitals like this and tried many different treatments, but the effect is not very good until I went to a hospital in the North of China. It works, and now I am a happy person again, I am glad to share this with you, you may not able to go there, but you can talk to their doctors for advice. you can find more information on the website of vitiligotcm.

lin70 Saturday, January 26, 2013

i have been trying to deal with this disease for years i tried treatments but gotten temporary results ,till i have heard of this i call a prayer answered someone visited me and told me just put male sperm and you will never see Psoriasis again and i had nothing to lose so i did and it worked yes the thought of it bothered me but as long as it works and it did natural medicine got rid of my psoriasis

mc1978 Sunday, January 19, 2014

My wife has fairly serious psoriasis. I told her about it and we are going to try it. Have you continued this practice and is it still working?

Rosali Monday, May 21, 2012

Psoriasis is a common multi factorial, non-contagious, auto-immune skin disease. It affects adults and children in equal proportion. The exact cause osof psoriasis is unknown. There is evidence of a genetic predisposition. A positive family history is often observed. Psoriasis, being an autoimmune disorder has autosomal dominant inheritance. People with dry skin are more likely to develop psoriasis than those with oily or well-moisturized skin. There are many precipitating and aggravating factors so it keeps on recurring and becomes difficult to treat. Combination of ayurvedic herbs and homoeopathic remedies gives good results. These remedies along with nutritional supplements acts on the body and balance the altered immune responses. These are 100% natural and safe, free from side effects and they are not habit forming. Some of the frequently used remedies are C54 PSORAease formula and R65 Reckeweg PSORAease formula. These remedies work by relieving inflammation and reducing the itching of the skin, softening your hardened skin, aidding shredding of silvery scales and working on the immune system making it less responsive to triggering factors.

@Guest Friday, February 20, 2015

Hi, I have tried homeopathic treatment for my Psoriasis but I had a major flare up. I had gone to the doctor with the complaint of disease on my scalp and leg and after 3 months of taking the medicine its all over my body.

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