Hi i have Psoriasis ive been useing the creams and there not working its spreading so im thinking about trying one of the pill form medicines and was wondering if anybody has tried any of them
Disclaimer: You may know and have tried all of this stuff already, and if so, my apologies! I just thought Iād flesh out my response with some more general info about psoriasis treatments for anyone who is interested.
First, definitely discuss your concerns with your dermatologist, if you havenāt yet and if you have a dermatologist ā Iām assuming you do since youāre implying you have a prescription for creams. Psoriasis treatment often follows thisĀ ātreatment ladderā, where you try the least riskiest treatment first and then proceed through the nextĀ āstepsā if the psoriasis doesnāt improve. This generally means trying creams (AKA topical ointments, usually steroid creams) first, then ultraviolet light therapy, then systemic medications (which are given orally, in liquid, or via injection) Ā then biologics (which directly affect your immune system and include both pills and injections). In other words, itās possible that, depending on your particular situation, your doctor will try you on UV light treatment or something else first before they try you on biologics.
Iād also suggest exploring alternative treatments if you can ā although everyoneās psoriasis responds to different triggers and solutions, psoriasis is an autoimmune disease, meaning itās tied to the immune system and therefore the healthy functioning of your entire body. Taking care of your whole body as best you can (the usual: drinking plenty of water, eating your vegetables, getting enough sleep, and exercising) really can go a long way. I know thatās way easier to say than do, but it really is important. Itās also really important to moisturize with a good lotion as often as possible. I especially like Lush Dream Cream, Aveeno (or drugstore generic version), and Eucerin. See this old post for other natural remedies.
Also note that there may be ways of increasing the effectiveness of the prescription cream you use, too ā for instance, applying it before bed and wrapping your limbs, etc. in plastic wrap (AKA occlusion). Sounds weird and isnāt the most comfortable thing, but it can help with softening the plaques. Talk to your dermatologist before trying that as some creams are too strong for it and it can damage your skin.
I was on methotrexate (a pill medication) for a year about 8 years ago. It didnāt do a whole lot for me (and I used creams at the same time), but I was also in college and didnāt have a great lifestyle/wasnāt taking care of myself, so Iām sure that made quite a difference. One downside of methotrexate for many people is that you canāt drink alcohol when youāre on it. You also canāt take it if youāre pregnant. And, as with all the biologic medications, because it suppresses your immune system, you can be at increased risk for certain infections. Itās certainly worth a try because it definitely works for many people, but again, your dermatologist (and you!) may want to try other treatments first.
Other pill medications besides methotrexate include OtezlaĀ (which I donāt know much about but might try next time my skin really flares) and a couple other other systemic medications.