Connect with others who understand.

sign up log in
Resources
About MyPsoriasisTeam

Connect with others who understand.

sign up log in
Resources
About MyPsoriasisTeam
PSORIASIS
NEWS

Alcohol Misuse and Obesity May Inhibit Some Psoriasis Treatments

Posted on September 28, 2021
Medically reviewed by
Ariel D. Teitel, M.D., M.B.A.
Article written by
Maureen McNulty

  • A new study examined the relationship between psoriasis symptoms, alcohol misuse, and obesity in 266 people with psoriasis.
  • Results showed that biologics and systemic therapies yielded fewer symptom improvements in participants who misused alcohol or were obese.
  • Past research has found alcohol can trigger psoriasis symptoms and that people living with psoriasis are more likely to drink heavily.

Certain psoriasis treatments may be less effective for people who drink too much alcohol, according to a study published in June in the British Journal of Dermatology. Researchers also found that obesity may lead to a decrease in the effectiveness of treatments.

“Alcohol abuse and obesity were both associated with poorer responses to treatment in patients with moderate to severe psoriasis receiving systemic therapies … and the newer biologic treatments,” said Dr. Ireny Iskandar, lead author of the study.

The Centers for Disease Control and Prevention (CDC) recommend that men consume no more than two alcoholic drinks per day and that women drink no more than one — but people living with psoriasis are advised to be especially careful. Alcohol is thought to be a psoriasis trigger, according to past research. It may increase inflammation, reduce the immune system’s ability to kill infections, and increase the proliferation of skin cells, leading to more skin lesions. Previous studies also have found that people living with psoriasis may be more likely to drink heavily.

For the recent study, researchers recruited 266 people with psoriasis from dermatology centers across England. About half (132 participants) took traditional systemic therapies such as cyclosporine, Soriatane (acitretin), and methotrexate. The other half (134 participants) took biologics like Humira (adalimumab), Stelara (ustekinumab), and Enbrel (etanercept).

The authors measured the severity of participants’ psoriasis symptoms with a scoring system called the Psoriasis Area and Severity Index (PASI). They also used a questionnaire called Cut down, Annoyed, Guilty, Eye opener (CAGE) to determine whether participants had a problem with misusing alcohol.

Overall, most of the participants experienced an improvement in psoriasis symptoms once they started taking biologics. However, traditional systemic therapies were less effective at helping treat the disease. One of the reasons for this may be that participants were less likely to take these medications consistently.

Among key findings, researchers determined that psoriasis treatments are less likely to work in people who misuse alcohol. They also found that obesity led to decreased treatment effectiveness.

People living with psoriasis who drink frequently or who struggle with controlling alcohol use should speak with their health care provider. “Providing advice on lifestyle behaviour change and screening for alcohol misuse should form an important component of treatment of psoriasis,” said Dr. Iskandar.

Various programs, support groups, and resources are available to help people reduce their alcohol intake.

All updates must be accompanied by text or a picture.
Ariel D. Teitel, M.D., M.B.A. is the clinical associate professor of medicine at the NYU Langone Medical Center in New York. Review provided by VeriMed Healthcare Network. Learn more about him here.
Maureen McNulty studied molecular genetics and English at Ohio State University. Learn more about her here.

Related articles

Psoriasis on the scalp is common for those with psoriasis. Discover whether products like Sea Breeze can help with scalp psoriasis.

Does Sea Breeze Help Scalp Psoriasis?

Psoriasis on the scalp is common for those with psoriasis. Discover whether products like Sea Breeze can help with scalp psoriasis.
If you’re living with psoriasis, you may wonder how your diet affects your skin. Chicken, a...

Is Chicken Good for Psoriasis, or Does It Trigger Flares?

If you’re living with psoriasis, you may wonder how your diet affects your skin. Chicken, a...
If you’re one of the 6.5 million Americans living with psoriasis, you may be considering natural...

Does Using a Coffee Scrub Work for Psoriasis?

If you’re one of the 6.5 million Americans living with psoriasis, you may be considering natural...
The psychological and social impacts of plaque psoriasis are real, and you are not alone in...

How To Explain Your Plaque Psoriasis to Others

The psychological and social impacts of plaque psoriasis are real, and you are not alone in...
Plaque psoriasis is usually worse in cold, dry weather, but some people notice their symptoms get...

Can Plaque Psoriasis Get Worse in the Summer? How To Prepare

Plaque psoriasis is usually worse in cold, dry weather, but some people notice their symptoms get...
Some people with psoriasis find that eating different foods triggers their skin condition. Others...

Is Peanut Butter Good or Bad for Psoriasis?

Some people with psoriasis find that eating different foods triggers their skin condition. Others...

Recent articles

Dead Sea salt can be an effective over-the-counter remedy for psoriasis. Dead Sea salt is often...

Does Dead Sea Salt Help Psoriasis?

Dead Sea salt can be an effective over-the-counter remedy for psoriasis. Dead Sea salt is often...
Psoriatic arthritis (PsA) is characterized by joint pain, swelling, and stiffness.A...

Psoriatic Arthritis Symptoms

Psoriatic arthritis (PsA) is characterized by joint pain, swelling, and stiffness.A...
About 30 percent of people with psoriasis will eventually be diagnosed with psoriatic arthritis...

Psoriatic Arthritis in the Hands: Symptoms and Treatment Options

About 30 percent of people with psoriasis will eventually be diagnosed with psoriatic arthritis...
Many people with psoriasis have trouble sticking to their treatment plan, which can lead to poor...

Five Tips for Sticking With Your Psoriasis Treatment

Many people with psoriasis have trouble sticking to their treatment plan, which can lead to poor...
The Centers for Disease Control and Prevention (CDC) has approved a second COVID-19 booster shot...

What People With Psoriasis Should Know About Getting a Second COVID-19 Booster Shot

The Centers for Disease Control and Prevention (CDC) has approved a second COVID-19 booster shot...
Some people with psoriasis find that certain factors can trigger flares (periods of worsening...

Psoriasis and Hormones: How Hormonal Changes Can Affect You

Some people with psoriasis find that certain factors can trigger flares (periods of worsening...
psoriasis News
psoriasis News

Thank you for subscribing!

Become a member to get even more:

sign up for free

close