For palmoplantar psoriasis, several treatment options are available:
1. Topical Therapies
- Corticosteroids: Often used with occlusion (covered to increase effectiveness).
- Calcipotriene Cream (Dovonex): A synthetic form of vitamin D.
- Nonsteroidal Topicals: Such as tazarotene (Tazorac) and VTAMA (tapinarof).
Show Full Answer
For palmoplantar psoriasis, several treatment options are available:
1. Topical Therapies:
- Corticosteroids: Often used with occlusion (covered to increase effectiveness).
- Calcipotriene Cream (Dovonex): A synthetic form of vitamin D.
- Nonsteroidal Topicals: Such as tazarotene (Tazorac) and VTAMA (tapinarof).
- Topical Calcineurin Inhibitors (TCIs): Tacrolimus (Protopic) and pimecrolimus (Elidel).
2. Over-the-Counter (OTC) and Prescription Emollients:
- Ingredients like coal tar, salicylic acid, and urea can be helpful. However, salicylic acid should not be used with calcipotriene.
3. Systemic Oral Medications:
- Acitretin: An oral retinoid derived from vitamin A.
- Methotrexate: A disease-modifying antirheumatic drug (DMARD).
- Cyclosporine: An immunosuppressant.
4. Light Therapies:
- PUVA (Psoralen with Ultraviolet Light A).
- Narrowband Ultraviolet Light B.
5. Biologics:
- Recommended in severe cases where other treatments are ineffective. Administered by subcutaneous injection or intravenous infusion.
6. Home Skin Care:
- Regular use of moisturizers and adopting a healthy lifestyle, including a balanced diet, physical activity, and stress management.
Always discuss any treatment options with your dermatologist to ensure they are appropriate for your specific condition.
June 16, 2024