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Real members of MyPsoriasisTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyPsoriasisTeam Member asked a question 💭
Central California

My new dermatologist prescribed Clobetasol in a cream form to put on my toenails. After a couple days the area around my nails is feeling tender, irritated. I'm not sure I want to continue using it, and it will take a long time to know if it worked. She said to use it twice a day for two weeks.
Anyone have experience with something that worked?

June 22, 2025
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Answer Summary

Members dealing with toenail psoriasis shared their experiences with various treatments, with many finding that Clobetasol alone was not... Read more

Members dealing with toenail psoriasis shared their experiences with various treatments, with many finding that Clobetasol alone was not enough and that real nail improvement came after switching biologics, with one member seeing healing after starting Cosentyx. Several members also discussed managing toenail fungus alongside psoriasis, sharing topical options like ciclopirox and noting that treatments can take up to six months to show results. A recurring theme was emotional support and reassurance that all levels of symptoms deserve attention, along with encouragement to keep communicating with both dermatologists and rheumatologists when considering treatment changes.

A MyPsoriasisTeam Member

There is no reason for you to stop expressing your pain or frustration. We are all in this together! I'm curious to why your dermatologist wants you to change from a biologic that is working for you. I had to change mine because on my last one I was getting worse and worse.

June 25, 2025
A MyPsoriasisTeam Member

Thank you, Gaile! Nice having you on my team.

June 24, 2025
A MyPsoriasisTeam Member

I'm glad the Cosentyx is helping Sandee. I'll admit, I'm nervous about changing biologics. The dermatologist feels a newer one would be better for both the arthritis and skin issues. Going from how debilitating my PsA was to basically totally normal makes me apprehensive to switch. The dermatologist wants me to talk to the rheumatologist...she offered to talk to him. I may bring it up at my next appt.
Another thing I'm feeling is a little ungrateful. My skin issues are very mild. you usually can't look at me and see anything. My finger nails are fine, I get frequent splinter hemorrhages, and my toe nails have white spots, but nothing very obvious. Some new ridging is more obvious. I have constant itching of my scalp, but I don't lose sleep or have flakes.
On the whole, I feel bad for "complaining" when I know others have much more severe symptoms.

June 24, 2025
A MyPsoriasisTeam Member

love the gif, Gaile! We should all be so relaxed!

June 23, 2025
A MyPsoriasisTeam Member

Thanks for the suggestions Gaile. I'll have to look into the Calcipotriene...
I am wondering if the Clobetasol just doesn't work for me either, Joanne. at least this new dermatologist is considering that it might not work and is putting me on a different formulation, if the carrier is different and it's still not working it's probably the Clobetasol. My previous dermatologist dismissively said it's the best thing, just keep using it. Some doctors really shouldn't be allowed to practice medicine!

June 23, 2025

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A MyPsoriasisTeam Member asked a question 💭
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