Treatment can't cure your psoriasis, but it can relieve symptoms for a while. And you don't have just one or two options. There are many ways to treat it, and you can combine some methods. So if one thing doesn't work, something else likely will.
You and your doctor will decide on a treatment plan based on:
- How severe your psoriasis is
- What treatments you've already used
- Whether you have other medical conditions
- How much you’re willing to do
Most likely, your doctor will suggest a "1-2-3" approach. You'll start with creams and ointments for your skin. If they aren't enough, you might move on to light therapy. If your psoriasis still isn't under control, you may try pills or biologic drugs. Or your doctor may think a different approach will work better for you.
Psoriasis treatments include:
Creams and ointments. You buy these over the counter or with a prescription. Steroid creams and ointments are the most common. Salicylic acid helps remove scales.
Other options you might try are:
- Formulas with vitamin D, including calipotriene ( Dovonex, Sorilux)
- Retinoids like tazarotene (Tazorac)
- Tar solutions such as Pentrax, Polytar, Balnetar, and Tera-Gel
Used alone, these aren't likely to work if you have psoriasis that covers more than 10% to 20% of your skin.
Light therapy (phototherapy). Exposing your skin to the sun or other ultraviolet light can improve your symptoms. You do this at a doctor's office or with a phototherapy unit at home. Newer techniques use a laser, which can target a small area with a highly focused UVB light.
Oral drugs. For psoriasis that doesn't respond to other treatments, pills like acitretin ( Soriatane), apremilast (Otezla), cyclosporine, and methotrexate (Trexall) may help. They're usually reserved for moderate to severe psoriasis, because the side effects can be harsh. Your doctor will need to keep a close watch on you.
Biologic drugs. These can improve psoriasis when nothing else does. They seem to have fewer side effects than some other medications, too. But most of them work by suppressing your immune system, so serious infections and even cancer are risks, though rare ones. Biologics used to treat psoriasis include adalimumab (Humira), etanercept ( Enbrel), infliximab ( Remicade), secukinumab (Cosentyx), and ustekinumab (Stelara).