A special combination topical therapy is the current preferred treatment these days as it enables a quicker, more complete response with minimal or no local irritation to the skin. Separate scalp solution is often prescribed for treating psoriasis on the scalp.

Phototherapy is useful for the patient with more extensive rashes and for the patient who does not respond well to topical treatment. Phototherapy uses ultraviolet light to slow down the division of cells in the skin and is usually carried out 2 to 3 times a week. When the skin is clear of psoriasis, treatment is maintained and given less frequently.

Oral medications are usually reserved for patients with more severe disease and for patients who do not respond well to topical treatment and phototherapy. Drugs like Methotrexate, Cyclosporin A and Acitretin are very effective in the control of psoriasis; however, all these drugs have potential side effects. Blood tests need to be done regularly to monitor the drug effect on blood count, kidney and liver function.

This is a new class of drugs that come from psoriasis research. They are given as injections and they are very effective in controlling psoriasis. Their main advantage is the absence of organ damage to the kidney, liver and the ease and convenience of receiving the treatment. The main disadvantage is that the treatment is costly. All pros and cons will be discussed with you before your Dermatologist Dr. Wong starts with your Biologic injection treatment.