What Is Psoriasis and How to Treat It?
Psoriasis is a hereditary condition, classified under ICD-10: L40. When psoriasis appears, treatment aims to limit skin cell proliferation and suppress inflammatory processes. Management also includes symptom relief through moisturizing and lubricating the skin, exfoliation, and itch reduction.
Prescription Medications for Psoriasis
Treatment involves medications from various categories. The right drug depends on the type and severity of the condition, which is why it’s essential to consult a dermatologist who can recommend a tailored therapy.
Prescription psoriasis medications may be:
Topical: in the form of creams, ointments, or gels
Systemic: oral tablets or injectable treatments (e.g., IV or subcutaneous injections)
Strong prescription formulations are often required for severe flare-ups and extensive skin involvement.
Topical Psoriasis Treatments
Most commonly used medications for localized symptoms include:
Anthralin (Dithranol) – powerful antioxidant, anti-inflammatory, antibacterial, and keratolytic effects
Vitamin D derivatives (e.g., tacalcitol, calcipotriol) – reduce inflammation and skin cell turnover
Vitamin A derivatives (retinoids) – such as tazarotene; require blood monitoring due to liver/kidney risks
Calcineurin inhibitors (e.g., tacrolimus, pimecrolimus) – used for delicate areas like the face
Corticosteroids (e.g., hydrocortisone, clobetasol, betamethasone) – anti-inflammatory and anti-itch
Coal tar – anti-proliferative, though less commonly used due to potential irritation and side effects
Salicylic acid, lactic acid, urea – exfoliate and moisturize
Cannabidiol (CBD) – anti-inflammatory and anti-proliferative
Curcumin (from turmeric) – antioxidant and potentially therapeutic in psoriasis
Steroid Creams and Ointments
Steroid treatments vary in potency. While mild steroids like hydrocortisone are available over the counter, stronger ones require a prescription. Overuse or misuse, especially on the scalp or sensitive areas, can worsen the condition in some patients.
Non-prescription Options
Some supportive OTC products may help, including:
Urea-based creams – hydrate and soften dry skin
CBD-based creams – reduce inflammation and itching
Turmeric-based ointments – natural antioxidant, helps reduce oxidative stress
Zinc oxide, moisturizers with allantoin, panthenol – help soothe and protect the skin
Oral Psoriasis Medications (Prescription)
Used in more severe or widespread cases when topical therapy fails. Common active ingredients include:
Methotrexate (MTX) – immunosuppressant for severe or psoriatic arthritis; requires regular monitoring
Cyclosporine – suppresses T-cell activity; used in resistant cases
Acitretin – powerful oral retinoid, not for use in pregnancy
Leflunomide, sulfasalazine – alternatives in systemic treatment
Biologic Psoriasis Therapies
Biologics are advanced treatments, administered via injection (IV or subcutaneous). They include:
TNF-α inhibitors: adalimumab, etanercept, infliximab, golimumab
IL-12/IL-23 inhibitors: ustekinumab, briakinumab
IL-17/IL-23 blockers: secukinumab, ixekizumab
⚠️ These drugs are expensive in Poland (several thousand PLN per dose). Full reimbursement is available only for patients who qualify for specific national programs treating moderate-to-severe plaque psoriasis or aggressive psoriatic arthritis.
Psoriasis on the Scalp
Scalp psoriasis (sebopsoriasis) often includes itching, burning, and scaling. Treatments include:
Topical therapies: salicylic acid, urea, lactic acid, vitamin D, mild corticosteroids
Photodynamic therapy: light-based treatments for resistant lesions
Systemic treatments: methotrexate, cyclosporine, biologics (in severe cases)
Choosing the Right Dermatologist
An experienced dermatologist plays a key role in successful psoriasis management. Holistic care includes:
Physical treatment
Psychological support
Quality of life considerations
Look for a certified dermatologist familiar with modern diagnostic and therapeutic methods.
Online Consultations at Dimedic.eu
If you're struggling with time or feel uncomfortable seeing a doctor in person due to visible lesions, Dimedic offers discreet and professional online consultations.
Repeat prescriptions can be issued without a call
First-time treatments require a brief teleconsultation
Our doctors will help choose the right prescription medication and guide you in managing your condition