best psoriasis treatment

 what is the best treatment for psoriasis 

1. Soothing and protective creams and ointments

The soothing and protective creams and ointments contain no active ingredients and keep the skin supple and prevent further drying of the skin. Complaints such as itching and scaling are reduced. You can apply these creams and ointments as often as you like, usually in addition to using creams with a drug in them. Read 5 household remedies for psoriasis.

2. Adrenal cortical hormones on the skin

Adrenal bark hormones, or corticosteroids, on the skin, inhibit inflammation, reduce scaling, quiet itching and reduce swelling by constricting blood vessels. As a result, psoriasis is less likely to worsen, the burning is reduced, and the redness will diminish. The skin can recover, becomes more supple and will start to look better.

Adrenal cortex hormones used on the skin are classified by strength.

• Fairly strong acting adrenal cortical hormones. Example is betamethasone.

• Strong-acting adrenal corshormones are prescribed when the fairly strong-acting adrenal corshormones do not work sufficiently. Examples are deoximetasone, fluticasone and mometasone.

• Very strong-acting adrenal hormones are prescribed when other adrenal hormones do not work sufficiently. Example is clobetasol.

3. Salicylic Acid

Salicylic acid softens the thickenings and flakes so they can disappear faster. By softening the top layer, the horny layer, of the skin, the skin also becomes supple again so that cracks can close and the skin can heal. Salicylic acid is applied in a cream, gel or ointment. Salicylic acid is also sometimes used in combination with adrenal cortex hormones. It then allows for better absorption of the adrenal bark hormone into the skin, allowing it to work better.

4. Urea

Urea promotes absorption of water by the skin. This water causes the top layer of skin to soften, making flakes disappear more quickly. Urea is also sometimes used in combination with adrenal cortex hormones. It then ensures better absorption of the adrenal cortex hormone into the skin, allowing it to work better.

5. Vitamin D

Vitamin D inhibits the growth of skin cells, allowing the cells to mature better and preventing excessive flaking of the skin. This allows the skin to repair itself. Examples are calcitriol on the skin and calcipotriol possibly with betamethasone on the skin.

6. Ditranol

Ditranol inhibits the growth of skin cells, allowing the cells to mature better and preventing excessive flaking of the skin. This allows the skin to repair itself.

7. Anti-defense drugs, on the skin

This group of medications are also called immunosuppressants or immune suppressants. They reduce the body's immune response to its own skin cells. They also inhibit inflammation. The symptoms are thus reduced. They are used when other skin medications do not help sufficiently. Examples are pimecrolimus and tacrolimus.

8. Tar

Tar inhibits inflammation, promotes normal skin growth, relieves itching, has a mildly disinfecting effect and reduces swelling by constricting blood vessels. This allows the skin to repair itself and you have less tendency to scratch. It is used when skin preparations with adrenal hormones have insufficient effect. Example is coal tar.

9. Retinoids

Retinoids affect the growth and maturation of skin cells. This will reduce flaking and cause the skin to repair itself. Retinoids are used when other medications do not help enough. Example is acitretin.

10. Methoxsalene

Methoxsalene is used in combination with ultraviolet A light (PUVA treatment). Under the influence of this light, methoxsalene binds to the DNA in the skin cells, preventing the skin cells from multiplying. The light also inhibits inflammation. The flaking of the skin is reduced by this treatment and the skin can recover.

11. Immunosuppressive drugs, to be taken or injected

This group of medications is also called immunosuppresants or immune suppressants. They reduce the body's immune response to its own skin cells. They also inhibit inflammation. The symptoms are thus reduced. They are used when other medications do not help sufficiently. Examples are abatacept, adalimumab, ciclosporin, etanercept, guselkumab, infliximab, leflunomide, secukinumab, tofacitinib and ustekinumab.

12. Methotrexate

Methotrexate inhibits inflammatory responses in psoriasis. Exactly how this effect comes about is not yet known. But methotrexate works in many cases well against the symptoms of psoriasis.

Methotrexate is used when other medications do not help sufficiently.

13. Apremilast

Apremilast inhibits inflammation caused by an overly active immune system. This reduces the symptoms of psoriasis. It is also used for inflamed joints caused by psoriasis (arthritis psoriatica). 

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