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Is it advisable to take Prednisone for psoriasis flare-up?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 26 years old. I have severe psoriasis from 12 years of age. I am using biologic Humira for ten years and it worked well. Two weeks back, I got a streptococcal throat infection. After that, my psoriasis began to flare up. I am taking slight treatments but it is not getting better. I am going to consult a dermatologist within a few weeks. I consulted a general practitioner. My doctor advised me to take Prednisolone for five days to overcome my symptoms. After searching online about the medication, I am concerned about it. There is a lot of warning about psoriasis coming back after stopping the medication. Is this the right medication to take for few days?
Answered by Dr. Jyotisterna Mittal

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

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Hi,

Welcome to icliniq.com.

Do not take oral steroids for a short course for psoriasis. It will make your condition resistant causing a flare-up. It may also lead to erythrodermic psoriasis. Oral steroids can be taken in emergency cases for psoriasis. If your condition is under control, then it is better to take alternative treatments. If nothing else is working, taking five days of Prednisolone will not cause any harm.

Patient's Query

Thank you doctor,

I had a sudden bad flare-up previously. I am taking UVB light treatment along with Humira. Will it make my psoriasis worse? I have taken Prednisolone 25 mg this morning. Will it work? Is it good to take it for five days?

Answered by Dr. Jyotisterna Mittal

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Kindly send a picture of the affected area for better evaluation and guidance. It will not make psoriasis worse if it is taken for five days under the guidance of the doctor. Please mention whether you are taking Prednisolone 25 mg daily.

Patient's Query

Thank you doctor,

I was advised to take 25 mg for five days. I started taking them from yesterday.

Answered by Dr. Jyotisterna Mittal

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

Then it is fine.

Patient's Query

Thank you doctor,

Do I need to continue taking Prednisolone? I have attached my photos.

Answered by Dr. Jyotisterna Mittal

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

I have gone through pictures (attachment removed to protect patient identity). There is no need to take oral corticosteroids. Topical corticosteroids like Clobestol and Salicyclic acid 6% combination cream can be applied over the lesions. Alternatively, topical Calcipotriol cream can be used.

Medically reviewed by Dr. Sneha Kannan
Published At August 21, 2020
Reviewed At July 8, 2024

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Jyotisterna Mittal
Dr. Jyotisterna Mittal

Dermatology

Education:

MBBS

Professional Bio:

Dr. Jyotisterna Mittal is a seasoned General Practitioner with a specialization in Dermatology, Venereology, and Cosmetology, and extensive experience in the management of AIDS-related skin conditions. She holds an MBBS and an MD in Dermatology from Baba Farid University of Health Sciences. With over 15 years of clinical experience, Dr. Mittal offers expert care in both medical and surgical dermatology, addressing a wide range of skin, hair, and cosmetic concerns. She is currently practicing in Amritsar, Punjab, India, where she is dedicated to delivering comprehensive, evidence-based dermatological care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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