What is the best treatment option for psoriasis?

Question

Hello doctor,

My dad has been suffering from psoriasis for the past two years. He underwent treatment for two weeks in a reputed hospital. He has been treated with Folitrax and some tablets. After treatment everything was normal, but now again the infection started. Should we continue the Folitrax one dose, every 15 days or any other treatment that gives good results?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I have seen your query and concern with your descriptions, it seems your dad has psoriasis. Psoriasis is a chronic genetically influenced immunologically based inflammatory disease of skin and joints. Factors that aggravate psoriasis include:

Stress.
Alcohol.
Smoking.
Trauma.
Sun.
Oral corticosteroids.
Beta-blockers.
Lithium.
Drugs used to treat malaria. Painkillers, etc.

There are lots of treatments available for psoriasis latest ones are-

An excimer laser is a mode of phototherapy and is an ultraviolet B radiation system that consists of monochromatic light useful for localized affected areas of skin.
Another more focused therapy is target laser therapy which uses a more precise wavelength of ultraviolet radiation and is more effective. Handheld laser wands are other good modalities to treat psoriasis in hard-to-treat areas, such as the elbows, knees, palms of the hands, soles of the feet, and scalp.
Excimer laser treatments are performed as an OPD (out patient department) procedure. Each session takes only a few minutes. During the treatment excimer laser directly focused on patches of psoriasis. During this procedure, you may feel some warmth at the site.
Biologics that are safe and effective.
A simple paleo diet can not treat psoriasis.
Methotrexate (Folitrax) is a good medicine but in this age group chances of an increase in immunosuppression can increase the other infections so better to go for biologics.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.