Posts tagged "psoriasis patients"

Does anyone know any good treatments for psoriasis?

I have had psoriasis for 13 years now infact i got it the day after the birth of my first daughter! It has never ever gone away even after using many different treatments from the doctors! Can anyone advise on any good treatments…

There can be substantial variation between individuals in the effectiveness of specific psoriasis treatments. Because of this, dermatologists often use a trial-and-error approach to finding the most appropriate treatment for their patient. The decision to employ a particular treatment is based on the type of psoriasis, its location, extent and severity. The patient’s age, gender, quality of life, comorbidities, and attitude toward risks associated with the treatment are also taken into consideration.

Medications with the least potential for adverse reactions are preferentially employed. If the treatment goal is not achieved then therapies with greater potential toxicity may be used. Medications with significant toxicity are reserved for severe unresponsive psoriasis. This is called the psoriasis treatment ladder.[6] As a first step, medicated ointments or creams are applied to the skin. This is called topical treatment. If topical treatment fails to achieve the desired goal then the next step would be to expose the skin to ultraviolet (UV) radiation. This type of treatment is called phototherapy. The third step involves the use of medications which are ingested orally or by injection. This approach is called systemic treatment.

Over time, psoriasis can become resistant to a specific therapy. Treatments may be periodically changed to prevent resistance developing (tachyphylaxis) and to reduce the chance of adverse reactions occurring. This is called treatment rotation.

[edit] Topical treatment
Bath solutions and moisturizers help sooth affected skin and reduce the dryness which accompanies the build-up of skin on psoriasis plaques. Medicated creams and ointments applied directly onto psoriasis plaques can help reduce inflammation, remove built-up scale, reduce skin turn over, and clear affected skin of plaques. Ointment and creams containing coal tar, dithranol (anthralin), corticosteroids, vitamin D3 analogues (for example, calcipotriol), and retinoids are routinely used. The mechanism of action of each is probably different but they all help to normalise skin cell production and reduce inflammation.

The disadvantages of topical agents are variabily that they can often irritate normal skin, can be awkward to apply, cannot be used for long periods, can stain clothing or have a strong odour. As a result, it is sometimes difficult for people to maintain the regular application of these medications. Abrupt withdrawal of some topical agents, particularly corticosteroids, can cause an aggressive recurrance of the condition. This is known as a rebound of the condition. Topical lotions and creams that contain fragrances should be avoided as they will sting when applied.

Some topical agents are used in conjunction with other therapies, especially phototherapy.

[edit] Phototherapy
It has long been recognised that daily, short, nonburning exposure to sunlight helped to clear or improve psoriasis. Niels Finsen was the first physician to investigate the theraputic effects of sunlight scientifically and to use sunlight in clinical practice. This became known as phototherapy.

Sunlight contains many different wavelengths of light. It was during the early part of the 20th century that it was recognised that for psoriasis the therapeutic property of sunlight was due to the wavelengths classified as ultraviolet (UV) light.

Ultraviolet wavelengths are subdivided into UVA (380–315 nm), UVB (315–280 nm), and UVC (< 280 nm). Ultraviolet B (UVB) (315–280 nm) is absorbed by the epidermis and has a beneficial effect on psoriasis. Narrowband UVB (311 to 312 nm), is that part of the UVB spectrum that is most helpful for psoriasis. Exposure to UVB several times per week, over several weeks can help people attain a remission from psoriasis.

Ultraviolet light treatment is frequently combined with topical (coal tar, calcipotriol) or systemic treatment (retinoids) as there is a synergy in their combination. The Ingram regime, involves UVB and the application of anthralin paste. The Goeckerman regime combines coal tar ointment with UVB.

[edit] Photochemotherapy
Psoralen and ultraviolet A phototherapy (PUVA) combines the oral or topical administration of psoralen with exposure to ultraviolet A (UVA) light. Precisely how PUVA works is not known. The mechanism of action probably involves activation of psoralen by UVA light which inhibits the abnormally rapid production of the cells in psoriatic skin. There are multiple mechanisms of action associated with PUVA, including effects on the skin immune system.

Dark glasses must be worn during PUVA treatment because there is a risk of cataracts developing from exposure to sunlight. PUVA is associated with nausea, headache, fatigue, burning, and itching. Long-term treatment is associated with squamous-cell and melanoma skin cancers.

[edit] Systemic treatment
Psoriasis which is resistant to topical treatment and phototherapy is treated by medications that are taken internally by pill or injection. This is called systemic treatment. Patients undergoing systemic treatment are required to have regular blood and liver function tests because of the toxicity of the medication. Pregnancy must be avoided for the majority of these treatments. Most people experience a recurrence of psoriasis after systemic treatment is discontinued.

The three main traditional systemic treatments are the immunosupressant drugs methotrexate and ciclosporin, and retinoids, which are synthetic forms of vitamin A. Other additional drugs, not specifically licensed for psoriasis, have been found to be effective. These include the antimetabolite tioguanine, the cytotoxic agent hydroxyurea, sulfasalazine, the immunosupressants mycophenolate mofetil, azathioprine and oral tacrolimus. These have all been used effectively to treat psoriasis when other treatments have failed. Although not licensed in many other countries fumaric acid esters have also been used to treat severe psoriasis in Germany for over 20 years.

Biologics are manufactured proteins that interrupt the immune process involved in psoriasis. Unlike generalised immunosuppressant therapies such as methotrexate, biologics focus on specific aspects of the immune function leading to psoriasis. These drugs are relatively new, and their long-term impact on immune function is unknown. They are very expensive and only suitable for very few patients with psoriasis.

[edit] Alternative Therapy
Antibiotics are not indicated in routine treatment of psoriasis. However, antibiotics may be employed when an infection, such as that caused by the bacteria Streptococcus, triggers an outbreak of psoriasis, as in certain cases of guttate psoriasis.
Climatotherapy involves the notion that some diseases can be successfully treated by living in particular climate. Several psoriasis clinics are located throughout the world based on this idea. The Dead Sea is one of the most popular locations for this type of treatment.
In Turkey, doctor fish which live in the outdoor pools of spas, are encouraged to feed on the psoriatic skin of people with psoriasis. The fish only consume the affected areas of the skin. The outdoor location of the spa may also have a beneficial effect. This treatment can provide temporary relief of symptoms. A revisit to the spas every few months is often required.
Some people subscribe to the view that psoriasis can be effectively managed through a healthy lifestyle. This view is based on anecdote, and has not been subjected to formal scientific evaluation. Nevertheless, some people report that minimizing stress and consuming a healthy diet, combined with rest, sunshine and swimming in saltwater keep lesions to a minimum. This type of “lifestyle” treatment is suggested as a long-term management strategy, rather than an initial treatment of severe psoriasis.
Some psoriasis patients use herbology as a holistic approach that aims to treat the underlying causes of psoriasis.
A psychological symptom management programme has been reported as being a helpful adjunct to traditional therapies in the management of psoriasis. [4]
It is possible that Epsom salt may have a positive effect in reducing the effects of psoriasis.

[edit] Historical Treatment
The history of psoriasis is littered with treatments of dubious effectiveness and high toxicity. These treatments received brief popularity at particular time periods or within certain geographical regions. The application of cat faeces to red lesions on the skin, for example, was one of the earliest topical treatments employed in ancient Egypt. Onions, sea salt and urine, goose oil and semen, wasp droppings in sycamore milk, and soup made from vipers have all been reported as being ancient treatments.

In the more recent past Fowler’s solution, which contains a poisonous and carcinogenic arsenic compound, was used by dermatologists as a treatment for psoriasis during the 18th and 19th centuries. Grenz Rays (also called ultrasoft X-rays or Bucky rays) was a popular treatment of psoriasis during the middle of the 20th century. This type of therapy was superseded by ultraviolet therapy.

All these treatments have fallen out of favour.

[edit] Future drug development
Historically, agents used to treat psoriasis were discovered by experimentation or by accident. In contrast, current novel therapeutic agents are designed from a better understanding of the immune processes involved in psoriasis and by the specific targeting of molecular mediators. Examples can be seen in the use of biologics which target T cells and TNF inhibitors. Future innovation should see the creation of additional drugs that refine the targeting of immune-mediators further.[7]

Research into antisense oligonucleotides is in its infancy but carries the potential to provide novel theraputic strategies for treating psoriasis

Find out more information about a psoriasis treatment to treat the different types.


any home remedies for psoriasis?

I have psoriasis on my knee and I tried using vaseline it only kept it from drying too fast but never relieved the itch which causes it to spread if you scratch it so I was just wondering if anyone know f anything I can use to help get rid of this thank you.

the most important step in controlling psoriasis is to keep skin well moisturized. A big problem with psoriasis is scale buildup, and moisturizers are extremely effective at preventing this. Plain petroleum jelly is a very effective moisturizer. But if you’re buying a commercial moisturizer, those that contain lactic acid, such as LactiCare, seem to work better. Also, Eucerin cream works well as a moisturizer for those with psoriasis.

Moisturize after bathing. To get the most from your moisturizer, apply it within three minutes after leaving the shower or bathtub. We recommend that you pat yourself dry and apply the moisturizer liberally all over your body–not just on plaques. That’s because even ‘clear’ skin in people with psoriasis is drier than in people who don’t have psoriasis. It’s thought that little cracks on dry skin might encourage more psoriasis.

Soak up the sun. Many psoriasis patients are prescribed a specific regimen of ultraviolet light treatments. Getting artificial sunlight from a special lamp or tanning booth can help. An easier and less expensive method is simply to hit the Great Outdoors. “We know that exposure to sunlight is extremely helpful for treating psoriasis,” says David Kalin, M.D., a family practitioner in Largo, Florida. A moderate amount of sunlight enhances the production of vitamin D, which may be effective in controlling psoriasis.

But don’t soak up the booze. Doctors are still trying to find out for sure why alcohol exacerbates psoriasis. They suspect that alcohol increases activity of a certain kind of white blood cell that’s found in psoriasis patients but not in other people. (But it’s also possible that drinkers are just more highly stressed and therefore more prone to psoriasis.)

“Alcohol is a definite problem,” according to Stephen M. Purcell, D.O., chairman of the Department of Dermatology at Philadelphia College of Osteopathic Medicine and assistant clinical professor at Hahnemann University School of Medicine in Philadelphia. “It’s best to not drink at all if you have psoriasis.”

Spice up your bath. Bathing is often a catch-22 for those with psoriasis. That’s because soaking in warm water helps soften psoriasis plaques, but it sometimes dries skin and worsens itching. “One way to get the benefits of a bath without the dryness is to add a couple of capfuls of vegetable oil to your bath,” says McNeal. “The best way to do it is to get in the tub first, so your body soaks up the water, and then add the oil.” Another alternative suggested by McNeal: Mix two teaspoons of olive oil in a large glass of milk and add that to your bath.

Be extra careful stepping out of the tub, since oils can make surfaces very slippery. (Be sure to scrub the tub afterward.)

Head to the kitchen to soothe that itchin’. To soothe itching caused by dry skin and psoriasis, dissolve 1/3 cup of baking soda in a gallon of water. Soak a washcloth in the solution, wring it out, and then it apply to the itchy area. Or add a cup of apple cider kitchen vinegar to the water and apply that to the skin.

Cover the cracks with cow cream. If your skin is cracked because of psoriasis–which can cause itching and more plaques–do what dairymen do. “They found that Bag Balm, a product originally used to relieve cracking in cow udders, worked just as well on their cracked hands,” says McNeal. “Then people with psoriasis found it worked great on their dry or cracked skin.” Bag Balm is available at most feed stores; some drugstores may be able to order it.

Take care of mind and body. Stress is a known trigger of psoriasis, so managing your mental state–through exercise, relaxation techniques or whatever mellows you out–is one way to keep your condition under control.

Guard against infection and injury. “Infection may lead to an outbreak or worsen your condition, so it’s important to try to avoid infectious disease,” says Dr. Kalin. New lesions may also appear on injured skin, so try to avoid cuts and scrapes.

Watch what you eat. “Although there are no specific links that have been proven, it appears a diet high in oily fish–such as tuna, mackerel, sardines and salmon–helps reduce the itching and inflammation of psoriasis,” says Dr. Lowe.

Avoid certain foods. “Some anecdotal reports suggest patients do better when they reduce or eliminate tomatoes and tomato-based dishes–possibly because of high acidity levels,” says Dr. Kalin. “Also, some of my patients with psoriasis have noticed a decrease in plaques by avoiding or limiting their intake of pork products and other fatty meats as well as caffeine.”

Go electric. If you have plaques on your face, neck, legs or other areas that require shaving, use an electric razor instead of a blade. “An electric razor won’t cut skin as easily, and every time you cut yourself, you risk new lesions,”

Find the topical psoriasis remedy that you can use at home here.


Aloe Vera Versus Natralia Psoriasis Cream

Aloe Vera Versus Natralia Psoriasis Cream
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Aloe Vera Versus Natralia Psoriasis Cream

By: Samantha
Posted: Oct 20, 2010

 

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Psoriasis is an auto-immune disease characterized by rapid multiplication of skin cells. Psoriasi is commonly seen around the skin folds and other areas such as the scalp. The affected skin appears as red patches covered by thick, dry and silvery-white scales. Usually, those who are affected with psoriasis may develop psoriatic arthritis over time. Psoriasis is also a chronic disease that may come and go. Psoriasis cannot be cured, though it can be treated. A wide variety of treatment for psoriasis are available; from creams, lotions that moisturize, to otc drugs that block histamine to counter the itchiness, to dietary supplements with zinc, to holistic and homeopathic methods – name it! But two of the most popular treatments today are aloe vera and natralia psoriasis cream. Comparing these two may help you in selecting the best cream available to treat your psoriasis.

Aloe vera

Aloe vera is a species of succulent plant. Aloe vera thrives in arid climates and is widely distributed in Africa, India and other parts of the world. Aloe vera is usually used in herbal medicine because of its medicinal properties. Preliminary evidence from scientific studies suggest that Aloe vera extracts are useful in the treatment of wounds and healing burns, skin infections, cysts, diabetes, and elevated blood lipids. These are attributed to the compounds present in the plant such as polysaccharides, mannas, anthraquinones and lectins. A recent study concludes that the use of Aloe vera for the healing of first to second degree burns. In addition to its wound healing abilities, internal intake has been linked with better blood glucose levels in people who suffer from diabetes. Aloe vera extrace have been used also as an immunostimulant that aids in fighting cancer.

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In a study conducted in Belgium, 60 psoriasis patients where subjected to a double blind placebo test. The study showed that Aloe vera had a cure rate of 83.3% compared to a placebo. Patients’ psoriasis were seen to be reduced in number and there was also a reduction in skin discoloration. There were no side effects seen on the patients. The Aloe vera used in the study was a 0.5% Aloe vera extract added in a hydrophilic cream emolient.

Natralia

Natralia offers a wide variety of unique and patented natural skin care remedies. These products are made in Australia, and are derived from natural and organic components. Natralia products aim to relieve and treat acne, eczema, psoriasis, dry skin, scarring, stretch marks, muscle pain and cramps. Natralia also offers first aid creams and sprays, anti-fungal, as well as foot care products.

Natralia psoriasis creams have been formulated with natural ingerdients and are suitable for use on young children and vegetarians. The cream does not contain gluten, yeast, artificial colors, sls, parabens and nut oils that are big no-no’s when it comes to eczema and psoriasis. The cream itself is mild, soothing and moisturizing to relieve the dryness and itchiness brought about by psoriasis. The cream contains specifically chosen homeopathic ingredients, herbal extracts and essential oils including lavander oil, licorice extract, avocado oil and evening primrose oil. The cream should be used directly on affected areas to relieve itching, irritation, redness, flaking and scaling, and should be applied 2-3 times daily.

Aloe vera and Natralia psoriasis cream are two promising products that relieve the symptoms of psoriasis. Both are safe and without side effects, unlike corticosteroids that may do more harm than good. I have laid some facts here. You decide which is better, but, I guess trying both won’t hurt.

Samantha – About the Author:

Samantha is an expert on Psoriasis Cream and treatment. Please visit her site at http://www.PsoriasisCreamGuide.com

Source: http://www.articlesbase.com/medicine-articles/aloe-vera-versus-natralia-psoriasis-cream-3508855.html

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Article Tags:
psoriasis, psoriasis cream, psoriasis lotion, psoriasis creams, psoriasi, psoriasis lotions

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I am Asian. my skin is oily and i have got pigmentation due to pregnancy.i wonder if aloe vera cream is good for my skin.looking forward for your advice.thanks
Where can i get a cream that contains the following? its called beauty plus – -vitamin E, Aloe Vera, Gelatin, Purified and De-Ionized water, Neem, Manjistha, and Bramhani
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