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Doctor insights on: Best Medication For Plaque Psoriasis I Have Tried Almost Everything

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Best medication for plaque psoriasis. I have tried almost everything?

Best medication for plaque psoriasis. I have tried almost everything?

Oral or shots: If it is localized a compound of lcd and salicylic acid can help. If it is extensive methotrexate, soriaitane or a biologic such as Enbrel (etanercept) will work, although results vary by individual. ...Read more

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Dr. Thomas Namey
1,030 doctors shared insights

Psoriasis (Definition)

An autoimmune disease involving the skin, nails, and occasionally the joints. It is not contagious. There are several types of skin lesions, most common variety being large red scaly itchy plaques on extensor surfaces such as elbows and knees. Psoriasis can be controlled by a wide variety of medications, but a cure has ...Read more


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Psoriasis treatments I have had active psoriasis for over 40 years. I have used every possible over-the-counter treatment, including coal tar cream. Everything seems to work for a while, then becomes ineffective. I am leery of internal medications as i a

Psoriasis treatments I have had active psoriasis for over 40 years. I have used every possible over-the-counter treatment, including coal tar cream. Everything seems to work for a while, then becomes ineffective.  I am leery of internal medications as i a

Depends : Depends a bit on location and how widespread your psoriasis is. Topical options include steroid creams, vit d derivatives (dovonex and vectical), salicylic acid and coal tar preparations. Sometimes i inject a diluted steroid into specific lesions with good results. There are some biologic therapies such as enbrel, humira, and stelara (ustekinumab) that work well for widespread cases (check out the link below for more information). I hope that helps. ...Read more

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What can I use for reoccurring bv. I HAVE BEEN SUFFERING with this for 10yrs I have tried everything.. I can't get rid of it. The meds aren't helping?

What can I use for reoccurring bv. I HAVE BEEN SUFFERING with this for 10yrs I have tried everything..  I can't get rid of it. The meds aren't helping?

Are you sure its BV?: Are you certain that it has been properly diagnosed as BV by a GYN MD professional? If so, you don't mention what Rx's have been tried and failed. Moreover, some STD's can masquerade as BV and that form of testing is needed as well. Has your male or female partner also been checked for BV or STD's? These are more questions than answers, but it is a start for you and your MD, ...Read more

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Ringworm. Have had this for 8 months now. Tried everything from over-the-counter to prescription ointments and antibiotics. Still there. How come?

Ringworm. Have had this for 8 months now. Tried everything from over-the-counter to prescription ointments and antibiotics. Still there. How come?

Anti-fungal: Ok...Some basics. Ringworm is fungus. Oral Fluconazole is a cheap effective way to eliminate the infection. Re-infection is not uncommon. Antibiotics will not cure this...And in fact may worsen it by further due colonizing your skin of bacteria. If your primary is in doubt....Have him send you to an infectious disease or dermatologist. A KOH prep will confirm the diagnosis. ...Read more

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What is good for migraines I have tried everything under the sun from taking meds when i get it to preventives , any advice ?

What is good for migraines I have tried everything under the sun from taking meds when i get it to preventives , any advice ?

Keep trying: Wow, that’s a tough one. There are many triggers such as, hormonal changes, foods, stress, sensory stimuli, changes in wake-sleep pattern, intense physical factors, change of weather, and medications.The probable cause would dictate which type of doctor to see-neurologist, ob-gyn, chiropractor, alternative care, nutritionist, pcp, acupuncturist? Keep trying & hopefully relief is just around corner. ...Read more

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I have been suffering with acne, scar and oily skin for almost 10 years. I have been to many doctors but their medication did not work. Help me please.

I have been suffering with acne, scar and oily skin for almost 10 years. I have been to many doctors but their medication did not work. Help me please.

Acne scars: You now know the answer lots of treatments improve acne outbreaks and scars but there no cure for severe acne or severe scarring only many methods with mixed improvement don't give keep going to qualified caregivers. ...Read more

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I need advice for healing a major pH imbalance in my vaginal area, it's both yeast and bacterial. I've tried everything. #nqlu I have fought vaginal issues for almost 6 years now. I have tried antibiotics they didn't work. I have tried antifungal medicat

I need advice for healing a major pH imbalance in my vaginal area, it's both yeast and bacterial. I've tried everything.  #nqlu I have fought vaginal issues for almost 6 years now. I have tried antibiotics they didn't work. I have tried antifungal medicat

I : I can sense the frustration in your post. I am so sorry you are dealing with this problem. There is a bacterial dna vaginal culture your doctor can order. This will identify any bacteria that is present that may not be sensitive to the previous antibiotcs that were given. However this should be done only after a after a complete work up has been done, consisting of a standard include vaginal culture, std check, and a wet mount. Many women self diagnose, i hope this is not the case. Often times you may think it is one thing when in reality you are dealing with something completely different. Make sure this issue is being closely monitored by a doctor. As far as recurrent yeast infections go, this could be a sign of an immunodeficieny issue, and even diabetes. Your primary care should complete a full work up to rule these things out. Best of luck to you. ...Read more

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Hi there Dr. Matthew! I've been experiencing scalp itching for months now, and I've been using lice shampoo and dandruff treatments for a while.. But nothing seems to be working!

Hi there Dr. Matthew! I've been experiencing scalp itching for months now, and I've been using lice shampoo and dandruff treatments for a while.. But nothing seems to be working!

See answer: Best wld be to see a dermatologist who can examine you and be able to give u proper treatment. If u still want to try a home remedy use white vinegar daily on ur scalp and have head bath after 10-15 minutes. It helps to put organic coconut oil on the scalp for 15 minutes prior to putting the vinegar. ...Read more

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Have you heard anything positive about the oil cleansing method for acne? I am 25 and have tried almost every acne medication and nothing works!

Have you heard anything positive about the oil cleansing method for acne? I am 25 and have tried almost every acne medication and nothing works!

Sciton Laser: Sciton' laser broad band light, bbl, has been shown to help acne by heating sebaceous glands and decreasing bacteria and oil production. It works best to get a series of treatments. Good luck! ...Read more

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I have psoriasis for 25 years i tried many cures and nothing really helps what is the latest cure for psoriasis what do you suggest to me

I have psoriasis for 25 years i tried many cures and nothing really helps what is the latest cure for psoriasis what do you suggest to me

Tnf inhibitors: Tnf inhibitors have been quite beneficial for the treatment of psoriasis. However; it is up to your doctor to determine whether you are a candidate for such medication. ...Read more

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I have had acne now for 10 years. I have tried retin-a, salycilic wash, pills, and creams. Nothing works. What else can I do to get rid of it?

I have had acne now for 10 years. I have tried retin-a, salycilic wash, pills, and creams. Nothing works. What else can I do to get rid of it?

Phototherapy,Lasers: You should consult a good dermatologist and in resistant cases there are other therapies can be tried like phototherapy dermabraisons cumadone extraction laser therapy. ...Read more

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Are prescription deodorants effective? I have a severe odor/sweating problem. I've tried everything and no hope. This will probably be my last resort.

Are prescription deodorants effective? I have a severe odor/sweating problem. I've tried everything and no hope. This will probably be my last resort.

Many options...: Odor is caused by bacteria and topical antibiotics can be prescribed by your doctor. Excessive sweating has many causes, some genetic, and many treatments. Go to sweat help.Org for treatment options. Prescription antiperspirants (20% aluminum chloride) are somewhat stronger than otc ones. Don't get frustrated, there are many options! ...Read more

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I have battled acne for about 8 years now and nothing has helped me. I've tried BC & creams. What are so great ways to get rid of acne for good?

I have battled acne for about 8 years now and nothing has helped me. I've tried BC & creams. What are so great ways to get rid of acne for good?

You need: to see a dermatologist if over the counter products haven't helped. Derm can prescribe medications that you can't get OTC. Take care. ...Read more

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Pregnant and have been dealing with halitosis for 5 years What do I do? I clean my tongue floss and use mouthwash nothing is helping

Pregnant and have been dealing with halitosis for 5 years What do I do? I clean my tongue floss and use mouthwash nothing is helping

Halitosis: Bad breath can be caused by many different factors, including sinus infections, periodontal problems, smoking, cavities, acid reflux, and your diet. Address all of these possibilities with your dentist and physician, and I'm confident that your problem will at least be minimized, and hopefully eradicated. ...Read more

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My migraines are Getting out of control. I have tried every non narcotic there is and nothing works. I take topamax (topiramate). And been treated for TMJ ?

My migraines are Getting out of control. I have tried every non narcotic there is and nothing works. I take topamax (topiramate). And been treated for TMJ ?

See pain specialist: and ask him to examine you, and about occipital nerve blocks or medial branch nerve blocks in the upper neck to see if they improve your migraines in addition to evaluation for TMJ problems. ...Read more

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Very bad acne. I have tried everything(x out, proactive, clearisil, ect) nothing has worked for me. Is there anything else I can do to clear my skin?

Very bad acne. I have tried everything(x out, proactive, clearisil, ect) nothing has worked for me. Is there anything else I can do to clear my skin?

At this point you: need to see a dermatologist for prescription medications, and depending on the main trigger of your acne (bacteria, sticky cells, hormones) you may need topical and oral meds ...Read more

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I have had boils and scarring for a while (20 yrs old). Docs have tried to give me many meds & nothing works. What should I do?

I have had boils and scarring for a while (20 yrs old).  Docs have tried to give me many meds & nothing works.  What should I do?

Get diagnosis first: You need a diagnosis first. Boils are not a diagnosis they are a symptom. I would recommend a university based dermatologist as your next step. ...Read more

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I have dandruff. I have tried every brand of shampoo nothing works. What can I do? Head and shoulders works but only for awhile. So? Pls help

I have dandruff. I have tried every brand of shampoo nothing works. What can I do? Head and shoulders works but only for awhile. So? Pls help

Dandruff: Well, you may want to be examined by doctor first as certain diseases like psoriasis can resemble dandruff but are treated differently. If it is dandruff, i suggest trying coal tar shampoo or selenium sulfite one (over-the-counter formulation). Also, Nizoral (ketoconazole) shampoo may be a good option. Try one of those or all three of them if one or two are not working well. ...Read more

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Best medication for plaque psoriasis. I have tried almost everything?

Oral or shots: If it is localized a compound of lcd and salicylic acid can help. If it is extensive methotrexate, soriaitane or a biologic such as Enbrel (etanercept) will work, although results vary by individual. ...Read more

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What medications are available for treating plaque psoriasis?

What medications are available for treating plaque psoriasis?

Topical steroids: Psoriasis can be treated with various topical medications including corticoteroid creams, ointments, sprays, and foam products. Psoriasis can also respond to vitamin d creams, such as dovonex. Another class of medications are retinoids, such as tazorac. Often times dermatologists can combine these treatment regimens to effectively treat the psoriasis plaques. ...Read more

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Is there a good over-the-counter medication/ointment to help maintain/decrease the appearance and symptoms of plaque psoriasis?

Is there a good over-the-counter medication/ointment to help maintain/decrease the appearance and symptoms of plaque psoriasis?

Can try cortaid (hydrocortisone): Psoriasis is a chronic autoimmune disease, which affects almost 15 million americans, and most have such minimal disease that they may not even know they have it. A few hundred thousand people have terrible disease with thick plaques on their scalp, hands, feet, and body, and even psoriatic arthritis, you can try some otc drugs, products, with urea, coal tar, and cortisone, but they may not work. ...Read more

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What's the best shampoo or treatment to use on scaling, plaque psoriasis on the scalp?

What's the best shampoo or treatment to use on scaling, plaque psoriasis on the scalp?

Many together.: Tar shampoo is very effective, but you need to clean the scalp first with a mild shampoo, and then use neutratar or a generic afterwards. Make sure you lather it and then let is stay on your scalp, perhaps 5m. I recommend the concommitant use of a zinc shampoo on your next washing. And alternate. ...Read more

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What is the most effective treatment for plaque psoriasis?

What is the most effective treatment for plaque psoriasis?

Depends: The answer depends on how extensive your psoraisis is. Topical agents play a role but if your disease is more extensive there are many old and new medications such as stelera, enbrel, Remicade (infliximab) or psorisis. Talk with your dermatologist or a rheumatologist for further answers. ...Read more

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How can home uvb lights be used to clear-up plaque psoriasis as quickly as possible?

How can home uvb lights be used to clear-up plaque psoriasis as quickly as possible?

MD supervision: Home uvb or narrow band uvb requires a press ription for use. It can be combined with tar and s ailcylic a i'd for a traditional goeckerman regimen. If it a flat panel one side is exposed and the other side. If it is full body expose whole body. Do not overlap.Increments of 20 per cent are reasonable. Phototherapy requires 20-30 sessions for clearing. ...Read more

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Why is it so hard to get scalp plaque psoriasis diagnosed?

Why is it so hard to get scalp plaque psoriasis diagnosed?

I don't know why?: I find it easy to diagnose, because most pts have minimal psoriasis elsewhere. Plaque psoriasis is quite different from other scalp dermatites. But the scalp must be examined or it will not be found! ...Read more

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Does scalp plaque psoriasis get worse over time?

Does scalp plaque psoriasis get worse over time?

Psoriasis: While it depends on each person, psoriasis can be a lifelong condition. There are some things however that people do that can cause it to worsen: infection, stress, smoking, obesity, decreased exposure to uv light, and alcohol consumption. ...Read more

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I was diagnosed with plaque psoriasis at age 8 in 1987..I am now 33 and recently had a biopsy done and was told I have varucca keratosis?

I was diagnosed with plaque psoriasis at age 8 in 1987..I am now 33 and recently had a biopsy done and was told I have varucca keratosis?

Verrucous keratosis: Verrucous keratosis represent either seborrheic keratosis or verruca vulgaris. Sometime histological distinction cannot be made between them. They are benign growths and are not related to psoriasis. They do not go away with creams but can be taken off by the dermatologist. ...Read more

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I have plaque psoriasis. Will desoximetasone and triamcinolone creams work the same?

I have plaque psoriasis. Will  desoximetasone and triamcinolone creams work the same?

Maybe: They are both steroids, so in theory they work the same, but it depends on the specific strength of the creams as both of these come in different strengths that can range from a mild, medium, or high potency cream. ...Read more

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I have had red scaly patches due to plaque psoriasis for over 20 years. What can I do?

Many: There are many treatment options for psoriasis including light therapy, topical therapies, pills and injections. Discuss with your dermatologist to see what would be best for you. ...Read more

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I am 47 yr male suffering from severe plaque psoriasis and arthritis, what are some alternative medicines?

I am 47 yr male suffering from severe plaque psoriasis and arthritis, what are some alternative medicines?

Psoriatic arthritis: You need your dermatologist to work with you to come up with a good plan of treatment options. And a rheumatologist is essential to assist you with treatment for the psoriatic arthritis. ...Read more

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Starting Cicloporine for plaque psoriasis 30% covered. After treatment will my condition come back worse after a few weeks/months? I'm very nervous

Starting Cicloporine for plaque psoriasis 30% covered. After treatment will my condition come back worse after a few weeks/months? I'm very nervous

Communicate with you: Assuming you have a dermatologist, you need detailed communication. Typically you would transition to another treatment for long-term management. No, it will not rebound worse. Cyclosporine may get you off a crisis. But you may need only cream after a few months. Or you could go to methotrexate or Humira (adalimumab) or a number of others. Arthritis???? ...Read more

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Is there a relationship between plaque psoriasis and malignant melanoma? How often do they appear together?

Is there a relationship between plaque psoriasis and malignant melanoma? How often do they appear together?

Very rare.: There is a higher incidence of non-melaoma skin cancer in patients with psoriasis but melanoma has only occasionally been seen in psoriatic plaques. Though, if you have concerns about any areas, arrange an appointment with your dermatologist for an evaluation and possible biopsy of the site. ...Read more

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Hi, I recently went through a year of stress and broke out with a rash on my entire body, painful, itchy, scaly etc., it has since been diagnosed as plaque psoriasis, I'm now on humira, metothrexate, phototherapy and still off an on use clobtasol, my main

Hi, I recently went through a year of stress and broke out with a rash on my entire body, painful, itchy, scaly etc., it has since been diagnosed as plaque psoriasis, I'm now on humira, metothrexate, phototherapy and still off an on use clobtasol, my main

Incomplete question: Hi, I'd love to answer your question, but it looks like you ran out of space and there's actually just your summary here, but no question. Please re-submit with a question and one of us can try to help you. ...Read more

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Blistering bumps covering my face, elbows, forearms, scalp, and pelvic region.. Along with the back of the neck. Plaque psoriasis? Press help.

See doc: This is not description of psoriasis.This is more consistent with extensive allergic reaction such as erythema multiform which needs internal medications. Diagnosis amy need biopsy and blood tests. See doc immediately to prevent scarring or long term discoloration. ...Read more

Plaque (Definition)

A plaque is a broad, raised area on the skin. For example, patients with psoriasis have a lot of scaly plaques on their ...Read more