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Is Methotrexate The Right Medicine For Psoriasis?

Posted on Wed, 5 Oct 2016

Question: Good Evening, I am XXXXXXX XXXXX, from XXXXXXX I have done my blood test and found that i do have thalassemia beta triat and i do also suffer from psoriasis, can you help

Answered by Dr. Dr. Rahul Kumar (1 hour later)

Brief Answer:
Details required

Detailed Answer:
Hello
Thanks for the query.
Can you please elaborate what medication you have used till now.
This will help me in giving a better way of management.
Waiting for your response.
Thank you.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr. Rahul Kumar (21 hours later)

Good Evening,
As i said earlier, i do have psoriasis from last 4 years. I have stopped taking any medicine from last 3 years. I do not know exactly what was the name of the product, but i have done course of Methotraxate and photo therapy about 3 years ago.
Currently, i do only apply En-moist cream to my body. I do have almost 40% area covered by psoriasis. Pl do help.

Answered by Dr. Dr. Rahul Kumar (22 hours later)

Brief Answer:
use steroid and tacrolimus

Detailed Answer:
Hello
Thanks for the follow up.
As you have thalassemia methotrexate is not advisable to you.
You can continue with a steroid based lotion like clobetasol in morning and tacrolimus cream in night.
Try this for two months, if you dont get response then capsule acitretin can be considered however acitretin must be used only under medical supervision.
Let me know if you have any other doubts.
Thank you.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar