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Suggest Treatment For Scalp Itching Caused By Psoriasis
Question: Doctor i am having psoriasis for past many years and it was gone by using Ionax T shampoo and prednisolone tablets. But before 3 months it has started again , now the itching is beyond my level of tolerence, please prescribe some oil that goes along with ionax t shampoo, i am using omnicortil 15 mg again..I am also having myasthenia gravis which is under control, for seizures i am using topomac, levipil and rivotril
Brief Answer:
Oral steroid should be stopped
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the image. I can see red patch at the forehead extending on to the anterior hair line.
Oral steroids i.e prednisolone is not a treatment for limited scalp involvement with psoriasis, even though topical steroids formulations are a commonly used treatment modality in scalp psoriasis. Though oral steroids would initially bring a dramatic relief in your skin condition however the disease is bound to relapse and with increased activity soon after oral steroid is discontinued, as you must have noticed when your disease relapsed after discontinuing prednisolone.
As a treating doctor I usually recommend topical steroid+salicylic acid as a combination in a lotion form for my patients of scalp psoriasis along with coal tar+salicylic acid based shampoo e.g ionax-t, which you are already using.
Another option is to use a topical vitamin D analogue e.g calcipotriol instead of topical steroid+salicylic acid lotion.
You run a risk of rebound flare soon after you stop wysolone i.e prednisolone.
I suggest that you visit a dermatologist in your vicinity regarding management.
For itching i would suggest that you take a tablet of cetrizine 10mg once daily in evening.
Regards
Oral steroid should be stopped
Detailed Answer:
Hello. Thank you for writing to us
I have gone through your query and I have also reviewed the image. I can see red patch at the forehead extending on to the anterior hair line.
Oral steroids i.e prednisolone is not a treatment for limited scalp involvement with psoriasis, even though topical steroids formulations are a commonly used treatment modality in scalp psoriasis. Though oral steroids would initially bring a dramatic relief in your skin condition however the disease is bound to relapse and with increased activity soon after oral steroid is discontinued, as you must have noticed when your disease relapsed after discontinuing prednisolone.
As a treating doctor I usually recommend topical steroid+salicylic acid as a combination in a lotion form for my patients of scalp psoriasis along with coal tar+salicylic acid based shampoo e.g ionax-t, which you are already using.
Another option is to use a topical vitamin D analogue e.g calcipotriol instead of topical steroid+salicylic acid lotion.
You run a risk of rebound flare soon after you stop wysolone i.e prednisolone.
I suggest that you visit a dermatologist in your vicinity regarding management.
For itching i would suggest that you take a tablet of cetrizine 10mg once daily in evening.
Regards
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. Yogesh D
Answered by
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