Suggest Treatment For Severe Plaque Psoriasis

Posted on Tue, 18 Apr 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 18 Apr 2017 Answered on

Fri, 5 May 2017 Last reviewed on

Question : My daughter has severe plaque psoriasis. She is having a flare up and her body is covered with almost 70% of the sores. Her scalp is the worst. Her dermatologist only gives her creams but they aren't helping. She is on other medications: Lisinopril (20mg) Ropinirole (.25mgx2daily) Gabapentin (100mgx3daily) Gemfibrozil (600mg x 2daily) Lyrica 50mg) Norethindron (.35mg)
Not Helping: Clobetasol ointment (.05% 2xdaily to affected areas) Clobetasol solution (.05%x2daily to scalp)
Please help her.

Answered by Dr. Dr. Rahul Kumar (25 minutes later)

Brief Answer:
Oral medication

Detailed Answer:
Hello
Thanks for the query.
With 70 % body area involvement creams would be of no use.
I treat such cases with an oral medication like methotrexate, to be taken once a week.
This medication needs to be prescribed based on blood reports.
Please meet your dermatologist and discuss regarding this.
Let me know if you have any other doubts.
Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj