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Suggest Treatment For Severe Psoriatic Arthropathy Affecting Feet And Buttocks
Good day Doctor. I m a psoriasis patient for last 17 years. I m now 62 years old and underwent Angioplasy with 2 stents (uncoated) in 2001 and by profession I m a seaman. Under my Dermatologist s instructions, I was on continuous Methtrexate dosages (sometimes weekly 5 mg, 7.5 mg, 10 mg, 15 mg) and Sazo 1000 mg with regular pathological tests of TC, DC, HB, Platelates, SGPT, Alk Phosphate, Creatine etc and discontinuedd only in 1st week of April 2015 since I reached 1500 mg (maxm. limt as per Dermatologist s advice) and my psoriasis was always under control. However after stoping Methotrexate in last 1.5 months, I am having severe psoriatic arthopathy problem. I did tests for creatinine, chlolestrol, triglycerides and doctor has given me psorid 50 tab and Sazo 1500 mg. As per him I could restart Methotrexate after 6 months only i.e in July 2015. I have at present few affected area on feet, buttock area and mostly on back side of scalp. I do shampoo with Salibru twice a week and apply Tacalsis cream on other areas. Further I take Eltroxin 75 mg daily for Thyroid and Deplatt A75 & Dilcontin XL90 for Heart related management and Reclide XR 60 and Obimet SR 1 Gm for Blood sugar and all are under control. I do free hand exercise and 4 km morning walk and maintain my diets. I undergo TMT and other stringent medical tests twice a year before joining ship. I had tried with Homeopathy and Ayurvedic treatment in the past butnothing could cure me. Kindly advise if my medical management are in order. Regards. S.K.Pal
Tue, 18 Oct 2022
Hello,
Psoriasis treatment options are Methotrexate that may be used for as long as it remains effective and well-tolerated, Cyclosporine generally used intermittently for inducing a clinical response with one or several courses over a 3–6 month period. Combination therapy may be helpful. PUVA therapy is very effective.
Moisturizers like petroleum jelly do help a lot. Nonprescription tar preparations are available and have therapeutic success, especially when used in conjunction with topical corticosteroids. Anthralin, tazarotene, salicylic acid, phenolic compounds, and calcipotriene (a vitamin D analog) also may be effective especially when used in combination with topical corticosteroids.
Abruptly stopping steroid therapy in psoriasis or adding known irritant drugs can result in the sudden worsening of psoriasis or appearance of a new form. Thus, please don't stop using drugs abruptly and discuss the above methods of treatment with your doctor. Especially the PUVA therapy it is very effective.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Psoriasis treatment options are Methotrexate that may be used for as long as it remains effective and well-tolerated, Cyclosporine generally used intermittently for inducing a clinical response with one or several courses over a 3–6 month period. Combination therapy may be helpful. PUVA therapy is very effective.
Moisturizers like petroleum jelly do help a lot. Nonprescription tar preparations are available and have therapeutic success, especially when used in conjunction with topical corticosteroids. Anthralin, tazarotene, salicylic acid, phenolic compounds, and calcipotriene (a vitamin D analog) also may be effective especially when used in combination with topical corticosteroids.
Abruptly stopping steroid therapy in psoriasis or adding known irritant drugs can result in the sudden worsening of psoriasis or appearance of a new form. Thus, please don't stop using drugs abruptly and discuss the above methods of treatment with your doctor. Especially the PUVA therapy it is very effective.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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