What are the treatments?

The initial treatments of psoriasis are ointments. After that you can get light therapy. Are these treatments not working for you? Or is there a reason you cannot use these treatments? Then you can opt for treatment with different pills or injections. This decision aid helps people choose between pills and injections. Whatever treatment you choose, healthy living is always important.

It can be difficult to find the treatment that is most suitable for you. You may need to try several treatments before you are satisfied. You can also receive multiple treatments at the same time. If you stop a treatment, your psoriasis may come back.

Click below if you want more information about no treatment, healthy living, ointments and light therapy. If you want to choose between the different pills and injections, click next.

You can choose not to treat your psoriasis. But there are indications that other diseases, such as cardiovascular diseases, diabetes, depression and various inflammations can occur more often in people with severe psoriasis. 1 You can take this into account when making your decision. Discuss this with your doctor.

If you have inflammation of your joints or tendons, it is better to opt for a treatment. Without treatment your joints can get permanently damaged.

Eating healthy and varied food (for instance according to the Wheel of Five the five basic food groups) and getting enough physical exercise may improve your psoriasis. Other things you can do are:

  • Lose weight if you are overweight; 2
  • Quit smoking;
  • Deal with stress in a healthy way;
  • Moderate your intake of alcohol;
  • Keep your skin hydrated by regularly applying oily creams and ointments to the skin.

If you need help with this, please discuss this with your doctor.

Ointments prescribed by your doctor (such as hormone cream or ointments with vitamin D) improve psoriasis of the skin and possibly of the nails. This treatment does not improve psoriasis of the joints.

As well as ointments, creams, lotions, foam, gels or shampoo can also be prescribed. Some remedies have to be used a few times per week, others a few times per day.

Light therapy can be given in the hospital, but sometimes also at home. You will get into a cabin with lamps with artificial sunlight 2 or 3 times per week. Light therapy only works with psoriasis of the skin and does not work with psoriasis of the nails or joints.

Light therapy is sometimes given in combination with ointments or drugs. It can be given with drugs that make the skin more sensitive to artificial sunlight. This allows the light therapy to work better. You cannot use light therapy unlimited.