Home Medizin So erkennen Sie, ob Ihre Psoriasis-Behandlung anschlägt

So erkennen Sie, ob Ihre Psoriasis-Behandlung anschlägt

von NFI Redaktion

Psoriasis currently has no cure. However, if you suffer from this condition, there are numerous treatment options available. The key is to find one that works for you.

Different people respond to different treatments, says Dr. Ashley Jenkins, a dermatologist at the University of Missouri in Columbia. In some cases, a medication may be effective for a period of time and then stop working. It’s then time to try something new.

If you have psoriasis, here’s what you need to know about your treatment plan.

What should the treatment achieve?

The goal of psoriasis treatment is to remove plaques from no more than 1% of your body. If you have symptoms in other areas of your body, such as pitted nails or inflamed joints, the treatment should also alleviate these.

„It can take up to 12 weeks for a medication to fully work,“ says Dr. Dendy Engelman, a dermatologist in New York City. „If your symptoms are not mostly cleared during this time, inform your dermatologist.“

Most doctors start treatment with topical medications such as corticosteroids that you apply directly to your skin. „They have fewer side effects and can be effective, especially if you have mild to moderate psoriasis,“ says Jenkins.

However, if your skin is heavily scaly, your joints are painful, or you do not experience relief from topical application, your doctor may recommend a different treatment. This may include light therapy or „systemic treatments“, oral or injected medications that treat inflammation throughout the body. You can combine systemic medications with topical treatments or use them alone. They should start working within a few weeks.

Regardless of your treatment, your doctor will examine your skin to determine if it is effective, says Dr. Joshua Zeichner, a dermatologist at Mount Sinai Hospital in New York City.

If you have psoriatic arthritis, „your doctor may also recommend tests like X-rays to determine if you have joint damage,“ says Zeichner.

Biological medications, a type of treatment that suppresses your immune system, can help. Your doctor may prescribe these medications for a few months to control your inflammation, says Zeichner, and then switch to another treatment, such as light therapy and topical medications.

What happens if the treatment doesn’t work?

„Contact your doctor immediately,“ says Zeichner, if you notice your psoriasis worsening or experience a side effect related to your treatment. These are signs that it may be time to try a new type of medication. Sometimes you may achieve better results by combining treatments like a biologic and a topical ointment or cream.

„You want to talk to your dermatologist or doctor about what results you want to achieve and how aggressively you want to approach treatment,“ says Jenkins. There are dozens of different options, so don’t be afraid to speak up if you’re not happy with the plan your doctor recommends.

If you have psoriasis, you need to regularly visit your dermatologist or another member of your healthcare team, especially if your symptoms flare up again. Make sure your doctor examines all aspects of your health, not just your skin.

„Psoriasis is a sign of inflammation in your body. This inflammation affects your body’s ability to regulate your immune system,“ says Engelman. The effects on your immune system can cause many other health problems or contribute to them, including joint damage. Tests to measure your blood sugar, blood pressure, and weight can help your doctor detect and treat psoriasis-related health issues before they become serious problems.

Effectiveness is not the only reason you may want to switch medications. If you don’t like the side effects or cannot live with them, or if you find the administration of a medication too difficult, you may want to switch. Depending on your health insurance, cost could also be an issue. Know that it’s okay to stop taking a medication, even if it’s effective.

„It is important to be your own advocate,“ says Engelman. The key is being willing to try something different.

„Untreated, psoriasis can have significant impacts on your health and daily life,“ says Jenkins. „It is important to work with your doctor and keep trying new approaches until you find a solution that works for you“.

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