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What treatment should I take for psoriasis?

Q: I am a 22 years old male suffering from psoriasis for the last 9 months. I had been very regular with my medicines for the first 8 months but there wasn't much improvement in my condition. So, for the last fifteen days, I have stopped taking the medicines. What future course of action should I take now? My medication included - saltopic lotion, halovate cream, nizral cream, patadin tab, Aleggra tab, B-cream, CT-cream, irritant lotion and coal tar solution.

A:Psoriasis is a chronic disease, which is characterised by remissions and exacerbations. The severity and extent of involvement of the skin, by this disease varies. The aim of the treatment is control this disorder and make the patient as comfortable as possible, with the least amount of medication so that there are minimal or no side effects. To achieve this, a number of medicines are available. The choice depends upon a number of factors, which also includes the preference of the patient. Therefore, treatment is usually begun with minimal medication (unless the disease is very severe and extensive). If the response is satisfactory, nothing like it. On the other hand if the response is poor, then one steps up the medication, in a step ladder like manner. So do not worry and do not stop medication. Consult your doctor and probably the medicines will be altered. As far as I am concerned, I will wish that you avoid oral steroids; topical steroids are OK.

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