Cream for psoriasis what is the more effective ointment for psoriasis?

People living with a diagnosis of "psoriasis" I know firsthand how much depends on the right choice of medication. This disease does not forgive mistakes in the treatment and the negligent attitude towards their health. An important role in controlling the symptoms of psoriasis play a well-chosen external care and timely treatment. A key principle in choosing treatment, especially in the early stages of psoriasis development, is the principle of "do no harm" care, not should hit the health of the skin, provoking the emergence of unwanted consequences in the form of skin atrophy or syndrome. After all, the primary goal of treatment is to prolong the periods of rest and skin health without sudden and painful relapses and exacerbations.

cream for psoriasis

Hormonal lotions for psoriasis: cure or kill?

The joint group of external factors for the treatment of psoriasis are creams on the basis of specific hormones. These substances have a feature to suppress immune system activity, reduce inflammation. Therefore, in severe exacerbations of psoriasis steroids are given systemically as tablets or injections. However, this approach is fraught with severe side effects: treatment alter the hormonal balance of the body, and the withdrawal of the drug can lead to dysfunction of the endocrine and cardiovascular systems.

Topical steroids (external hormonal) are partly devoid of dangerous properties of system of drugs based on hormones: effect occurs only at the site of application. Their advantage is speed of operation: a few minutes after application, patients notice decreased itching, and over the next few days, reduced the redness of psoriatic plaques, stops their growth, and peeling.

Unfortunately, the side effects typical of topical steroids — and one serious: because of the low immunity spot application, the skin becomes thinner and discolored, there is a risk of secondary infection. This, no doubt, complicates the treatment. The most serious consequence of the use of topical steroids is the development of addiction. As a result, other products (even the topical steroids) already stopped to help, causing another, sometimes much more severe relapse after discontinuation of the drug. Therefore, the sale of topical steroids in Europe and the united states without a prescription is prohibited. Independent and uncontrolled use of these funds related to the category of powerful, can be accepted.

It is important to know! Addison's disease — a disease that develops, due to the long-term medication corticosteroids. In response to hormone treatment alone, the adrenal glands no longer produce cortisol and other steroids, which manifests itself in symptoms such as muscle weakness, loss of weight and appetite, lower blood pressure, dehydration, heart palpitations and constant anxiety. In Addison's disease, doctors are not always able to restore adrenal function, so the lives of patients prescribed hormone therapy.

Most of the funds on the basis of topical steroids is inexpensive and sold without prescription, so the irregularities of such a psoriasis are the most common. At the same time, dermatologists do not recommend the use of local steroids is extensive (more than 20% of the surface of the skin) areas of the lesions, and to apply such funds to the sensitive areas of the body — face, neck, skin folds and diaper rash. It is desirable to completely abandon the idea to use hormonal creams and creams without a prescription: it is able to reduce the effect of the primary treatment, harm to health and provoke an attack of severe exacerbation of psoriasis.

The most common hormonal creams and ointments, which are made on the basis of the following materials:

  • betamethasone;
  • hydrocortisone;
  • mometasone;
  • methyl prednisolone;
  • triamcinolone;

Traditional non-hormonal creams for the treatment of psoriasis: is not worse, but better?

Because of the serious side effects of hormone creams and ointments, many patients prefer to treat psoriasis, which is less "aggressive" medication. Some of them have heritage in folk and traditional recipes for skin care, popular in the past.

The advantages of the traditional non-hormone treatments for psoriasis should be attributed to its relative hormonal product safety, cheapness and lack of serious side effects. Disadvantages of the various (often low) high efficiency and, in some cases, allergic reactions that develop patients component means.

signs of psoriasis
  • Naftalan, Ichthyol, dermatological, based on cream of tar — anti-inflammatory and antiseptic. However, some of them cannot be used in the progressive stage of psoriasis, and a large part of the damage, while others (for example, coal tar ointment) have a certain impact, so they are not recommended to combine with light therapy. In addition, long-term use of these drugs increases the likelihood of developing skin cancer. Traditional creams have a strong smell and can stain clothes, therefore they are not very comfortable to use.
  • Specific substances have anti-inflammatory and antimicrobial effect, and cause increased exfoliation of dead skin cells, which accelerate the healing of psoriatic plaques. Among the possible side effects — the risk of inflammatory reactions, a burning sensation and pigmentation of the surrounding healthy skin (staining of healthy skin and hair brown color).
  • Herbal (creams and lotions based on aloe, elecampane, celandine, sage and other herbs) is anti-inflammatory and healing effect, prevents the development of skin infections. Supported for the treatment of psoriasis, supplement the effect of the primary treatment.
  • Moisturizers (creams and baby oil, cosmetics) are also an additional treatment of psoriasis and helps fight skin dryness and feeling of tightness of the skin. They are used together with medications, intensify the treatment.

Non-hormonal creams and ointments, with a pronounced therapeutic effect: the clinically proven

We should also highlight a group of non-hormonal medicines that the effectiveness of local treatment of psoriasis has been confirmed in clinical trials. Unlike creams and lotions of the previous group, the mechanism of action of these drugs has been studied in detail. They have the undeniable advantage of hormonal products with a higher profile. However, the treatment of these resources should clearly follow the instructions for use and be aware of possible contraindications.

  • Pimecrolimus has potent anti-inflammatory effect. However, be aware that it is a bacterial or fungal skin application of funds on the basis of pimecrolimus is recommended only when treatment of the infection. Uncontrolled pimecrolimus use can cause local immunosuppression in the skin (local suppression of the immune system), increases the risk of joining a secondary infection of the affected areas of the skin. Therefore, the united states, for example, pimecrolimus is recommended only as a drug "second-line" treatment, that is, only in the absence of the date of the other ways of treatment. Pimecrolimus has been banned for use in children under two years.
  • Calcipotriol is a synthetic analogue of vitamin D3. Its action is based on increasing the calcium content of skin cells, normalizes the rate of their share, and promotes the resorption of psoriatic plaques. Because calcipotriol is a hormonal drug (which, after a series of biochemical reactions is converted to the active hormonal metabolite of calcium metabolism), there are several limitations to its use. In particular calcipotriol does not apply, if you lose more than 30% of the surface of the skin, because of the risk of hypercalcemia. The latter can cause arrhythmia and muscle cramps. It is not recommended to use calcipotriol for sensitive skin areas (face, neck, folds). Means on the basis of this active substance is an age limit. Calcipotriol also not suitable for aids in the event that treatment light treatment, since under the action of UV-light causes light sensitivity and lead to the development of burns.
  • It pyrithione zinc. Because of the proven efficacy and safety of treatment, medicines for the treatment of psoriasis based on this active substance can be attributed to the category of the "Golden mean". Zinc is a organic and natural cure for the treatment of skin diseases. Its concentration in healthy human epithelium is about 20% of the total content in the body, and lack of this precious metal is involved in various skin lesions and impaired wound healing. Drugs active zinc (zinc pyrithione) is the whole set of special properties (anti-inflammatory, antibacterial, antifungal), to help reduce itching, promote ceramides (fat) of the skin, which leads to the restoration of its barrier function. Tools zinc pyrithione activate the so-called apoptosis (programmed natural death) pathologically altered skin cells and the cells of inflammation, which activate the natural renewal of skin cells, reduce flaking and eliminate the psoriatic plaques. Studies have shown that the active zinc is comparable to a hormonal product efficacy and good safety profile as is practically not absorbed from the skin, is not irritating and harmful effects.

Lotion or cream?

Many of these medicines is produced in the form of ointment and cream. How to choose the most appropriate format?

  • Creams are more dense and oily structure, which allows the medicine is a long time on the surface of the skin, especially if you put it under the bandage.
  • The cream has a softer texture, easy to apply and absorbed faster, so that it can be applied, leaving the skin open, does not use ties and is not afraid to stain your clothes or hands. Usually, the cream has a pleasant smell, which is also important for daily use.
  • Unlike an ointment, a cream, a lesser extent irritating, so it is best suited for application to the face, bending the joints, in areas with high sensitivity. Also, the cream is not suitable for application in moist areas of the skin, in which the liquid discharge. The cream is in this sense more universal.
  • Traditionally, the ointment of psoriasis presents more broadly, however, this imbalance gradually disappears — the market appears more and more new pharmaceutical forms in the form of creams, gels, and aerosols are convenient to use and is particularly suitable for application in inaccessible areas (eg. the scalp).
treatment of psoriasis

Looking for a balance of price and quality

Let's try to summarize the information in a table:

Group of drugs

The active ingredient

Action

The potential limitations and side effects

Hormonal creams and oils

Betamethasone

They have anti-inflammatory, anti-allergic (including anti-itching) and anti-edematous action. Hydrocortisone, methylprednisolone and other tools is also a certain action (by far the local immunity of the skin).

1. Not recommended for use long-term (over 5 days) and often. 2. Can trigger the development of local complications:

  • the color and metabolic disorders of the skin;
  • syndrome;
  • it immunosuppressive effect can lead to the accession of secondary infection of the skin.
  • Contraindicated in:
  • for use in areas with sensitive skin (face, neck, folds);
  • when a large part of the lesion (more than 30% of the skin).

Mometasone

Hydrocortisone

Glucocorticoid medicine

Methylprednisolone

Triamcinolone

Non-hormonal traditional means

  • Oil
  • Broken
  • Ichthyol
  • Fat
  • Tar

They have anti-inflammatory and antiseptic.

  • Is quite low efficiency, and has no effect on bacterial and fungal agents (when you join secondary infection, skin).
  • Uncomfortable to apply (apply several times a day, often under the bandage, require very prolonged treatment, stain clothes, and has an unpleasant smell).
  • Can cause irritation and dry skin, and allergic reactions.

A substance that causes the active exfoliation of dead cells from the skin surface:

  • dithranol
  • sulfur and salicylic acid

Causes increased exfoliation of dead skin cells, has anti-inflammatory and antimicrobial effect.

Can cause an inflammatory reaction, a burning sensation and pigmentation of the surrounding healthy skin (staining of healthy skin and hair brown color).

Non-hormonal drugs

Pimecrolimus

Having anti-inflammatory activity.

  • Not recommended in case of bacterial or fungal skin infections.
  • Can cause local immunosuppression in the skin (to reduce local immunity).
  • Contraindicated in children up to two years.

Calcipotriol

Is a synthetic analogue of vitamin D3, promotes the resorption of psoriatic plaques.

  • Not recommended:
  • apply, if you lose more than 30% of the surface of the skin, because of the risk of hypercalcemia;
  • use for sensitive skin areas (face, neck, folds, scalp);
  • combined method of light therapy in the context of the risk of getting burns.
  • Contraindicated in patients under the age of six.

Zinc pyrithione

Is a complex function:

  • anti-inflammatory;
  • itching;
  • protection against infection;
  • activate the natural cell renewal and epithelial to remove the psoriatic plaques;
  • restoration of the barrier function of the skin.
  • It has a high safety profile.
  • No restrictions on time of use and area of use.
  • There are no side effects (except for individual intolerance).
  • Approved for use in children one year.

Psoriasis is a chronic disease, so each patient, it is important to find the best remedy, combining the high efficacy and low side effects (and preferably at a reasonable price). And remember: before you start any tool, read the instructions, all the possible contraindications and side effects, and also be sure to consult with your doctor. This helps to achieve the best results without injury.

cream for psoriasis against

Early treatment of psoriasis is a key success factor. Remember that the sooner you start the treatment of psoriasis, the less likely that you will never need to resort to "heavy artillery" — hormonal means.