Psoriasis creams Do they work? Psoriasis treatment cream

There can be reasons why creams do not seem to be as effective as they used to be. One is that they might be out of date or have ‘gone off’. Creams do not last for ever, especially once they have been opened, so check with your pharmacist to see whether you should request a new one. Another reason might be that a new outbreak of psoriasis might not respond to the same cream that helped the previous one. This can be very frustrating, especially if you try to treat it as soon as it starts. On the other hand, something that did not work well last time might be just right this time. Some people report that using the same prescribed treatment for a long period of time makes it less effective. There is no scientific evidence for this except in the case of topical steroids, where long-term use can lead to a wearing off of the benefit and the need for a stronger preparation to achieve the same effect. We call this problem ‘tachyphyllaxis’. This is another reason why we recommend steroids only for short-term use.

The skin around the bits where I have psoriasis burns if I get the cream on them. What can I do to stop it? The first and most obvious thing to say is that you should be very careful when you apply the cream to ensure that you get it only on the plaques. There are, however, two other strategies that might also help.

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The first strategy is to apply a thicker layer of moisturiser around the plaques to protect the skin. This is particularly effective if you are using a thick, greasy moisturiser. In order to do this successfully, apply the moisturiser as you would do normally, allow it to sink in, then apply the prescribed topical treatment to the plaques, and then carefully apply another, thicker layer of moisturiser around each plaque. This is quite time-consuming but will be helpful. Second, try to minimise the amount of smudging that occurs from the plaque on to the skin that has no psoriasis on it. If you are using a vitamin D cream or a weak tar-based preparation, you can do this by ensuring that you rub the treatment in well and do not put your clothes on until it has been completely absorbed. If you are using short-contact Dithrocream, it is best not to put any clothes on while the Dithrocream is on; if you do put something on, make sure it is very loose and not going to smudge the cream. The other thing to remember about smudging is that if you apply a treatment to your groin, under your arms or under your breasts, it may go on to the adjoining unaffected area. The best thing to do in this instance is to make sure that you use a treatment that will not irritate your skin (e.g. a mild topical steroid) and cover the unaffected skin with moisturiser.