People who live with the diagnosis of psoriasis", do not know first hand about how so much depends on the correct choice of medicine. It is a disease that does not forgive mistakes in the treatment and negligence to health. An important role in the fight against the symptoms of psoriasis play with competence in selected outdoor therapy and in a timely manner began the treatment. A key principle in the choice of the treatment scheme, especially in the early stages of development of psoriasis, is the principle of "do no harm" — the treatment should not cause a negative impact on the health of the skin, causing the occurrence of undesirable effects such as atrophy of the skin or of a withdrawal syndrome. After all, the main goal of therapy — to extend the periods of peace and the health of the skin without sudden and painful recurrence and exacerbation.
Common of a group of outdoor funds for the treatment of psoriasis are ointment special based on hormones. These substances have the property of inhibiting the activity of the immune system, decreasing inflammation. Therefore, for severe cases of psoriasis, acute exacerbation of steroids is prescribed in a systematic way — in the form of tablets or injections. However, this approach is fraught with serious side effects: therapy changes hormone of the body, and the cancellation of medicines can cause failures in the functioning of the endocrine and cardiovascular systems.
Topical steroids (external hormonal tool) and, in part, devoid of the hazardous properties of the system based medications hormones: the effect manifests exclusively at the site of application. The advantage is speed of action: already after a few minutes after application patients have pointed to the reduction of the itch, and in the next few days is significantly reduced redness in the area psoriatic plaques, stops their growth and scaling.
However, unfortunately, the side effects are characteristic and for topics of steroids, and not less serious: because of the reduced immunity at the site of application, the skin thins and discolored, occurs the risk of accession of secondary infection. It is, without doubt, complicates the treatment. The most serious consequence of the application of topical steroids is the development of dependence. The result is that other tools (even the topical steroids) they cease to help, provoking criticism at times more strong relapse after withdrawal of the drug. That is why the sale of topical steroids in Europe and in the united states without a prescription is prohibited. Independent and uncontrolled use of these tools, belonging to the category of powerful, it is inadmissible.
It is important to know! Addison disease — the condition, that develops due to a long period of receiving corticosteroid medications. In response to the hormone therapy adrenal glands let alone to produce cortisol and other steroids, which is manifested by symptoms such as muscle weakness, loss of weight and appetite, lowering blood pressure, dehydration, tachycardia, and a constant feeling of alarm. In Addison's disease the doctors are not always able to restore the function of the adrenal gland, as a result, patients for life prescribe hormone therapy.
Most of the tools based on the topics of steroids is cheap and is sold without prescription, so the cases of abuse this type of treatment of psoriasis are common. Meanwhile the dermatologists do not recommend the use of local steroids with extensive (more than 20% of the surface of the skin) squares of injuries, as well as to apply such resources in the sensitive areas of the body — the face, neck, skin folds and place of diapers. Preference, and not to abandon the idea of applying the ointments and creams without the prescription of a physician: is able to reduce the main effect of treatment, harm to health and cause a heavy attack worsening of psoriasis.
More often than hormonal creams and ointments are manufactured in accordance with the following substances:
Considering the serious side effects of hormone creams and ointments, many patients prefer to treat psoriasis, using less "aggressive" medication. Some of them are common to traditional medicine and traditional recipes of skin treatment, popular in the past.
The advantages of the conventional treatment without hormones of psoriasis should be assigned to its comparison with hormonal security tools, low cost and absence of serious side effects. The disadvantages — different (often low) degree of efficiency and, in some cases, allergic reactions that develop with patients, the components of one or another tool.
Separately, you should select a group of medicines non-hormonal, whose efficacy in the local treatment of psoriasis has been demonstrated in clinical trials. Unlike ointments and creams of the previous group, the mechanism of action of these drugs is thoroughly studied. They have an indisputable advantage before hormonal means of communication with a higher security profile. However, and in the treatment of these funds should be clearly adhere to the instructions for use, and learn about possible contra-indications.
Many of the ones listed above are the drugs are released such as in the form of ointment, and in the form of cream. How to choose the most appropriate way?
Looking for a balance of price and quality
We will try to summarize this information in table form:
The group of the medicine |
The substance |
Action |
Possible limitations and side effects |
Hormonal creams and ointments |
Betamethasone |
Have an anti-inflammatory, antiallergic (including antipruritic), and decongestant action. Hydrocortisone-a, methylprednisolone, and other means also have a specific action (overwhelming the local immunity of the skin). |
1. Is not recommended the application of long duration (over 5 days) and frequently. 2. May cause the development of complications locations:
|
Mometasone |
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Hydrocortisone |
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Glucocorticoids tool |
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Methylprednisolone |
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Triamcinolone |
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The traditional means of a method of non-hormonal |
|
Have an anti-inflammatory and anti-septic action. |
|
A substance that causes the active exfoliate dead cells from the surface of the skin:
|
Cause reinforced exfoliate dead skin cells to have an anti-inflammatory action and antimicrobial. |
Can cause an inflammatory reaction, the feeling of burning and pigmentation in healthy skin (healthy coloration of the skin and the hair in brown color). |
|
Method of non-hormonal medicines |
Pimecrolimus |
Has activity anti-inflammatory. |
|
Calcipotriol |
It is an analogous synthetic vitamin D3, promotes the resorption psoriatic plaques. |
|
|
Zinc pyrithione |
It has integrated action:
|
|
Psoriasis is a chronic disease, so each patient is important to find the best medicine that combines high efficiency and minimal side effects (and, preferably, by means of appropriate price). And remember: before you start using any tool, check the manual of instructions, all the possible contraindications and side effects, and also do not forget to consult your doctor. This will help to achieve the best possible result, without compromising the health.
In a timely manner began the treatment for psoriasis is a key success factor. Remember that the sooner you begin to treat psoriasis, the less likely that you'll never have to resort to "heavy artillery" — hormonal tools.