LifeSources Super Prescriptions Psoriasis

Super Prescription #1 Hydrochloric Acid Take 100 mg 2 times daily with meals. Reduce if a warm or burning sensation occurs. It improves protein digestion.

Super Prescription #2 Omega 3 - Fish oil - LifeSource Product Take 2 high-quality fish oil capsules daily. Fish oil contains a substance know as EPA that has antiinflammatory effects.

Super Prescription #3 Sarsaparilla Take 500 mg or 4 ml three times daily. This herb reduces the effects of bacterial toxins that aggravate psoriasis.

Super Prescription #4 Milk thistle / Silymarin - LifeSource Product Take 300 mg three times daily of an 80 to 85 percent silymarin extract. Milk thistle improves liver detoxification and reduces cellular proliferation.

Super Prescription #5 Vitamin B12 - LifeSource Product Take 1,000 mcg (1 mg) of sublingual B-12 daily. This has been shown to help.

Super Prescription #6 Phyto Green Foods - LifeSource Product Take an organic super green food, such as chlorella or spirulina, or a mixture of super green foods, each day. Take as directed on the container.

Super Prescription #7 Digestive enzymes - LifeSource Product Take 1 to 2 capsules of a full-spectrum enzyme product with each meal. Enzymes help you to digest food more efficiently.

a.Correcting abnormal liver function is of great benefit in the treatment of psoriasis. The connection between the liver and psoriasis relates to one of the liver's basic tasks (filtering and detoxifying the blood). Psoriasis has been linked to the presence of several microbial byproducts in the blood. If the liver is overwhelmed by excessive levels of these toxins in the bowel, or if there is a decrease in the liver's detoxification ability, the toxin level in the blood will increase and the psoriasis will get worse. b.Psoriasis patients have benefited from gluten-free and elimination diets. c.A "moderate" diet is best in coping with psoriasis, without an excess of rich, fatty, starchy or spicy foods, or alcohol. High fiber diet would be very helpful. d. Drinking clean, non-chlorinated water to flush the toxins out of the system is very beneficial. How Supplements Can Help Psoriasis Taken daily, the supplements listed below may relieve psoriasis flare-ups. They may be used together. Results are usually apparent after about one month. 1.Omega-3 fatty acids, found in fish oil, are anti-inflammatories that work by blocking arachidonic acid, a natural body chemical that causes inflammation. People with psoriasis often have low levels of omega-3 fatty acids in their system. Take fish oil three times a day or flaxseed oil in the morning. 2.Grape seed extract is an antioxidant that blocks damage to many types of cells, including skin cells. Borage oil also has antioxidant benefits that help protect skin cells. 3.Vitamin A in high doses has been used by dermatologists for over 60 years for skin conditions associated with thickening of the uppermost layer (hyperkeratinization). 4.Zinc speeds healing when taken daily. People taking zinc for longer than a month should also take copper, because zinc prevents the efficient absorption of copper. 5.Milk thistle can be very useful for improving normal liver function, which is often beneficial for people with psoriasis. This herb also reduces leukotriene production in the white blood cells, which in turns helps slow the overactive reproductive cycle of psoriatic skin. Some nutritionally oriented physicians suggest combining milk thistle with the amino acid NAC (N-acetylcysteine), which has been shown to protect the liver during exposure to certain toxic chemicals. 6.Individualized homeopathic medicines prescribed by a health-care provider skilled in their use may be an effective way to decrease the severity of psoriasis flare-ups. 7.Cayenne pepper cream (capsaicin) is used by both conventional and alternative practitioners. Applied directly to lesions, it causes the body to block production of the inflammation-causing chemicals found within the psoriatic plaques. Because capsaicin can be highly irritating, it should probably be used only under a dermatologists supervision. Self-Care RemediesExpose psoriatic areas to the sun. Between 15 and 30 minutes of sun on the skin each day may help heal psoriasis. Results begin to show after three to six weeks. Protect areas that don't have psoriasis against sunburn by using a strong sunscreen. Try to minimize your exposure to chemicals in the home, including pesticides, solvents, oil-based paints and cleaning solutions. Drink plenty of pure water. Don't drink tap water. And try to avoid chlorine in water; be sure to shower after swimming in a chlorinated pool.

In winter, turn on the humidifier. Moist air may prevent lesions. Use a moisturizer on lesions--and the rest of the body as well--to prevent dryness and itching. Aloe vera gel works well for many people. Take a bath containing oatmeal, coal tar, or oils you find soothing. Keeping your skin well hydrated is a very important part of the treatment of psoriasis. A 15-minute soak in warm water is recommended. Try an application of fumaric acid cream. Its sold in health food stores, and it relieves pain and itching and reduces the size of psoriasis lesions. Apply three times daily during acute attacks. Depression Add "phosphatidylserine" to your supplement regimen. This amino acid has been shown in clinical trials to lift mood and positively affect behavior. Another supplement that may help ease depression is ginkgo biloba. Gingko biloba may be especially helpful for those over 50, because depression has been linked to reduced circulation in the brain, and ginkgo has long been prescribed to increase blood flow. This makes it particular beneficial to older people, who often have cholesterol-clogged blood vessels. Vitamin B complex helps strengthen the nerves because it enhances neurotransmitter production in the brain .All the B vitamins can be safely taken in conjunction with prescription antidepressants. Another group of nutrients that you can add to your diet to help reduce the effects of depression are omega-3 fatty acids. You can get a Fish oil supplement. Try Yoga, which relaxes your body and mind.

I took milk thistle for liver detoxification, did coffee enemas, liver flushes, detox teas and I started also with taking a formula called Barneys formula which consists of:

Vitamin D3 cholecalciferol 1000 4500 IU (less in summer more in winter) Multivitamin Selenium 200mcg I took Brazilian nuts, 2 of them has the required amount Vitamin B12 250 mcg Folic acid 400 mcg Flax seed oil 2x 1000mg Fish oil 2 x 1000mg Calcium 400mg Ibuprofen 200mg (I took a few 400s already for joint pain)

Top Five Effective Home Remedies for Psoriasis 1. Keep skin hydrated taking bath, shower immersing the affected part in cold water can help in getting rid of itchiness caused by psoriasis. Also keep your skin moisturized. With the use of coarse washcloth, softly rub scaly part. Hot water is an enemy for psoriasis patients as it can dry the skin.

Add Epsom salts in water for bath as it is a good home remedy. Do not forget to moisturize the body after soaking. 2. Moisturize your skin is must- If you keep your skin dry then it can cause infection. If you use a dense or heavy moisturizer then it acts as a shield for the skin that is breakable. Some best options include castor oil, germ oil, lactic acid as well as cooking oil and lard. 3. Vinegar- Use of apple cider vinegar is effective as it can diminish the intensity of psoriasis. According to the Psoriasis Foundation if the affected part is dipped in apple cider vinegar for few minutes then it can be very effective. If you want excellent results then simply blend a cup of apple cider vinegar in warm water (1 gallon). 4. Olive oil- for scalp psoriasis sufferers the use of olive oil is just like a shampoo. In one cup of milk mix 2 teaspoons of olive oil then apply it into the scalp so that the scaly and dry patches become loose and fall. Then rinse thoroughly with slightly warm water and only use soft brush in order to get rid of the flakes and scales from your scalp. 5. Aloe- It is mostly famous for dealing with burns but actually is also work effectively for psoriasis. You can easily find natural aloe serum at drug stores and organic food stores.

Apple Cider Vinegar & PSORIASIS Testimony

I only started taking Apple Cider Vinegar and Honey mornings and without honey, evenings, every day about 2 weeks ago and already I am feeling different!!! I was recommended to ACV by my employer who has PSORIASIS.and has had it since 1987!! He has tried virtually every type of convential type of treatment and nothing has really worked Thats ultra light therapy,steroid creams and other creams,ointments.U name it and he has tried it. I understand that it is considered to be "incurable"!!
Date: 3/26/2005 1:56:56 PM ( 8 y ) ... viewed 47562 times

Apple Cider Vinegar & PSORIASIS by Niigel-UK Message URL: http://curezone.com/forums/m.asp?f=8&i=616 Amersham Buckinghamshire UK I only started taking Apple Cider Vinegar and Honey mornings and without honey, evenings, every day about 2 weeks ago and already I am feeling different!!! I was recommended to ACV by my employer who has PSORIASIS.and has had it since 1987!! He has tried virtually every type of convential type of treatment and nothing has

really worked Thats ultra light therapy,steroid creams and other creams,ointments.U name it and he has tried it. I understand that it is considered to be "incurable"!! He belongs to the UK Psoriasis Forum that has over 3000 members and every spare moment he gets he is sending and receiving email messages giving advice and taking advice from people that have only just got it or people who feel like giving up life because they just cannot cope with it!! But at last by a stroke of luck or shall we say an answer to a prayer he came across ACV. He has been taking it now for 6 weeks and only after 3 weeks "certain things were starting to happen"!! He has P, as its known to people with it,on his scalp,in his ears,on his neck,on his chest,on his arms,on his elbows,on both his thighs,on his knees,on his bottom and his privates!! But now the raised red scaly scabs are starting to disappear and the areas of red are thinning out and small amounts of normal skin are taking there place.When ever he shaves he always used to cut the scabs on his chin and then he would bleed. That bleeding stopped yesterday after he shaved!! Other things have happened to him quite recently. He has stopped snoring and when he wakes up in the morning he can get straight out of bed and feel refreshed.He phoned me up yesterday evening to say that "he just could not believe it" but his grey hair has started to turn back into black its original colour!!! He has posted a message on his P Forum stating all what I have stated here and he has put photos of his body parts showing what has happened but only a few members have taken any notice!! So I am hoping who ever reads this memo of mine and knows someone that has P that they inform them of it as soon as possible. The Cyder Vinegar that we both use is Aspall Organic Cyder Vinegar. Aspall were established in 1728 in Suffolk England.The Chevallier family own,manage and run the company I am a quite fit and healthy 67 year old male and I have discovered that if I take 2 desert spoonfulls of ACV and half a desert spoon full of Pure Clear Honey just before I get on my indoor bike. I am able to cycle at quite a fast speed for 30 mins and do just under 6 miles.I always used to have to slow down as I got hit by lactic acid in my legs but now it does not happen!!! All down to ACV and the honey. Niigel-UK ------------------------------------------------------------------------------------Here is a repost from a CureZoner: ACV is destroying my psoriasis. by marlon My psoriasis popped up out of the blue around October of 2003. I am 99% sure the trigger was stress because I can remember around that time i was stressed from the time i woke up to the time i went to sleep. When it first popped up I thought it was something else and got really worried about it, it took me at least 3 months to go to the doctor for fear of what the diagnosis might be. Finally, I mustered up enough courage to check myself in. Well there I was sitting on the table with my shirt and pants off pointing

to the doctor where the patches were. Sadly the doctor had as much of a clue as I did. A senior doctor had to take a look at me before diagnosing what the condition was. When i learned it was psoriasis I was relieved but at the same time worried about what it was and how it would affect me. The doctor proceeded to give me a topical ointment and said it should go away in the summer (yea right). Well I went home and did some research on my condition, thats when it really hit home. I was devastated but paid no mind to it thinking it would go away on its own. Months started to pass and the itching and flaking were beyond control. I felt like the lowest form of a human being. I had skin peeling on my nose and small patches on my chest, sides, arms, legs, scalp, ears & a tiny one on the left cheek. I felt so miserable. I would pass by kids running around and people doing casual everyday things and I would feel so depressed that I couldnt do those things without having to worry that someone is looking at me wondering what the heck that is in my ear or on my head or on my arm. Thats when I finally said enough is enough, there has to be some way to get rid of this thing. I bought all the non prescription treatments out there for the scalp and patches. They did little to help. Although 1 scalp treatment product lessened the patches on my head, it went from huge patches to really tiny patches. As i have continued to use these products and seeing little to no results, I finally accepted my fate and realized I might have to stay this way for the rest of my life. Almost a year or so has passed and about 2 weeks ago I was surfing this forum when I saw several posts about ACV. Not knowing what it was, I proceeded to read the posts and finally I figured out it was (Apple Cider Vinegar). I scoured the web to find out more about this home remedy on other psoriasis forums and found that it was a very successful treatment. So I set out to my local grocery store and could only find Richards ACV instead of the suggested Braags. I figured it was better than nothing and started on the treatment of 2 teaspoons mixed with honey (in my case i used sugar since I didnt have honey). 2 weeks later here I am, VERY HAPPY and giddy :). The ACV treatment is working. The patches are diminishing. They are no longer rough and flaky, but rather smooth, REGULAR HEALTHY skin is now there (only thing that remains is a mark where the patch once was, this should be easy to get rid of with cocoa butter or some kind of skin cream). The smaller tiny patches have completely healed up like popping a pimple.. Just a mark remains and the ones on my arms are beginning to heal up very nicely. I truly believe that without the internet and these forums, I would still be suffering as I was almost a year ago. With the ACV Treatment and doing the following Ive managed to see these results in less than 2 weeks. I did the following: 1) When a psoriasis patch popped up, I didnt scratch it at all, no matter how tempting. 2) I went to the doctors and got a topical ointment to put on the psoriasis. 3) I ate only vegetables and fruits, drank lots of water, and exercised frequently. 4) Remembered that my mind also had a involvement in my psoriasis and tried to stay

away from stressful things while finding ways to keep myself occupied with being happy. 5) I started on the ACV Treatment and this out of everything else has done it for me. Remember everyone, there is hope out there, psoriasis is the enemy and we must win this war. http://www.curezone.com/forums/m.asp?f=8&i=745 http://curezone.com/blogs/f.asp?f=179&t=59754 Psoriasis is caused by one's body being out of acid/alkaline balance. I have a few suggestions that might help alkalize your body. I have been reasearching apple cider vinegar for about a year now. I have read hundreds of testemonials about ACV and other methods of healing psoriasis and alkalizing the body. http://curezone.com/blogs/m.asp?f=179&i=14 I found a perfect solution for you to consider: 1. Taking 3-4 baths a week with 2 cups of ACV[The inexspensive stuff in the grocery store is just as good for this application] soak for 30 minutes then shower for a minute in cold water 2. 3 times a day, 30 minutes before meals to take a tablespoon of [raw from a health food store]ACV in a tepid glass of water. Add a little honey or blackstrap molasses for taste[I add cinnamon]. http://curezone.com/blogs/m.asp?f=179&i=76 In addition to ACV, see if you can find neem oil from you health food store. I have found neem oil as an amazing oil for skin conditions.http://curezone.com/blogs/f.asp?f=380&t=33573 If you have an unhealthy diet with large amounts red meat, dairy, white bread, unrefined sugar, alcohol, and processed foods, you might consider changing to a more healthy and balanced diet and lifestyle. Taking a tablespoon of Sea Salt and Distilled water three times a day could also help alkalize your body. Once your body is properly alkalized, you should watch what foods are drying out your skin. These steps are easy to do. Give it a month and you will be a much more healthy person and your psoriasis should be gone. Make diet changes and take a shot of ACV & cinnamon when you feel Psoriasis coming back and you may never have to deal with the discomfort again.
Add This Entry To Your CureZone Favorites!

Alert Webmaster

Post Your Comment Here

Share:

Could you pls let me know where i will get Apple Cyder Vineger in Londo. by jesughosh
7y

Re: Could you pls let me know where i will get Apple Cyder Vineger in L. by rudenski 7 y Hi Ive just read the article about cider vinegar for psoriasis and woul. bylauranne 6 y Re: Hi Ive just read the article about cider vinegar for psoriasis and . by #2853
6y

I have the psoriasis on my feet and I have been putting diluted cider vi. by lauranne 6 y R

There are different types of psoriasis. They are :

Plaque psoriasis - Patches of raised, reddish skin covered by silvery-white scale Psoriatic arthritis - Which causes inflammation of the joints. Guttate psoriasis - Small, red spots on the skin Pustular psoriasis - White pustules surrounded by red skin Inverse psoriasis - Smooth, red lesions form in skin folds Erythrodermic psoriasis - widespread redness, severe itching, and pain

Causes of Psoriasis
The exact cause of psoriasis is not known. It is believed that a combination of several factors contributes to the development of this disease. Some common causes of psoriasis are the following:

Psoriasis occurs when the immune system overreacts, causing inflammation and flaking of skin. Abnormality in the mechanism in which the skin grows and replaces itself causes psoriasis. Psoriasis develops when the immune system tells the body to over-react and accelerate the growth of skin cells.

Heredity also plays a role in the development of psoriasis Environmental factors such as trauma, sunlight, infection, emotional stress, climatic changes etc also causes.

Symptoms of Psoriasis
The symptoms of psoriasis vary from person to person. Some of the common symptoms of psoriasis are the following:

Raised, red patches of skin topped with loose, silvery scales, usually on the knees or elbows Thick, red patches known as plaques, and dry, silvery scales appearing on the scalp, face, elbows, knees, palms, and soles of the feet. Dry, cracked skin that may bleed Joint swelling, tenderness, and pain Thickened, pitted or ridged nails

RELATED ARTICLES

Scalp Psoriasis - Tips for Natural Treatment and Prevention Psoriasis treatment - Home remedies & natural cure Types of psoriasis, treatment & home remedies for psoriasis Psoriasis - A complete study on causes and symptoms

Herbal treatment and Ayurvedic medicines for Psoriasis

Ayurveda believes that impurities in the blood associated with emotional factors are the cause of the disease. According to Ayurveda Psoriasis can be considered as the vitiation of Vata and Kapha. Ayurvedic treatment for Psoriasis Ayurveda suggests Panchakarma for the treatment of psoriasis. This is because detoxification of the body is very essential for the treatment of psoriasis.

Natural Herbal Treatment for Psoriasis

There is no treatment for psoriasis that can guarantee 100% result. A natural psoriasis treatment that may help one person may have no effect on another person. Psoriasis treatment requires strict dietary restrictions and life style practices. Some effective natural psoriasis treatment, Precautionary tips and natural cure for psoriasis

The use of curd in the form of buttermilk has proved useful in psoriasis and the patient should drink it in liberal quantities. Do not control natural urges like vomiting, urination, bowel emptying etc. Avoid taking spicy food and consume only easily digestible food. Do not eat too much of salty, sour or acidic foods Avoid consuming opposite foods Include more fruits, vegetable, fruit juices in your diet. Bitter gourd, curd, boiled vegetables, pumpkin etc... are good psoriasis diet. Avoid animal fats, eggs, processed canned foods from your diet. Application of avocado oil gently on the effected part is found to be an effective treatment. Cod liver oil, lecithin, linseed oil, vitamin E, and zinc fasten the healing process. Apply moisturizing cream or gel at regular intervals to maintain the moisture level of the skin. Avoid using soap while taking bath instead use gram flour and use a herbal scrubber. Avoid pricking, peeling and scratching skin Use separate, clean clothes and towel for your use. Taking bath in sea water is found to be very effective in psoriasis treatment. Drinking fresh bitter gourd juice mixed with one teaspoon of lime juice on an empty stomach is an effective psoriasis treatment Applying aloe vera cream thinly to irritated skin and rubbing lightly is effective. Mental health is absolutely necessary for an effective treatment of psoriasis. Try deep breathing and relaxation exercise to reduce stress. Exposing to mild sunlight daily for 30 minutes will improve the texture of the affected area of the skin.

Eumovate ointment

Definition
Psoriasis affects one to two per cent of the population in the United Kingdom (i.e. upwards of a million people in the UK). It is a chronic relapsing condition, mild to moderate involvement can usually be managed in primary care. The degree of psychological and social disability that accompanies psoriasis is commonly under estimated by the medical profession and this can result in sub-optimum care. There is no cure for psoriasis although there are effective suppressive treatments aimed at inducing remission or making the amount of psoriasis tolerable for the patient. For the majority of patients, the disease follows a chronic course interspersed with periods of remission. Relapses are difficult to predict.

Clinical Features & Differential Diagnosis

Well defined, circumscribed, varying sized plaques of erythematous (described as "salmon pink") skin summonted by varying thickness of silvery scale; most often located on elbows and/or knees; any skin siteI can be affected (see clinicasl features inindividual subsections on psoriasis types below). In the scalp there may be very thick scales. The finger (and toe) nails may be deformed with thickening, pitting and discolouration. Differential diagnosis includes eczema (especialy discoid and seborrhoeic eczema); tinea (fungus) infection; rarely cutaneous Tcell lymnphoma.

Suggested Investigations
The physician should make the patient aware of the possible therapeutic options including the simplest available therapies. The need for treatment will often be dictated by the patient's own perception of his/her disability. In order to advise the patient on suitable therapies, it is important to know the sites of involvement. Certain drugs are thought to precipitate or worsen psoriasis including alcohol, beta blockers, non-steroidal anti-inflammatories, some ACE inhibitors. Oral administration of lithium, chloroquine or mepacrine can be associated with the severe deterioration of psoriasis. It is helpful to record patients' views of the most upsetting aspect of their psoriasis so that management strategies can be directed appropriately within the therapeutic limitations based on risk benefit ratio. There are several forms of psoriasis and an individual during his or her lifetime may move from one type to another and the extent of involvement can range from trivial to almost total coverage. Psoriasis can change from stable plaque to unstable patterns, typified by eruptive inflammatory lesions easily irritated by topical treatments. Rarely is the diagnosis difficult as all practitioners will be familiar with the usual patterns of psoriasis but the type of psoriasis does influence the treatment as set out below.

Clinical Management in Primary Care

Psoriasis types and their treatments: For all types of psoriasis it is worth using a moisturiser/emollient which as well as reducing, dryness, scaling and cracking, may have a measurable anti-proliferative effect in psoriasis e.g. Aqueous Cream, liquid paraffin/ white soft paraffin 50:50 mix, Unguentum M. Emollients in the bath can include tar, e.g. Polytar emollient, Baltar (tar has anti-inflammatory properties). Chronic stable plaque psoriasis This is the most common type appearing on elbows, knees, sometimes more extensively over trunk and limbs. First line treatment: Vitamin D analogues eg. Calcipotriol Dovonex;. These are odourless and colourless, so cosmetically acceptable. Not suitable for face, flexures, genitalia (Tacalcitol Curatoderm. may be used cautiously on the face and in flexures). May cause irritation initially. Need to be applied thickly. Maximum application per week 100 120 G. Preparations usually applied once or twice daily. Expect improvement to be gradual with maximum benefit over eight to twelve weeks. Can be used long term or intermittently. Partial benefit may be all that is achieved (e.g. flattening or partial clearance). These preparations are less effective if the psoriasis is very hyperkeratotic/thickened (see below) Second line treatment: Tar preparations, e.g. Exorex, Psoriderm (as topical preparations in addition to tar in the bath). Tar products have anti-inflammatory properties in psoriasis. In order to lessen the cosmetic unacceptability of smell and staining purified tar preparations are used. Unfortunately as increasing

purification takes place so effectiveness is reduced. Preparations listed tend to be purified. This is very much a last resort treatment. The improvement with tar is slow. The preparation can be applied twice daily but is best used at night, covered with old pyjamas etc. to prevent staining of bed clothes. Third line treatment: Dithranol (see short contact Dithranol patient advice sheet). An excellent preparation and is probably the most effective topical treatment for plaque psoriasis but its disadvantages are that it irritates, needs to be used accurately and carefully, stains both skin and clothing and is not suitable for flexural skin sites or the face. If compliance is good psoriasis will clear completely over four to eight weeks. Preparations include Dithrocream, micanol (purified dithranol less staining) and Psorin (tar/salicylic acid/dithranol proprietary mixture). Topical Streoids: Are not usually recommended for treatment of chronic plaque psoriasis as the skin can become thinned and the psoriasis may become unstable. However, a proprietary Vitamin D3 analogue/steroid mix is available (Dovobet) and can be used for 4 weeks for revatively limited psoriasis but should NOT BE USED FOR MAINTENANCE. Whilst the treatment response for Dovobet is quicker than for Vitamin D3 analogues alone, but the degree of clearance beyond 4 weeks is not significantly increased. Chronic plaque psoriasis but particularly thickened. Pre-treat skin with salicylic acid e.g. salicylic acid ointment, BP (2%) to reduce scaling which otherwise acts as a barrier to prevent penetration of active ingredients in other preparations. If BP formulation difficult to obtain, tar/salicycilic acid mixture (eg Psoriderm) will fulfill the same function. Usually twice daily for one week with be sufficient. Proceed as for standard plaque psoriasis. Inflamed Psoriasis If psoriasis angry, sore or itchy, use moderately potent topical steroid, e.g. Eumovate ointment each day for one week, then introduce Calcipotriol ointment (preferable to cream as more effective) or weak tar. Withdraw topical steroid. Scalp psoriasis. If mild use tar shampoo (e.g. Polytar, Capasal,T-gel) plus either Calcipotriol scalp solution once or twice daily if psoriasis uninflamed. If scalp inflamed or itchy use topical steroid lotion, e.g. Betnovate lotion, Betamousse, Diprosalic, Synalar gel once or twice daily. (Warn patient to make sure lotion/gel applied sparingly so it does not run down forehead and face). A Vitamin D3 analogue/topical steroid mixture scalp application (Xamiol) is now available - the scalp equivalent of Dovobet; this can be used over-night but when shampooing out in the morning, the hair should be shampooed DRY - just shampoo, no water then rinse out normally; use for upto one month then have a break of 1 month before reusing. Thick scalp psoriasis. It is best to remove scale over night by applying Cocois liberally over night (covered with a shower cap, both to protect bedding and to enhance effect by hydrating scalp and softening the scale). Wash out with tar shampoo in the morning as above and then use as for standard scalp psoriasis by day (Calcipotriol or steroid lotion or combination). If scale very adherent, apply Dermol 600 for 15-20minutes, massage into scalp to loosen scale then removed with fine toothed comb before washing with tar shampoo. Xamiol can be used by day (as for scalp psoriasis above as an alternative to Calcipotriol or steroid lotion) in conjunction with the overnight tar application but do not wash out before applying the tar. Facial psoriasis. Use emollients and if that is insufficient add moderate potency topical steroid ointment (e.g. Eumovate) over night or tar/steroid combination (e.g. Alphosyl HC) overnight. Guttate psoriasis (numerous scaly droplet lesions over trunk which may follow streptococcal infection most common in children and adolescents and self-limiting after four to six months). Widespread lesions best treated by emollients, Vitamin D3 analogue cream/ointment, +/- topical tar and tar solution in bath (preparations as above). Check throat swab and if strep present treat with systemic antibiotic. Flexural psoriasis (psoriasis in axillae, groins, natal cleft, sub-mammary etc. will look different because the scaling is reduced in hydrated areas). Most commonly seen in the elderly. May be secondarily infected with yeasts.

Treat with moderately potent topical steroid antibiotic combination (e.g. Trimovate cream overnight). Some patients will tolerate tar preparations or Vitamin D3 analogues but in the majority such preparations will cause soreness. Psoriasis of palms and soles (often misdiagnosed as eczema). Usually very well demarkated and usually symetrical. May present as pustular psoriasis (green/yellow pustules and red/brown macules amongst well demarcated scale). Exclude fungal infection (take mycological samples). Treat with potent topical steroid plus or minus salicylic acid, e.g. Diprosalic ointment by day. Addition of tar at night may help, e.g. Exorex (cover with gloves plus or minus socks to prevent staining of bedding. Treatment should be directed to controlling symptoms but warn patient that treatment usually does not clear rash completely (especially with pustular psoriasis). Psoriatic nail dystrophy Unfortunately no good treatments for this but worth trying Vitamin D.3 (eg Dovonex) ointment rubbed into nails over night. Children: Apart from tar and dithranol preparations, the only other preparation licensed for use in children (over 6 year Psoriatic arthropathy Not common. Best treated with standard NSAID's but these may worsen psoriasis.

Reasons for Specialist Care

Reasons for specialist referral Diagnostic uncertainty. Failure of appropriately used topical treatment for a reasonable period of time e.g. two to three months. Very extensive disease. Apparent requirement for potent topical steroid (topical steroids not usually indicated other than for very short periods or specific sites/patterns). Generalised erythrodermic or generalised pustular psoriasis (emergency referral is indicated). Extensive, severe or disabling psoriasis. Occupational disability or excessive time off work or school. Content of referral letter should include: Reason for referral What is hoped to be gained from the referral All previously used therapies and quantities should be specified including side effects Relevant medical background information (including all patient's current medication) Information regarding patient's domestic circumstances (relevant when requiring application of topical Patient's ability to attend for hospital treatment, etc.

Psoriasis Treatments: Now and in the Future

This content is selected and controlled by WebMD's editorial staff and is funded by Amgen/Pfizer.
NEXT ARTICLE:

Do you Need Advanced Treatment?Weighing your options when creams and ointments aren't enough.

Caring for Your Psoriasis: Self-Care Tips

Medicines for psoriasis are often invaluable in controlling symptoms. But there are plenty of natural ways to treat psoriasis, too. Try these eight tips to help manage your psoriasis at home.

Psoriasis Self-Care Tip 1: Keep Skin Moist

Using moisturizer is an important part of self-care for psoriasis. Dry skin makes irritation and itchiness caused by psoriasis worse than it needs to be. A vicious cycle can result: dry skin can cause itching and scratching, leading to new psoriasis patches developing on the irritated skin. The best way to keep skin moist? Apply thick ointments like petroleum jelly (Vaseline) or heavy skin creams everywhere you can reach. Pat yourself dry and put on ointment immediately after getting out of the shower. Also, try super-moisturizing areas of skin affected by psoriasis. At bedtime, cover a patch of skin with ointment, and wrap it with a bandage or plastic wrap overnight. In the morning, wash the area gently. Over time, this can reduce scaling.

Psoriasis Self-Care Tip 2: Bathe, but Beware

Bathing can be another important part of psoriasis self-care, yet frequent bathing can also dry skin out, causing problems. A few tips for bathing with psoriasis:

Avoid hot water, which can irritate skin. Use lukewarm water instead. Dont towel off -- pat yourself dry, then apply moisturizer. Pure water dries skin. Add bathing salts, oil, or oilated oatmeal to bathwater to make it more skin-friendly.

Psoriasis Self-Care Tip 3: Stick to the Plan

It can be messy and inconvenient to slather thick goo onto psoriasis patches, day after day. But consistency is key. If youve been prescribed topical therapy, making it part of your routine can improve results. Also, topical therapies avoid the potential side effects of pills or injection treatments for psoriasis.

Psoriasis Self-Care Tip 4: Get Some Sun, With Care

The ultraviolet light found in sunlight is a proven treatment for psoriasis, but sunburns can make psoriasis worse. Cover unaffected skin with SPF 30 sunscreen and start with some limited sun exposure. Twenty minutes a day for three days a week can be a good start. Talk to your doctor first, because certain psoriasis medicines arent safe with high sun exposure.

Psoriasis Self-Care Tip 5: Quit Smoking

You can add psoriasis to the long list of health conditions made worse by smoking. In one study, people who smoked more than a pack a day were twice as likely to have severe psoriasis as those who smoked half a pack or less. Smokings negative effect was even stronger in women with psoriasis. Experts agree that quitting smoking is one of the best things you can do to care for your psoriasis. Dont forget that quitting smoking also reduces your risk of heart disease, lung disease, cancer, and a host of other health conditions. Name of Officer Capt Akhtar Ghulam Dastgir Present Posting Chief Secretary ACS P&D ACS FATA Secretary to Governor , Khyber Pukhtoonkhwa Phone No +92-91-9210666 +92-91-9210344 +92-91-9211716 +92-91-9211705 +92-91-9210349 +92-91-9210947

Mr. Attaullah Khan Mr. Tashfeen Ahmad Mr. Muhammad Abid Majeed

Capt (R) Syed Waqar-ul-Hassan Principal Secretary to CM Arbab Muhammad Arif Mr. Hifz-ur-Rehman Mr. Muhammad Azam Mr.Muhammad Azam Khan Mr. Hussain Zada Sahidzada Syed Ahmad Mr. Muhammad Akbar Khan Syed Amir-ud-Din Shah Mr. Zakiullah Engr. Zahid Arif Mr. Muhammad Ishfaq Khan Mr. Muhammad Afsar Khan Capt(R) Azmat Hanif Orakzai Syed Jamal ud Din Shah Gul Zeb Khan Sahidzada Fazal Amin Secretary Establishment Secretary Administration Secretary Tourism Secretary Home & Tribal Affairs SMBR Secretary Finance Secretary Exise &Taxation Secretary Transport Secretary Housing Secretary C&W Secretary Irrigation Secretary Agri: Livestock Secretary Information

+92-91-9211121 +92-91-9210328 +92-91-9210443 +92-91-9212659 +92-91-9212557 +92-91-9212430 +92-91-9210859 +92-91-9210845 +92-91-9210025 +92-91-9210365

Secretary Sports, Culture & Tourism Deptt. +92-91-9212086 Secretary Hajj, Auqaf Secretary Food +92-91-9210203 +92-91-9213255

Syed Said Badshah Bukhari Maj (R) Khalid Hussain Gilani Muhammad Ishfaq Khan Capt. Khalid Pervez Muhammad Arifeen Dr.Asad Mr.Aurangzeb

Secretary Environment Secretary Social Welfare, Zakat Secretary Health Secretary industries Secretary Law Secretary P&D Secretary LG&RD

+92-91-9210333 +92-91-9211391 +92-91-9210342 +92-91-9210924 +92-91-9210023 +92-91-9210410 +92-91-9210026 +92-91-9210480 +92-91-9210337 +92-91-9212400 +92-91-9211535 +92-91-9212325 +92-91-9212686 -

Mr. Muhammad Mushtaq Jadoon Secretary E&S Education Mrs. Farah Hamid Khan Mr. Ahmad Hassan Mr. Ahmad Hanif Orakzai Capt. Sikandar Qyyum Mr.Zafar Iqbal Mr. Jamal-ud-Din Engr. Yousaf Jamal Sahibzada Fazal Amin Mrs.Rukhsana Rehman Cap (R) Aziz ur Rehman Rashid Ahmad Secretary Higher Education Secretary ST&IT Secretary Population Welfare Inter Provincial Coordination Department Energy & Power Department Secretry Mineral Development Secretry PHE Secretry Zakat, Ushr & Social Welfare

Secretry Relief, Rehabiltation & Settlement Secretry Labour Relief, Rehabilitation & Settlement -

Last Updated : 22-Feb-2013 : Source : Establishment & Administration Department

AOA Mamu, I am asking u something and dont know its suitable or not as a younger but hope you will forgive me if u mind it. Ammy and papa happily want to propose shumyla on my wish for me. I am younger but know that parent always want kids happiness and respect throughout life. If you are feeling a difference of facilities and money for her with us then I assure u that I should give her many facilities than most inshallah with passage of time and as soon as possible but if you are feeling that someone can respect and love your family most than me then its your right to go for best human for her.

I shall send Ammy and Papa Soon to your home, decide whatever you feel better, your respect will be always high in front of us. I am sorry if I send u words above then my age but please dont mind it.