Treating Psoriasis Beneath the Surface

By

Charlotte Libov

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PHYSICIAN CONTRIBUTOR psoriasis-on-elbow

Expert Answers to Psoriasis Treatment FAQs

Dr. David Harvey, a dermatologist and surgeon, answers some common psoriasis questions.
How Biologics Work

For mild cases of psoriasis, topical treatments—those applied to the skin—often work well. But if you have moderate to severe psoriasis, or if topicals just aren’t effective for you, don’t despair. Other good options are available, including traditional systemic treatments and newer drugs known as biologics.


As with all psoriasis treatments, not every one of these drugs will work equally well for everyone with psoriasis. Sometimes a trial-and-error approach is necessary to find what is effective for you, notes Jerome Shupack, MD, dermatology professor and chief of the dermatopharmacology unit at New York University’s Langone Medical Center. “Often there is no one single medication that fits everyone. Treatment plans must be individualized,” he says.

There are many treatment options for psoriasis, and they all come with risks and benefits. Ultimately, whether you treat with topical creams, light therapy, or medications, you and your doctor will decide the best treatment path together.

Medical Reviewer: William C. Lloyd, MD, FACS Last Review Date: Apr 13, 2016

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