Signs It's Time to Change Your Psoriasis Treatment


Francisco Tausk, MD

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Doctor pointing at legs

Psoriasis is a disease of the skin that is characterized primarily by the presence of red, itchy, elevated plaques, on the skin, usually covered by silver-colored or white scales. There are some areas of the body where you see it more often, such as the elbows, knees, scalp, belly button, and buttocks, but psoriasis can appear anywhere on the body.

Nowadays, the goal of treatment is patient satisfaction. Some patients want to be 100% free of disease; other patients vary in the amount of psoriasis that they tolerate. As a dermatologist, I have to take into account what the patient wants in terms of treatment. Some patients don’t want injections or other systemic treatments and prefer the use of topicals. Some patients cannot tolerate very mild psoriasis, while I have patients with severe psoriasis that doesn’t bother them. So it depends a lot on the patient, but when both the doctor and the patient decide together that the medicine that they’re receiving is not working out for whatever reason, that’s the time to move on. Typically, we decide to try something new if we notice the following red flags: 

Biologic medications have shown great success in helping psoriasis patients clear their skin. However, sometimes it’s necessary to switch to a new biologic—and that’s okay.

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