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What oral medicine does remedial psoriasis have?

Source:Psoriasis science popularization    Date:2020/09/15    Browse:3302 second

The choice of medication for psoriasis should be careful. Patients should understand that any kind of treatment is a double-edged sword with advantages and disadvantages. Doctors should weigh the advantages and disadvantages to choose medication and avoid excessive treatment. Psoriasis has a long history, as do treatments.

Clinical commonly used in the treatment of psoriasis oral drugs are

(1) Anti-infective drugs: mainly used in the upper respiratory tract infection with intravenous psoriasis, psoriasis vulgaris and some erythrodermic, pustular psoriasis, can choose the corresponding effective antibiotics or antibiotics against hemolytic streptococcus, such as penicillin, erythromycin, cephalosporin, etc.. (Overuse of antibiotics should be avoided, and patients with psoriasis induced by such drugs can also be seen clinically.)

(2) Retinoids: Avitamin A is effective in the treatment of plaque psoriasis vulgaris, pustular psoriasis, and erythrodermic psoriasis. It is safe for long-term use under monitoring. In particular, it is the first choice for the treatment of generalized pustular psoriasis and erythrodermic psoriasis. Metatarsal pustular psoriasis or generalized porphyritic psoriasis vulgaris should be treated in combination with other treatment programs. Arthropathic psoriasis is treated either alone or in addition. But children should use them with caution.

(3) Glucocorticoids: Oral glucocorticoids in the treatment of psoriasis vulgaris can achieve significant results in a short period of time, but the withdrawal may lead to erythroderma or generalized pustular psoriasis. So it should only be used when a dermatologist thinks it's absolutely necessary. Indications for oral glucocorticoids are mainly erythrodermic psoriasis, which is difficult to control, and generalized pustular psoriasis, which is ineffective or contraindicated by other drugs. Acute multiple arthropathies of psoriasis, if not actively controlled, can cause severe joint damage.

(4) Methotrexate and cyclosporin are rarely used in clinical practice due to their large drug reactions and adverse effects on long-term prognosis of patients;

(5) Biological agents: The efficacy and side effects need to be further evaluated, and their high price limits their clinical application.


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