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Psoriasis

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What is Psoriasis?

This is a chronic inflammatory skin condition caused by an overactive immune response. During psoriasis, skin cells are made faster than usual (skin cell are made in days instead of weeks), inflammation causes redness, soreness, and itch. Skin cells build on top of the skin forming thick plagues.

Common Triggers

  • Skin injury (cuts, sunburn – Koebner phenomenon)
  • Certain medications (e.g. lithium, beta-blockers)
  • Smoking and heavy alcohol use
  • Infections (especially strep throat)

Signs and Symptoms

  • Thick red plaques with scale
  • Itching, burning, or pain
  • Cracked skin that may bleed
  • Nail changes (pitting, lifting)
  • Joint pain or stiffness (psoriatic arthritis)

Treatment & Advice

HC45 Hydrocortisone

HC45 Hydrocortisone is a mild steroid in the form of a cream. It contains hydrocortisone acetate (1% Hydrocortisone) and treats certain skin conditions like psoriasis.
HC45 Hydrocortisone works by calming the skin’s immune response to irritants by delivering a mild steroid. This stops the release of inflammatory chemicals like histamine which reduces inflammation, redness, itching and swelling.
  • Wash hands thoroughly with soap and water.
  • Clean the area on the skin with cooled boiled water if needed.
  • Squeeze a small amount of the cream onto your fingertip.
  • Spread the cream onto the red/itchy skin in a thin, even layer.
  • Rub in the cream until the cream is transparent and soaked in.
  • Once you have done this please wash your hands (unless you applied it to your hands)
HC45 Hydrocortisone starts working quite quickly, improvements start showing within 2-7 days. If no improvements are seen after a week of use stop using it immediately and consult one of our doctors.
Consult our MP Pharmacists or healthcare providers if:
  • No improvements are seen after a week of use
  • The cream comes into contact with eyes, mouth or broken skin
  • The skin becomes infected or starts weeping

Sebco

Sebco is a medicated ointment that contains coal tar, salicylic acid and sulfur in a coconut oil base. It is used to treat specific skin conditions that cause dry skin on the scalp.
  • Coal tar: this slows skin cell growth which helps reduce the symptoms of psoriasis. It also has antibacterial properties to help prevent infections.
  • Salicylic acid: A keratolytic agent that helps the dead skin cells shed, allowing other ingredients to penetrate better.
  • Sulfur: Another keratolytic agent as well as having antibacterial/antifungal properties to help prevent infections.
  • Coconut Oil base: helps to soften the dry skin and scales making them easier to remove from the scalp.
  • Part your hair and apply a thin layer of ointment to the affected area of the scalp.
  • Next, rub the ointment into the area gently.
  • Leave the ointment on for about one hour.
  • Wash your scalp thoroughly with shampoo or warm water.
  • Do not ingest as the application is to the scalp only.
  • Keep the ointment away from your eyes, mouth, and any broken or inflamed skin.
  • Coal Tar can stain clothes, jewelry and light coloured hair.
  • It may also make your skin more sensitive to sunlight.

Consult our MP Pharmacists or healthcare providers if:

  • No improvements are seen after a week of use
  • Symptoms persist after four weeks

Capasal

Capasal is a medicated shampoo which are used to help with skin conditions that cause a dry, scaly scalp. It is a shampoo containing salicylic acid, coal tar and coconut oil.
  • Salicylic acid: A keratolytic agent that helps the dead skin cells shed, allowing other ingredients to penetrate better.
  • Coconut Oil base: helps to soften the dry skin and scales making them easier to remove from the scalp.
  • Distilled Coal tar: this slows skin cell growth which helps reduce the symptoms of psoriasis. It also has antibacterial properties to help prevent infections.
  • Wet your hair with warm water. Make sure your hair is wet thoroughly.
  • Apply a small (50 pence dollop for short hair) amount to the scalp.
  • Use your fingertips to massage the shampoo into the scalp thoroughly.
  • Let the shampoo sit on your scalp for 3-5 minutes.
  • Use your hands to remove as much lather out of your hair as possible to lift off the dry skin and the scales from your scalp.
  • Rinse the shampoo out properly under running water.
  • Repeat all the steps until all the scales and dry skin are removed.
  • Avoid eye contact
  • Do not use if allergic to ingredients
  • Keep away from children
  • Do not store above 25 degrees celsius
People usually show improvements within 2 to 4 weeks of regular weeks. Consistency is key for the best results.
Consult our MP Pharmacists or healthcare providers if:
  • No improvements are seen after a week of use
  • Symptoms persist after four weeks
  • You experience signs of a severe allergic reaction

Exorex

Exorex is a brand of lotion which can be brought over-the-counter and contains coal tar. Exorex is used to treat mild to moderate psoriasis.
5% Coal tar: this slows skin cell growth which helps reduce the symptoms of psoriasis. It also has antibacterial properties to help prevent infections.
  • Shake the bottle well before each use.
  • Clean gently using an non-irritant cleaner and pat dry.
  • Apply a thin layer of the lotion to the affected skin.
  • Massage gently into the skin and leave to dry.
  • On top of the lotion you can apply a moisturiser to help lock in the moisture and reduce the itching.
  • You can dilute lotion with freshly boiled and cooled water if needed.
  • Avoid direct sun exposure after application.
  • The lotion may stain clothing or hair.
  • Do not apply to the face, genitals or rectal areas.
Exorex can start to show improvement within a few weeks but a full treatment plan may take 2-3 months. It is important to slowly dilute the lotions for best results as it is dependent on skin tolerance.
Consult our MP Pharmacists or healthcare providers if:
  • Symptoms persist after four weeks
  • You experience severe side effects
  • You experience allergic reactions to ingredients

Frequently Asked Questions

What cause's Psoriasis?

There is no direct cause for psoriasis however our GP’s can prescribe things to help improve symptoms

What treatment should I use?

The first treatment our GP’s will prescribe are topical treatments (like vitamin D or Corticosteroids) which can be applied directly to the skin.

Are there other treatments for Psoriasis?

If these do not work, our GPs might suggest phototherapy. This involves exposing your skin to certain types of ultraviolet light to help improve any symptoms.

In severe cases, or when treatments do not work our GP’s may give you systemic treatments. These are oral or injected medicines that work throughout the entire body.

Speak with a pharmacist

If you need help and advice, our pharmacists can help you.

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