Psoriasis Treatment

Psoriasis Treatment Dermatologist NYCIf you think you have any type of psoriasis, you should make an appointment with your dermatologist immediately to ensure your psoriasis treatment is as effective as possible. As with many medical treatments, the sooner you meet with an expert to get your psoriasis under control, the better your outcome will be.

At your appointment, your New York City dermatologist examines you to determine an accurate diagnose. If you do have psoriasis, you can discuss which course of treatment is best for you. Because there are many treatment options, your choice depends both on the type of psoriasis and the severity of your condition. The most common procedures are described below, including:

  • What you can expect
  • What’s involved in the procedure
  • How long a treatment takes
  • The risks and side effects
  • Your expected results
  • The average recovery time

All symptoms, potential procedural/surgical options should always be discussed with your physician after a thorough consultation and examination  for an accurate diagnosis and treatment plan.

Salicylic Acid Ointments

If you are prescribed salicylic ointments, you don’t need to come into the office for a procedure. The ointments are topical creams that you rub directly on your affected skin. The medication promotes shedding of the scaly part of your skin and relieves some of your itching and irritation. You can get the same medication in shampoo form for treating scalp psoriasis.

Be careful with this medication; you shouldn’t use it on too large an area. Absorbing too much of the acid into your skin can lead to temporary hair loss and other side effects. This treatment is typically prescribed in combination with other psoriasis treatments.

Steroid-Based Creams

Steroid-based creams, like salicylic acid ointments, are prescription-strength topical medications. They don’t require an in-office procedure. By rubbing them on your skin, they decrease the inflammation and block the continued production of cells. Steroid creams also relieve itching and burning symptoms.

There are a number of side effects with these creams, however. Make sure you follow the instructions of a good Manhattan dermatologist to the letter. Some of the side effects include burning, irritation, dryness, and thinning of your skin.

Coal Tar Ointments and Shampoos

As prescribed, coal tar ointment and shampoo are treatments to be used at home. Coal tar is a byproduct when coal is carbonized; it is considered a keratolyic. As such, it’s added to ointments and creams to relieve itching, scaling, flaking, and dryness by softening the areas of rapid skin growth. It also slows cell growth and can help reduce the effects of psoriasis. It’s safe when used as directed.

Coal tar products can interact with some medical conditions, so tell your doctor about all your medical conditions and all the supplements you’re taking. Follow your dermatologist’s instructions carefully. Don’t use coal tar products if you:

  • Are pregnant
  • Are planning on becoming pregnant
  • Have a condition that makes you sensitive to the sun
  • Take certain herbal supplements
  • Have certain medical conditions
  • Have eczema

Calcipotriene Ointments

These medicated creams — such as Talconex scalp topicals and calcipotriene-betamethasone dipropionate ointments — are prescription-strength treatments available from your NYC dermatologist. You can apply them to the affected areas of your skin at home. They contain a strong vitamin D formula. and typically are prescribed if you have scalp psoriasis. You can even leave it in overnight by wearing a shower cap to bed.

These psoriasis treatments work by slowing down rapid skin cell growth. There are very few side effects from calcipotriene ointments besides rare allergic reactions. Still, you shouldn’t use it without the supervision of your dermatologist in New York City. Continued use past the recommended duration can worsen your side effects.

Prescription Retinoids

Prescription-strength retinoid skin creams contain high dosages of vitamin A. They can relieve your symptoms. It’s a treatment you apply at home as is a topical directly on your affected skin. These creams aren’t as fast-acting as other psoriasis treatments, but they’re often used for relief alongside other treatments.

There are several different types of retinoids, which reflect the different forms of vitamin A. You’ll experience little to no side effects from using retinoids. You should still follow your dermatologist’s instructions for its use.

Light Therapy

Moderate sunlight can help psoriasis, but too much can worsen your irritation. Your dermatologist may prescribe psoralen, a light sensitive drug, along with ultraviolet A light treatments. Another possible light therapy treatment uses ultraviolet B light alongside the use of coal tar treatments. These psoriasis treatments typically take no longer than 30 minutes and can be very effective.

Both of these treatments have the risk of increased skin cancer development. The UVA treatments are more carcinogenic than UVB treatments and so are less common. Your dermatologist proceeds with caution, so this may not be the very first psoriasis treatment option tried.

Intralesional Steroid Injections

A more invasive procedure, this treatment involves injections of a steroid directly into your affected skin. This procedure takes place in your dermatologist’s office. It takes about 10 minutes per treatment.

Intralesional steroid injections are very effective at reducing your symptoms quickly. You feel only minor pain from the injection, and the affected site may be a little tender temporarily. Side effects include those associated with other steroid treatments, such as infection or high blood sugar.


Otezla is an oral medication prescribed by your dermatologist. It’s used for both severe psoriasis and psoriatic arthritis. It works by inhibiting an enzyme that causes inflammation in your skin cells.

The most common side effects and risks with Otezla are diarrhea, nausea and headaches that may go away after a couple days of psoriasis treatment. While you should take the medicine only as directed by your dermatologist in NYC, the National Psoriasis Foundation has determined that Otezla is safe when taken over a long period of time.

Anthralin Cream

This cream is a synthetic version of a natural substance, both of which are commonly used at home as a shampoo for scalp psoriasis. This can be an ongoing psoriasis treatment because it takes a while to show results. But it can prevent worsening of your flare-ups.

Anthralin cream can be a good preventative measure as well. If you suffered from scalp psoriasis in the past, this treatment can keep it from recurring. There are no side effects or risks to using anthralin cream.

Natural Psoriasis Treatments

Your dermatologist may recommend a number of natural remedies in combination with your other treatments. Along with a healthy lifestyle, these treatments can help you manage any flare-ups. These natural products include:

  • Omega- 3 supplements
  • Vitamin D supplements
  • Aloe topically applied
  • Primrose supplements
  • Milk thistle
  • Epsom salt baths
  • Perfume-free products

The effectiveness of these psoriasis treatments varies. Talk to your leading dermatologist in New York about which may work best for your type of psoriasis. Schedule a consultation today to find out which is right for you and how you can reduce your psoriasis and improve your quality of life.

All symptoms, potential procedural/surgical options should always be discussed with your physician after a thorough consultation and examination  for an accurate diagnosis and treatment plan.

Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult dermatologist NYC about your specific condition. Only a trained, experienced board certified dermatology doctor or pediatric dermatologist can determine an accurate diagnosis and proper treatment.

Do you have any questions about Psoriasis Treatment? Would like to schedule an appointment with an internationally recognized, award winning, leading dermatologist in New York, Dr. James Taft of Manhattan Dermatology Specialists, please contact our Midtown NYC office for consultation with cosmetic and laser dermatologist.

Manhattan Dermatology Specialists
Dr. James Taft (Laser Cosmetic Dermatology of NY)

51 East 25th Street, Ste 411
New York, NY 10010

(Between Madison Ave & Park Ave)
(212) 889-2402

The information on this website is to provide general guidance. In no way does any of the information provided reflect definitive medical advice and self diagnoses should not be made based on information obtained online. It is important to consult a best in class dermatologist regarding ANY and ALL symptoms or signs as it may a sign of a serious illness or condition. A thorough consultation and examination should ALWAYS be performed for an accurate diagnosis and treatment plan. Be sure to call a physician or call our office today and schedule a consultation.