Showing posts with label Psoriasis. Show all posts
Showing posts with label Psoriasis. Show all posts

Tuesday, November 22, 2011

Psoriasis and Exercise: The Game Changer

Psoriasis and Exercise: The Game Changer Skip to content Home & News WebMD Home WebMD News Home Free Health Newsletters WebMD Community & Experts See All Expert Blogs Health A-Z ADD/ADHD Allergies Allergy TV Alzheimer's Anxiety Disorders Arthritis Asthma Back Pain Bipolar Disorder Bipolar TV Breast Cancer Cancer Cancer Communities Cholesterol Cold & Flu Colorectal Cancer COPD Depression Depression TV Diabetes Erectile Dysfunction Eye Health Fibromyalgia Heart Disease Heartburn/GERD Herpes Hypertension IBS Incontinence/OAB Inflammatory Bowel Menopause Mental Health Migraines Multiple Sclerosis Osteoporosis Pain Management Parkinson's Disease Rheumatoid Arthritis Sexual Conditions Shingles Skin Problems Sleep Disorders Stroke See All Topics Videos A-Z Community & Experts Experts A-Z First Aid A-Z Games A-Z Tests & Tools A-Z Slideshows A-Z Drugs & Medications Center Find or Review a Drug Pill Identifier Drug News Mobile Drug Information Find a Vitamin or Supplement First Aid & Emergencies WebMD Community & Experts WebMD Ask the Pharmacist Healthy Living Women's Health Men's Health Pet Health Oral Health Emotional Health Mental Health Communities Find a Therapist Green Living 50+: Live Better, Longer Sex & Relationships Healthy Beauty Healthy Skin TV Sexual Health Communities See All Topics Women's Health Communities Skin & Beauty Community Men's Health Communities Healthy Eating & Diet Healthy Eating & Diet Food & Cooking Food-o-Meter Fit-o-Meter Fitness & Exercise Food & Fitness Planner Portion Size Helper Personal Diet Evaluator BMI Plus Calculator Eating & Diet Communities Digestive Disorders Communities Parenting & Pregnancy Parenting Pregnancy Children's Health Children's Vaccines Newborn & Baby New! Raising Fit Kids New! WebMD for Kids Parenting Communities Pregnancy Communities Trying to Conceive Communities Teen Health Teen Girls Teen Boys coming soon! New! WebMD FIT Teen Food Move Recharge Mood Pet Health Healthy Dogs Healthy Cats Healthy Pets Community WebMD: Better information. Better health.?Enter Search Keywords:Other search tools:Symptoms|Doctors|Medical Dictionary /* Basic styles to avoid the jumping when things load. */.bottom_header #reglinks { float:right; position:relative; margin:0px; padding:0px; height:22px; width: 330px; z-index:96; }.bottom_header #reglinks .login_rdr { display:none; width: 330px; }#reglinks .login_rdr ul#registration_hdr { float: right; list-style: none outside none; margin: 0; padding: 5px 0 3px 0; }#reglinks .login_rdr ul#registration_hdr li { background:none; display: inline-block; float: left; padding: 0; }Find us on: WebMD Home next page Skin Problems & Treatments Health Center next page Psoriasis Health Center next page Assessment Email a FriendPrint Article Is Your Psoriasis Treatment on Target for You? This content is selected and controlled by WebMD's editorial staff and is brought to you by Janssen Biotech, Inc. Next Article: Skip to Article Content The 7 Types of Psoriasis Here are the main types of psoriasis that affect your skin, nails, and joints. Is Your Treatment Working? What to expect from your psoriasis treatment, and how to tell if it's effective. Treating Mild Psoriasis Find out the top treatments used to clear up mild to moderate psoriasis. Treating Severe Psoriasis Learn which treatments help clear up moderate to severe psoriasis. When to Try Biologics Understand the pros and cons of these newer psoriasis drugs. Psoriasis and Your Emotional Health Psoriasis can affect your self-esteem, your job, and your finances. Exercise and Psoriasis Exercise can help clear psoriasis. Here's how to avoid flare-ups when exercising. Psoriasis in Cold Weather 6 tips to prevent and treat psoriasis flares in winter. Psoriasis in Hot Weather 7 answers to questions about managing psoriasis in spring and summer. Psoriasis ExpressCheck Assess the management of your psoriasis – and what might improve it. False Psoriasis and Exercise: The Game Changer WebMD Feature

By Annie Stuart

Reviewed By Louise Chang, MD

Want to pick up the pace of your psoriasis management? You may have heard that exercise can help. But maybe you're concerned you'll trigger a flare-up. Or perhaps you’re uncomfortable exercising in public. Here, two psoriasis experts explain why exercise is your friend in your quest to improve your psoriasis.

How Exercise Benefits People With Psoriasis

"We think exercise can play a major role in the treatment of psoriasis," says Alan Menter, MD, chairman of the division of dermatology at Baylor University Medical Center in Dallas.

How? Exercise helps you control your weight, which is important to people with psoriasis. "People with psoriasis are on average 7% heavier than those without the disease," Menter tells WebMD.

How the two are related is not clear. But one likely link is inflammation. Obesity can lead to chronic inflammation, which may worsen your psoriasis. Also, the body tends to make more fat cells in response to increased inflammation, making it even harder to control weight, says Paul S. Yamauchi, MD, PhD, spokesman for the National Psoriasis Foundation and medical director of the Dermatology Institute and Skin Care Center of Santa Monica, Calif.

Exercise offers other health benefits as well, says Yamauchi. By helping you manage your weight, regular exercise may also decrease cardiac risks. Those heart risks are higher in people with psoriasis. It may also make psoriasis medication work better. Treatment tends to not work as well in overweight people. ?

Exercise Challenges for People With Psoriasis

Even though you know the benefits of exercise, you might be loath to bare your arms and legs at the gym or public pool. Chances are, bathing suits, tank tops, and gym shorts are really not your thing.

To avoid the stares of strangers, many people with psoriasis tend to withdraw and move less, says Menter. Combine isolation and sedentary behavior with overeating and overdrinking, and you have another recipe for weight gain.

Exercise can pose other challenges for those with psoriasis.

For example, a sports injury that damages skin might trigger psoriasis, says Menter. This is called the Koebner response. Sweat and friction in areas such as groin, breast, or abdominal folds can also worsen psoriasis, he says. "It thrives in areas of friction," he says. "Anything that abrades sensitive skin will trigger psoriasis within a few weeks." Exercising too much can also cause joint pain in those with psoriatic arthritis, a type of inflammatory arthritis that develops in about one in four with psoriasis. Simple Tips for Trigger-Free Exercise

What can you do to make exercise work for you? First, do all you can to avoid trauma to your skin.

To lessen friction, wear looser exercise clothing. Gently shower right after you finish. "Don't rub and scrub," says Menter. "That can aggravate the psoriasis." "Right before exercising, put lubricants in the areas that are likely to be irritated," says Menter. He suggests using a little bit of petroleum jelly in the groin and under the breasts. You can also sprinkle on sweat-absorbent powder. At the first sign of a friction- or exercise-related flare-up, use topical medication to bring it quickly under control, says Menter. Talk with your doctor about this. 1 2 Go to next page #url_reference {display: none};#url_reference { display: block; line-height: 150%; margin-bottom: 10px; }#logo_rdr img { visibility: visible; }.titleBar_rdr .titleBarMiddle_fmt { padding-top: 1.5em;} Psoriasis
Reading List Psoriasis: 7 Types Assessing Treatment Mild Psoriasis Severe Psoriasis Biologic Treatments Emotional Health Exercise Tips Psoriasis in Winter Psoriasis in Summer Psoriasis Slideshow Psoriasis Videos Patients Talk Cosmetic Cover-Ups Light Therapy Starting Biologics Brought to you by: Janssen Is Psoriasis Holding You Back? Assess the management of your psoriasis – and what might improve it. start now Find us on: URAC: Accredited Health Web SiteReviewed by Trust-E site privacy statementHonCode: Health on the Net Foundation About WebMD|Terms of Use|Privacy Policy|Sponsor Policy|Site Map|Careers| Contact Us Advertise With Us|WebMD Corporate|eMedicine|eMedicineHealth|RxList|Medscape|MedicineNet First Aid|WebMD the Magazine|WebMD Health Record|WebMD Mobile|Newsletters

c2005-2011 WebMD, LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment. See additional information.


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Monday, November 21, 2011

Is Your Psoriasis Treatment Working?

Is Your Psoriasis Treatment Working? Skip to content Home & News WebMD Home WebMD News Home Free Health Newsletters WebMD Community & Experts See All Expert Blogs Health A-Z ADD/ADHD Allergies Allergy TV Alzheimer's Anxiety Disorders Arthritis Asthma Back Pain Bipolar Disorder Bipolar TV Breast Cancer Cancer Cancer Communities Cholesterol Cold & Flu Colorectal Cancer COPD Depression Depression TV Diabetes Erectile Dysfunction Eye Health Fibromyalgia Heart Disease Heartburn/GERD Herpes Hypertension IBS Incontinence/OAB Inflammatory Bowel Menopause Mental Health Migraines Multiple Sclerosis Osteoporosis Pain Management Parkinson's Disease Rheumatoid Arthritis Sexual Conditions Shingles Skin Problems Sleep Disorders Stroke See All Topics Videos A-Z Community & Experts Experts A-Z First Aid A-Z Games A-Z Tests & Tools A-Z Slideshows A-Z Drugs & Medications Center Find or Review a Drug Pill Identifier Drug News Mobile Drug Information Find a Vitamin or Supplement First Aid & Emergencies WebMD Community & Experts WebMD Ask the Pharmacist Healthy Living Women's Health Men's Health Pet Health Oral Health Emotional Health Mental Health Communities Find a Therapist Green Living 50+: Live Better, Longer Sex & Relationships Healthy Beauty Healthy Skin TV Sexual Health Communities See All Topics Women's Health Communities Skin & Beauty Community Men's Health Communities Healthy Eating & Diet Healthy Eating & Diet Food & Cooking Food-o-Meter Fit-o-Meter Fitness & Exercise Food & Fitness Planner Portion Size Helper Personal Diet Evaluator BMI Plus Calculator Eating & Diet Communities Digestive Disorders Communities Parenting & Pregnancy Parenting Pregnancy Children's Health Children's Vaccines Newborn & Baby New! Raising Fit Kids New! WebMD for Kids Parenting Communities Pregnancy Communities Trying to Conceive Communities Teen Health Teen Girls Teen Boys coming soon! New! WebMD FIT Teen Food Move Recharge Mood Pet Health Healthy Dogs Healthy Cats Healthy Pets Community WebMD: Better information. Better health.?Enter Search Keywords:Other search tools:Symptoms|Doctors|Medical Dictionary /* Basic styles to avoid the jumping when things load. */.bottom_header #reglinks { float:right; position:relative; margin:0px; padding:0px; height:22px; width: 330px; z-index:96; }.bottom_header #reglinks .login_rdr { display:none; width: 330px; }#reglinks .login_rdr ul#registration_hdr { float: right; list-style: none outside none; margin: 0; padding: 5px 0 3px 0; }#reglinks .login_rdr ul#registration_hdr li { background:none; display: inline-block; float: left; padding: 0; }Find us on: WebMD Home next page Skin Problems & Treatments Health Center next page Psoriasis Health Center next page Assessment Email a FriendPrint Article Is Your Psoriasis Treatment on Target for You? This content is selected and controlled by WebMD's editorial staff and is brought to you by Janssen Biotech, Inc. Next Article: Skip to Article Content The 7 Types of Psoriasis Here are the main types of psoriasis that affect your skin, nails, and joints. Is Your Treatment Working? What to expect from your psoriasis treatment, and how to tell if it's effective. Treating Mild Psoriasis Find out the top treatments used to clear up mild to moderate psoriasis. Treating Severe Psoriasis Learn which treatments help clear up moderate to severe psoriasis. When to Try Biologics Understand the pros and cons of these newer psoriasis drugs. Psoriasis and Your Emotional Health Psoriasis can affect your self-esteem, your job, and your finances. Exercise and Psoriasis Exercise can help clear psoriasis. Here's how to avoid flare-ups when exercising. Psoriasis in Cold Weather 6 tips to prevent and treat psoriasis flares in winter. Psoriasis in Hot Weather 7 answers to questions about managing psoriasis in spring and summer. Psoriasis ExpressCheck Assess the management of your psoriasis – and what might improve it. False Is Your Psoriasis Treatment Working? WebMD Feature

By Stephanie Watson

Reviewed By Louise Chang, MD

When your doctor prescribes a treatment for your psoriasis -- whether it's a topical, pill, light therapy, or injection -- your goal is to improve your condition. You want your skin to clear as much and as soon as possible.

Each psoriasis treatment works a little bit differently. Some therapies start to work faster than others. The first treatment your doctor tries may not have any effect on your psoriasis. Or it could cause side effects severe enough to make you stop taking it.

To help you find the right treatment, here are answers to some of your questions about psoriasis treatment.

What Do You Expect From Your Psoriasis Treatment?

It's important to remember that the first treatment you try may not clear up your psoriasis. Your doctor may have to mix and match different therapies to find one that works.

"It's trial and error," says Jenny Murase, MD, assistant clinical professor at the University of California, San Francisco and a practicing dermatologist with the Palo Alto Medical Foundation. "We're just testing it to see how [the psoriasis] responds."

Whether you're happy with a treatment depends a lot on your expectations. "For a treatment to be working, it has to work to the satisfaction of the patient," says Mark Lebwohl, MD, Dermatology Department Chair at the Mount Sinai School of Medicine and chairman of the National Psoriasis Foundation Medical Board.

Some people may expect a psoriasis treatment to totally clear up their skin. Others are thrilled if the redness fades or their skin is less itchy.

Is the Psoriasis Treatment Worth the Side Effects?

Like most treatments, psoriasis medicines can cause side effects. Some are mild, like skin redness or peeling. Other risks, including infections, are more serious.

Your health care provider may recommend you take a stronger dose of medicine. Stronger medicines can cause more side effects. Sometimes the side effects may be serious enough to make you stop taking the drug.

"There's always a balance between the safety of treatments and the effectiveness of treatments," Lebwohl says. You and your doctor have to decide together whether a drug is worth the risks.

How Long Until You See Results?

You can't wait for your skin to clear up, but you need to be patient. On average, psoriasis drugs take about three months to start showing results.

Some treatments start working faster than others. Here's how long you can expect to wait before seeing a difference with these psoriasis treatments:

Cyclosporine -- 3 to 4 months Methotrexate -- 3 to 6 weeks (although you may not see real clearing for up to 6 months) Acitretin -- 2 to 4 months (it may take up to 6 months for the drug to reach its peak effect) Biologics -- 2 to 3 months (these new drugs include Amevive, Enbrel, Humira, Remicade, Simponi, and Stelara) Phototherapy -- 2 1/2 to 3 months? Goeckerman treatment (coal tar plus light therapy) -- 3 to 4 weeks

If you want your psoriasis treatment to work, you need to give it time. But if you've been waiting for a few months and still haven't seen results, call your doctor. You may need to discuss another type of treatment.

1 2 Go to next page #url_reference {display: none};#url_reference { display: block; line-height: 150%; margin-bottom: 10px; }#logo_rdr img { visibility: visible; }.titleBar_rdr .titleBarMiddle_fmt { padding-top: 1.5em;} Psoriasis
Reading List Psoriasis: 7 Types Assessing Treatment Mild Psoriasis Severe Psoriasis Biologic Treatments Emotional Health Exercise Tips Psoriasis in Winter Psoriasis in Summer Psoriasis Slideshow Psoriasis Videos Patients Talk Cosmetic Cover-Ups Light Therapy Starting Biologics Brought to you by: Janssen Is Psoriasis Holding You Back? Assess the management of your psoriasis – and what might improve it. start now Find us on: URAC: Accredited Health Web SiteReviewed by Trust-E site privacy statementHonCode: Health on the Net Foundation About WebMD|Terms of Use|Privacy Policy|Sponsor Policy|Site Map|Careers| Contact Us Advertise With Us|WebMD Corporate|eMedicine|eMedicineHealth|RxList|Medscape|MedicineNet First Aid|WebMD the Magazine|WebMD Health Record|WebMD Mobile|Newsletters

c2005-2011 WebMD, LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment. See additional information.


View the original article here

Thursday, November 17, 2011

Psoriasis in Spring and Summer

Psoriasis in Spring and Summer Skip to content Home & News WebMD Home WebMD News Home Free Health Newsletters WebMD Community & Experts See All Expert Blogs Health A-Z ADD/ADHD Allergies Allergy TV Alzheimer's Anxiety Disorders Arthritis Asthma Back Pain Bipolar Disorder Bipolar TV Breast Cancer Cancer Cancer Communities Cholesterol Cold & Flu Colorectal Cancer COPD Depression Depression TV Diabetes Erectile Dysfunction Eye Health Fibromyalgia Heart Disease Heartburn/GERD Herpes Hypertension IBS Incontinence/OAB Inflammatory Bowel Menopause Mental Health Migraines Multiple Sclerosis Osteoporosis Pain Management Parkinson's Disease Rheumatoid Arthritis Sexual Conditions Shingles Skin Problems Sleep Disorders Stroke See All Topics Videos A-Z Community & Experts Experts A-Z First Aid A-Z Games A-Z Tests & Tools A-Z Slideshows A-Z Drugs & Medications Center Find or Review a Drug Pill Identifier Drug News Mobile Drug Information Find a Vitamin or Supplement First Aid & Emergencies WebMD Community & Experts WebMD Ask the Pharmacist Healthy Living Women's Health Men's Health Pet Health Oral Health Emotional Health Mental Health Communities Find a Therapist Green Living 50+: Live Better, Longer Sex & Relationships Healthy Beauty Healthy Skin TV Sexual Health Communities See All Topics Women's Health Communities Skin & Beauty Community Men's Health Communities Healthy Eating & Diet Healthy Eating & Diet Food & Cooking Food-o-Meter Fit-o-Meter Fitness & Exercise Food & Fitness Planner Portion Size Helper Personal Diet Evaluator BMI Plus Calculator Eating & Diet Communities Digestive Disorders Communities Parenting & Pregnancy Parenting Pregnancy Children's Health Children's Vaccines Newborn & Baby New! Raising Fit Kids New! WebMD for Kids Parenting Communities Pregnancy Communities Trying to Conceive Communities Teen Health Teen Girls Teen Boys coming soon! New! WebMD FIT Teen Food Move Recharge Mood Pet Health Healthy Dogs Healthy Cats Healthy Pets Community WebMD: Better information. Better health.?Enter Search Keywords:Other search tools:Symptoms|Doctors|Medical Dictionary /* Basic styles to avoid the jumping when things load. */.bottom_header #reglinks { float:right; position:relative; margin:0px; padding:0px; height:22px; width: 330px; z-index:96; }.bottom_header #reglinks .login_rdr { display:none; width: 330px; }#reglinks .login_rdr ul#registration_hdr { float: right; list-style: none outside none; margin: 0; padding: 5px 0 3px 0; }#reglinks .login_rdr ul#registration_hdr li { background:none; display: inline-block; float: left; padding: 0; }Find us on: WebMD Home next page Skin Problems & Treatments Health Center next page Psoriasis Health Center next page Assessment Email a FriendPrint Article Is Your Psoriasis Treatment on Target for You? This content is selected and controlled by WebMD's editorial staff and is brought to you by Janssen Biotech, Inc. Next Article: Skip to Article Content The 7 Types of Psoriasis Here are the main types of psoriasis that affect your skin, nails, and joints. Is Your Treatment Working? What to expect from your psoriasis treatment, and how to tell if it's effective. Treating Mild Psoriasis Find out the top treatments used to clear up mild to moderate psoriasis. Treating Severe Psoriasis Learn which treatments help clear up moderate to severe psoriasis. When to Try Biologics Understand the pros and cons of these newer psoriasis drugs. Psoriasis and Your Emotional Health Psoriasis can affect your self-esteem, your job, and your finances. Exercise and Psoriasis Exercise can help clear psoriasis. Here's how to avoid flare-ups when exercising. Psoriasis in Cold Weather 6 tips to prevent and treat psoriasis flares in winter. Psoriasis in Hot Weather 7 answers to questions about managing psoriasis in spring and summer. Psoriasis ExpressCheck Assess the management of your psoriasis – and what might improve it. False Psoriasis in Spring and Summer 7 Answers to Frequently Asked Questions WebMD Feature

By Hilary Parker

Reviewed By Brunilda Nazario, MD

If you’re among the vast majority of psoriasis sufferers, you’ve probably found that your psoriasis symptoms improve in the spring and summer.

Doctors believe the improvement comes from increased exposure of your skin to the sun’s ultra-violet light, which suppresses the rapidly multiplying skin cells that are the hallmark of psoriasis. An increase in the amount of moisture in the air may also provide some relief, because dry skin can make psoriasis symptoms worse.

But some people find that warmer weather actually triggers psoriasis flares. And it can be hard to enjoy fun in the sun when you’re worried about how people will respond to the appearance of your psoriasis.

Here are answers to seven frequently asked questions about psoriasis in summer and spring.

1. How can I safely use sunlight as a psoriasis treatment?

“You certainly want to avoid burning if you’re going to use sun therapy,” says Mark Lebwohl, MD, professor and chairman of dermatology at Mount Sinai School of Medicine of New York University. “The idea is to get gradually increasing doses of sun without burning.”

Building your exposure to the sun over time, increasing by around five minutes a day, will help you safely reach a psoriasis-easing dose of sunlight. Remember that the sun’s ultraviolet rays can harm your skin, though, and make sure you aren’t out in the sun for more than 30 minutes without applying sunscreen to minimize excessive sun damage. This will also help prevent sunburn, which can cause flares in some psoriasis sufferers.

Even when using sunlight as a psoriasis home remedy, you can take precautions to protect areas of skin without lesions.

“What I recommend for everyone is to put sunscreen on unaffected skin so that only plaques are exposed to the sunlight," says Melissa Magliocco, MD, acting chief of the Division of Clinical Pharmacology at the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School.

Be aware that some psoriasis treatments make your skin more sensitive to the sun, so always discuss sun therapy with your doctor before you begin.

2. How will swimming in pools or the ocean affect my psoriasis?

The ocean’s saltwater has been touted for centuries as a remedy for many medical conditions, and its purported benefits extend to psoriasis treatment. The combination of salt and water may help slough off dead skin, leading to a reduction in psoriasis symptoms. At the same time, your time in the water will provide beneficial exposure to the sun.

If you’re headed for the pool, keep in mind that prolonged periods of time in heated water could make your psoriasis more uncomfortable. To reduce the likelihood that chlorine will strip your skin of its natural moisture and make your dry, flaky skin worse, rinse off in fresh water as soon as you can after swimming and rehydrate your skin with a gentle moisturizer.

1 2 3 Go to next page #url_reference {display: none};#url_reference { display: block; line-height: 150%; margin-bottom: 10px; }#logo_rdr img { visibility: visible; }.titleBar_rdr .titleBarMiddle_fmt { padding-top: 1.5em;} Psoriasis
Reading List Psoriasis: 7 Types Assessing Treatment Mild Psoriasis Severe Psoriasis Biologic Treatments Emotional Health Exercise Tips Psoriasis in Winter Psoriasis in Summer Psoriasis Slideshow Psoriasis Videos Patients Talk Cosmetic Cover-Ups Light Therapy Starting Biologics Brought to you by: Janssen Is Psoriasis Holding You Back? Assess the management of your psoriasis – and what might improve it. start now Find us on: URAC: Accredited Health Web SiteReviewed by Trust-E site privacy statementHonCode: Health on the Net Foundation About WebMD|Terms of Use|Privacy Policy|Sponsor Policy|Site Map|Careers| Contact Us Advertise With Us|WebMD Corporate|eMedicine|eMedicineHealth|RxList|Medscape|MedicineNet First Aid|WebMD the Magazine|WebMD Health Record|WebMD Mobile|Newsletters

c2005-2011 WebMD, LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment. See additional information.


View the original article here

Monday, November 14, 2011

Psoriasis: When Should You Consider a Biologic?

Psoriasis: When Should You Consider a Biologic? Skip to content Home & News WebMD Home WebMD News Home Free Health Newsletters WebMD Community & Experts See All Expert Blogs Health A-Z ADD/ADHD Allergies Allergy TV Alzheimer's Anxiety Disorders Arthritis Asthma Back Pain Bipolar Disorder Bipolar TV Breast Cancer Cancer Cancer Communities Cholesterol Cold & Flu Colorectal Cancer COPD Depression Depression TV Diabetes Erectile Dysfunction Eye Health Fibromyalgia Heart Disease Heartburn/GERD Herpes Hypertension IBS Incontinence/OAB Inflammatory Bowel Menopause Mental Health Migraines Multiple Sclerosis Osteoporosis Pain Management Parkinson's Disease Rheumatoid Arthritis Sexual Conditions Shingles Skin Problems Sleep Disorders Stroke See All Topics Videos A-Z Community & Experts Experts A-Z First Aid A-Z Games A-Z Tests & Tools A-Z Slideshows A-Z Drugs & Medications Center Find or Review a Drug Pill Identifier Drug News Mobile Drug Information Find a Vitamin or Supplement First Aid & Emergencies WebMD Community & Experts WebMD Ask the Pharmacist Healthy Living Women's Health Men's Health Pet Health Oral Health Emotional Health Mental Health Communities Find a Therapist Green Living 50+: Live Better, Longer Sex & Relationships Healthy Beauty Healthy Skin TV Sexual Health Communities See All Topics Women's Health Communities Skin & Beauty Community Men's Health Communities Healthy Eating & Diet Healthy Eating & Diet Food & Cooking Food-o-Meter Fit-o-Meter Fitness & Exercise Food & Fitness Planner Portion Size Helper Personal Diet Evaluator BMI Plus Calculator Eating & Diet Communities Digestive Disorders Communities Parenting & Pregnancy Parenting Pregnancy Children's Health Children's Vaccines Newborn & Baby New! Raising Fit Kids New! WebMD for Kids Parenting Communities Pregnancy Communities Trying to Conceive Communities Teen Health Teen Girls Teen Boys coming soon! New! WebMD FIT Teen Food Move Recharge Mood Pet Health Healthy Dogs Healthy Cats Healthy Pets Community WebMD: Better information. Better health.?Enter Search Keywords:Other search tools:Symptoms|Doctors|Medical Dictionary /* Basic styles to avoid the jumping when things load. */.bottom_header #reglinks { float:right; position:relative; margin:0px; padding:0px; height:22px; width: 330px; z-index:96; }.bottom_header #reglinks .login_rdr { display:none; width: 330px; }#reglinks .login_rdr ul#registration_hdr { float: right; list-style: none outside none; margin: 0; padding: 5px 0 3px 0; }#reglinks .login_rdr ul#registration_hdr li { background:none; display: inline-block; float: left; padding: 0; }Find us on: WebMD Home next page Skin Problems & Treatments Health Center next page Psoriasis Health Center next page Assessment Email a FriendPrint Article Is Your Psoriasis Treatment on Target for You? This content is selected and controlled by WebMD's editorial staff and is brought to you by Janssen Biotech, Inc. Next Article: Skip to Article Content The 7 Types of Psoriasis Here are the main types of psoriasis that affect your skin, nails, and joints. Is Your Treatment Working? What to expect from your psoriasis treatment, and how to tell if it's effective. Treating Mild Psoriasis Find out the top treatments used to clear up mild to moderate psoriasis. Treating Severe Psoriasis Learn which treatments help clear up moderate to severe psoriasis. When to Try Biologics Understand the pros and cons of these newer psoriasis drugs. Psoriasis and Your Emotional Health Psoriasis can affect your self-esteem, your job, and your finances. Exercise and Psoriasis Exercise can help clear psoriasis. Here's how to avoid flare-ups when exercising. Psoriasis in Cold Weather 6 tips to prevent and treat psoriasis flares in winter. Psoriasis in Hot Weather 7 answers to questions about managing psoriasis in spring and summer. Psoriasis ExpressCheck Assess the management of your psoriasis – and what might improve it. False Psoriasis: When Should You Consider a Biologic? WebMD Feature

By Stephanie Watson

Reviewed By Louise Chang, MD

When you have psoriasis, often you and your doctor will try a few treatments before finding one that really clears your skin. If you've already tried a few medicines and nothing has worked, your doctor may recommend a biologic drug.

Other drugs you may have taken are made from plants or chemicals. Biologics are made from proteins. They target the immune response that leads to the rapid skin cell growth of psoriasis.

Examples of biologic drugs include:

Alefacept (Amevive) Adalimumab (Humira) Etanercept (Enbrel) Golimumab (Simponi) Infliximab (Remicade) Ustekinumab (Stelara)

Biologics are potent psoriasis treatments. They work well to treat moderate or severe psoriasis, says Mark Lebwohl, MD, chairman of the National Psoriasis Foundation Medical Board, and he says he prefers them over other psoriasis drugs.

But they also have two key drawbacks:

Biologic drugs are expensive. Depending on the drug and the dose, they can cost $10,000 to $30,000 a year. Biologics suppress the immune system. That means they can increase the risk for infection.

Here are some reasons why your doctor might -- or might not -- prescribe a biologic drug for your psoriasis.

Should You Consider a Biologic?

Whether you should consider a biologic drug depends on five factors, says Lebwohl.

How much of your skin is affected How much psoriasis affects your life Your health Whether your insurance company will cover the cost Your preferences

?

1. How Much of Your Skin is Affected by Psoriasis

Doctors often use biologic drugs on people with moderate-to-severe psoriasis.

Moderate psoriasis means that 3% to 10% of your body is covered with red, scaly patches. Severe psoriasis means that more than 10% of your body is covered.

You may also want to take a biologic drug if you have mild psoriasis but it really bothers you.

2. How Much Psoriasis Impacts Your Life

"One of the most important factors is how much the psoriasis actually bothers the patient. I have patients who want to start a biologic ... even if the psoriasis is in an extremely limited surface area," says Jenny Murase, MD. She's an assistant clinical professor at the University of California, San Francisco and a practicing dermatologist with the Palo Alto Medical Foundation.

You and your doctor will weigh the benefits of taking a biologic against the side effects. "Patients do have the final say in the matter, but certainly it's our job to guide them," says Lebwohl. If your psoriasis isn't really bothering you, your doctor may tell you that a biologic drug isn't worth the risks.

Your doctor may use the Koo-Menter Psoriasis Instrument to help decide your treatment. This one-page tool asks questions to find out how much psoriasis affects your life. The doctor can use your answers to find out whether you are a candidate for therapy that affects the whole body.

1 2 Go to next page #url_reference {display: none};#url_reference { display: block; line-height: 150%; margin-bottom: 10px; }#logo_rdr img { visibility: visible; }.titleBar_rdr .titleBarMiddle_fmt { padding-top: 1.5em;} Psoriasis
Reading List Psoriasis: 7 Types Assessing Treatment Mild Psoriasis Severe Psoriasis Biologic Treatments Emotional Health Exercise Tips Psoriasis in Winter Psoriasis in Summer Psoriasis Slideshow Psoriasis Videos Patients Talk Cosmetic Cover-Ups Light Therapy Starting Biologics Brought to you by: Janssen Is Psoriasis Holding You Back? Assess the management of your psoriasis – and what might improve it. start now Find us on: URAC: Accredited Health Web SiteReviewed by Trust-E site privacy statementHonCode: Health on the Net Foundation About WebMD|Terms of Use|Privacy Policy|Sponsor Policy|Site Map|Careers| Contact Us Advertise With Us|WebMD Corporate|eMedicine|eMedicineHealth|RxList|Medscape|MedicineNet First Aid|WebMD the Magazine|WebMD Health Record|WebMD Mobile|Newsletters

c2005-2011 WebMD, LLC. All rights reserved.

WebMD does not provide medical advice, diagnosis or treatment. See additional information.


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