No permanent cure is guaranteed for psoriasis, but long-term control is often achievable
See a dermatologist for diagnosis and a personalized treatment plan
Use prescribed topical corticosteroids as directed during flares
Use vitamin D analogs (e.g., calcipotriol/calcitriol) as prescribed
Use topical calcineurin inhibitors for sensitive areas when appropriate
Use keratolytics (e.g., salicylic acid or urea) to reduce scale when advised
Use moisturizers regularly to reduce dryness and scaling
Use non-medicated gentle cleansers and avoid harsh scrubbing
Take short, lukewarm showers; avoid hot water
Manage triggers: stress reduction, sleep optimization, smoking cessation, and limit alcohol
Treat infections promptly (especially strep throat)
Maintain a healthy weight if overweight
Consider phototherapy (narrowband UVB) if topical therapy is insufficient
Consider systemic medications if needed (e.g., methotrexate, cyclosporine, acitretin)
Consider biologic therapies for moderate-to-severe disease (e.g., TNF inhibitors, IL-17, IL-23 inhibitors)
Consider oral targeted therapies if appropriate (e.g., apremilast, JAK inhibitors as prescribed)
For scalp psoriasis, use medicated shampoos/solutions and scalp-targeted treatments as directed
For nail psoriasis, use targeted treatments and discuss systemic/biologic options if severe
Avoid skin trauma (including picking, aggressive shaving, and tight friction)
Avoid medications that can worsen psoriasis when possible (discuss with a clinician)
Get regular follow-up to adjust treatment and prevent flares
Screen for and manage psoriatic arthritis symptoms early (joint pain, stiffness, swelling)
Seek urgent care for severe flare signs (widespread redness, fever, pain, infection)