Chronic psoriasis is a chronic inflammatory skin disorder. The problem in psoriasis lies with immunity. The immune system for some reason is causing inflammatory process which means the cells are multiplying much faster than usual. Unfortunately we do not have a cure for psoriasis. We can control the psoriasis. In young people it become very frustrated because you have to keep going to a doctor and keep using the medicines which they prescribe. Treatments which are now available are phototherapy which has very little side effects which uses the narrow band UV-B rays which can reduce the amount of inflammation in the skin. This is a very safe treatment. It can be done even in pregnancy and this is something I would recommend if you think psoriasis is not getting under control with just topical lotions. Other antimetabolites can be given in consultation with the doctor like methotrexate, cyclosporine. These have considerable side effects and are not to be given unless the disease is not coming under control with topical treatments like creams or with light treatments. If you feel that you have done all these treatments and still not better, better options like biological are available. These medicines mimic the action of the cell itself and they significantly bring down the load of psoriasis. This has to be given under strict guidance by a dermatologist and you have to speak to a dermatologist to understand burden of the disease. Speak your doctor and you will get your correct guidance.
source
