Biologic Response Modifiers
Recently, attention has been given to a group of drugs called biologics, which are made from proteins produced by living cells instead of chemicals. They interfere with specific immune system processes which cause the overproduction of skin cells and inflammation. Some examples are:
These drugs are injected (sometimes by the patient). Patients taking these
psoriasis treatments need to be monitored carefully by a doctor. Since these psoriasis medications suppress the immune system response, patients taking these drugs have an increased risk of infection, and the drugs may also interfere with vaccines.
Also, some of these drugs have been associated with other diseases (like central nervous system disorders, blood diseases, cancer, and lymphoma) although their role in the development of or contribution to these diseases is not yet understood. Some are approved for adults only, and their effects on pregnant or nursing women are unknown.
Antibiotics
These medications are not indicated in routine psoriasis treatment. However, antibiotics may be employed when an infection, such as that caused by the bacteria Streptococcus, triggers an outbreak of psoriasis, as in certain cases of guttate psoriasis.
There are many approaches for psoriasis treatment. Combining various topical, light, and systemic treatments often permits lower doses of each and can result in increased effectiveness. Therefore, doctors are paying more attention to combination therapy.
Psoriasis Treatment and Psychological Support
Some individuals with moderate to severe psoriasis may benefit from counseling or participation in a support group to reduce self-consciousness about their appearance or relieve psychological distress resulting from fear of social rejection.
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