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palm psoriasis using octamop lotion in sun rays and remoize and pasitrex cream twice a day but not cure and now find it increase in feet and scalp

PAST HISTORY : in 19 years have a problem of joint pain in body .now this time psiriases take place in hand

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Dr. Vivek Nair answered : 11 years ago

Hello Shaw,

If your treatment is not helping you ask your doctor about switching to a Halobetasol or Clobetasol-Salicylic Acid ointment along with a Coal Tar ointment at night. If even this doesn't help in 4-6 weeks then oral treatments like Acitretin 25-50 mg per day or Methotrexate can be considered for very severe Palmoplantar Psoriasis. Regards.

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