Maintaining Clear Skin: Long-Term Management of Chronic Plaque Psoriasis
Maintaining Clear Skin: Long-Term Management of Chronic Plaque Psoriasis
Keeping Psoriasis at Bay
Successfully treating chronic plaque psoriasis is just the first step. Maintaining clear skin over the long term is equally important. This article explores strategies for preventing flare-ups and keeping psoriasis under control.
Contents
- The Importance of Maintenance Therapy
- Topical Maintenance Strategies
- Beyond Topicals: Other Maintenance Options
- Lifestyle Factors in Psoriasis Maintenance
The Importance of Maintenance Therapy
Chronic plaque psoriasis tends to recur after treatment is stopped. That's why maintenance therapy is crucial. This involves continuing treatment, often at a reduced frequency, even after skin has cleared. The goal is to prevent or delay the return of psoriasis plaques. Maintenance therapy can help you enjoy longer periods of clear skin and improve your overall quality of life.
Topical Maintenance Strategies
For many people, topical treatments are the cornerstone of maintenance therapy. A common approach is to use a topical corticosteroid twice daily on two consecutive days each week (like weekends). This helps maintain improvement while minimizing long-term steroid exposure. Another strategy is to use a vitamin D analog (like calcipotriene) on weekdays and a corticosteroid on weekends. Your doctor will recommend the best approach based on your specific situation.
Beyond Topicals: Other Maintenance Options
While topical treatments are often sufficient, some people may need other approaches for long-term management. This could include periodic sessions of targeted phototherapy or low-dose systemic medications. Biologics, a type of injectable medication, can also be effective for long-term control in more severe cases. The key is finding a maintenance plan that keeps your psoriasis in check without causing undue burden or side effects.
Lifestyle Factors in Psoriasis Maintenance
Medication isn't the only tool for maintaining clear skin. Lifestyle factors play a crucial role too. Managing stress, maintaining a healthy weight, avoiding smoking, and limiting alcohol can all help prevent psoriasis flares. Some people find that certain dietary changes, like reducing inflammatory foods, can also help. Regular exercise and adequate sleep are beneficial for overall health and may help keep psoriasis under control.
FAQs
How long should I continue maintenance therapy?
Often indefinitely, but discuss with your doctor for personalized advice.
What if my psoriasis flares during maintenance?
Contact your doctor; you may need to adjust your treatment plan.
Can I stop treatment if my skin stays clear?
It's best to consult your doctor before stopping any psoriasis treatment.
Is maintenance therapy safe long-term?
Most maintenance regimens are designed for safe long-term use.
How often should I see my doctor during maintenance?
Typically every 6-12 months, but more often if you have concerns.
A Long-Term Commitment
While managing chronic plaque psoriasis long-term requires effort, it can lead to significant improvements in skin health and quality of life.
Additional References
- Kragballe K, et al. Br J Dermatol 2006; 154:1155.
- Seité S, et al. Exp Dermatol 2009; 18:1076.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.