Psoriasis Australia

Topical Treatments

While there is no cure for psoriasis, topical treatments are a key component in managing symptoms and improving the quality of life for those affected. In Australia, a variety of topical treatments are available, ranging from over-the-counter options to prescription medications.

Understanding Topical Treatments

Topical treatments are medications applied directly to the skin. They are often the first line of treatment for mild to moderate psoriasis, and can also be used in conjunction with systemic treatments for more severe cases. The goal of topical therapy is to reduce inflammation, slow the rapid growth of skin cells, and alleviate symptoms such as itching and scaling.

Types of Topical Treatments

  • Corticosteroids: Available in various strengths, corticosteroids reduce inflammation and slow the production of skin cells. Commonly prescribed corticosteroids include betamethasone and hydrocortisone.
  • Vitamin D analogues: These synthetic forms of vitamin D, such as calcipotriol, help to slow down skin cell production and can be used alone or in combination with corticosteroids.
  • Coal tar: An older treatment, coal tar helps to reduce scaling, itching, and inflammation. It is available in shampoos, creams, and bath solutions.
  • Salicylic acid: Salicylic acid is a beta-hydroxy acid (BHA) that has been used for decades in the treatment of various skin conditions, including psoriasis.
  • Emollients and moisturisers: Emollients are substances that soften and soothe the skin, while moisturisers primarily work to hydrate the skin by trapping water in the outermost layer.

How to Use Topical Treatments Effectively

  • Consistency is Key: Regular application as prescribed is crucial for managing symptoms effectively.
  • Follow Directions: Each treatment may have specific instructions regarding application, dosage, and duration of use. Always follow the advice of your healthcare provider.
  • Combination Therapy: Sometimes, combining different topical treatments can enhance effectiveness. For example, using a corticosteroid in the morning and a vitamin D analogue in the evening.
  • Rotational Therapy: To avoid side effects, your doctor may recommend rotating between different topical treatments.

Potential Side Effects

While topical treatments are generally safe, they can cause side effects, especially with prolonged use. Common side effects include:

    • Skin Irritation: Redness, itching, or burning sensation.
    • Thinning of the Skin: Particularly with prolonged use of potent corticosteroids.
    • Stretch Marks: Can occur with long-term use of topical steroids. 
    • Increased Sensitivity: Some treatments can make the skin more sensitive to sunlight.

Accessing Topical Treatments in Australia

Topical treatments for psoriasis are widely available across Australia. Over-the-counter options can be purchased from pharmacies, while prescription treatments require a consultation with a healthcare provider. Some treatments may be covered under the Pharmaceutical Benefits Scheme (PBS), making them more affordable for patients.

When to See a Doctor

If you notice any adverse reactions or if your symptoms do not improve after several weeks of treatment, it’s important to consult a healthcare professional. They may adjust your treatment plan or explore other options such as systemic therapies or biologics.