I have what has been diagnosed by multiple dermatologists as psoriasis, but the obvious treatments that I would expect to help (topical steroids such as calcipotriene, triamcinolone, & others) don't seem to do any good. I've Any ideas?
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: (Sorry, I accidentally hit return before I meant to.) I've also tried methotrexate, topical urea, . (And of course, the very first thing I tried was various moisturising lotions and creams.) BTW, it's predominantly palmar/plantar. I also had atopic dermatitis
when I was around 10-11 years old on my inner elbows; it responded to some prescription glucocorticoid or other (not hydrocortisone, that's the most I can remember). Current medications: tranylcypromine 20 mg qid; zolpidem 20 mg qhs; buprenorphine, transdermal patch, 10 mcg/hr (previously 0.3 mg IM q.i.d.; cyanocobalamin supplements (I'm not a vegetarian but I eat meat infrequently), 1000mg qd; calcium citrate 1260 mg/day and 1000 IU
JA: What seems to make the symptoms worse or better? In general, how would you describe your health lately?
Customer: (I did it again. The other active ingredient in the calcium supplement I take is vitamin D3, 1000IU/day). My general health is okay, except for chronic insomnia. (My roommate got a cold with coughing and laryngitis and I managed to avoid catching it from her.) As noted, nothing seems to make any difference. How "lately" are we talking?