A multitude of options are available today for treating psoriasis. Personalised treatment, which, as part of the dialogue between the doctor and the patient, observes and weighs up what works for that particular individual, is always essential.
In principal the treatment is tailored to the degree of severity of the condition. At level 1 there are exfoliating preparations containing salicylic acid, and creams and ointments that have an anti-inflammatory effect and which may contain vitamin D3 or even cortisone. At level 2 biological mechanisms are used: ToMeSa (Dead Sea salt) therapy combines salt water bathing and UVB 3111 exposure and is a tried and tested method used to support the treatment of psoriasis. A healing effect can be observed after just one to two weeks, whilst after four to six weeks over 75 percent of patients are largely symptom-free. Another light therapy method is PUVA, the combination of UVA light with psoralenes (=plant substances that sensitise the skin to UVA light for a short period of time). Treatment takes place two to four times a week, with between 30 and 40 sessions usually being needed for symptoms to disappear. Initial results are generally seen after one to two weeks. More than 90 percent of patients are largely symptom free after ending the treatment. At level 3 a large number of medicines are available for internal treatment, which can inhibit inflammation and cell growth.