Using propysalic ointment for psoriasis. Feeling nausea. Need a cure
Patient: dear sir I am suffering from Psoriasis for the past one decade.I am currently only using Propysalic ointment and one mosturizer. I feel nausea when i take methotraxate. I have also tried Homeopathic and ayurvedic medicines but none seems to work. Currently my condition has worsened and the ointment is not able to control the same.Kindly help me Ved Prakash Doctor: Hello Ved Prakash.. Thanks for sharing your query here. Topicals in the form of Propysalic ointment can be used if involvement is up to  a certain percentage of body area by Psoriasis. Beyond a specific limit, you will need oral /injectable therapy which unfortunately has the potential if side-effects ,if not monitored closely. For a chronic condition like psoriasis , treatment regimen is modified according to the severity of disease ,which might be different in different times of the year.So, a close follow-up with your dermatologist is important for optimum result and achieving a remission. For the methotrexate that you are using , side effects like nausea and vomiting may be dose-dependent.Therefore, several physicians consider  adjusting the dose or modifying the mode of intake to eliminate the problem.The total dose of Methotrexate can be divided & taken over 2 days every week; or you may take it at bed-time ,if taking during the day causes nausea; it can also be take after food ,instead of before . Still if nausea persists , you may consider switching over to injectable Methotrexate once a week . Several other drugs are available for treatment in psoriasis and include, Retinoids, Cyclosporin, PUVA therapy. I would advise you to discuss these with your dermatologist and continue the therapy.Hope the is helpful Take care!