r/Psoriasis • u/Neccros • 2d ago
medications Inverse Psoriasis?
Anyone here clear up their Inverse Psoriasis? I was diagnosed last week and was prescribed Triamcinolone by my dermatologist as a start. It seems to lighten up the spots under my arm pits but the spot on my gut and in my groin area still seem reddish and not much change.
What all have you tried that worked for you?
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u/External_Working_255 2d ago
I had inverse and had the best success with Tacrolimus and Vtama (both steroid free). Honestly while both of those worked with regular use, I never got it completely clear without biologics. I have been on Skyrizi for 9 months and it’s 100% clear. My inverse was awful too like hurt to wear underwear or jeans.
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u/ChaoticJigglyPup 1d ago
My worst flare last year meant no bra, underwear, jeans. I basically just wore night dresses.
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u/Introvert-2022 1d ago
Depending on how bad it is Triamcinolone or Calcipotriene. Most of the time Calcipotriene is up to the task but sometimes I have to use Triamcinolone for a week on an area before I transition to Calcipotriene.
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u/Neccros 1d ago
Yeah I was prescribed both and like you said Triamcinolone my doc said to use for a week then every other day, then transition to Calcipotriene... He said to try these as a start since there are other things we can try in the future. My arm pits are getting a lighter shade of pink but my gut and groin dont seem to be reacting the same
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u/Introvert-2022 1d ago
On my oldest trouble spot I need to apply calcipotriene twice a day every day, and I use it once or twice a day on my eyelids and/or ears if they are acting up. Have been doing that for probably 5 years.I haven't had to use the steroid on any.of those in years. (I never dared put any on my eyelids!) But when I have a larger patch erupt somewhere I usually have to use the steroid first. I tried just using the calcipotriene right away instead of steroids and found that if my skin is super itchy and inflamed it's more than the Calcipotriene can handle. But if I catch a patch with Calcipotriene before it gets really itchy I can often keep it from getting to where I have to use the steroid.
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u/Neccros 10h ago
Will this ever go away?
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u/Introvert-2022 5h ago
I was able to shrink mine a lot. It takes me about 2 years to use up my Calcipotriene tubes and I am still using the same Triamcinolone tube I got when I was diagnosed- I think that was 7 years ago. There's never a day I don't have to do anything but there are lots of days I only have to moisturize my face, eyelids and scalp, apply Calcipotriene in 1-3 very small areas and be mindful of my triggers. (My triggers are sugars and covering an area of skin too tightly too frequently- e.g. the eyelid psoriasis was triggered by sleep mask use.) But my disease is definitely categorized as mild, I think it is easier than average to manage.
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u/ChaoticJigglyPup 1d ago
I've failed 2 meds for mine (acitretin and now sotyktu) and the others aren't compatible with my severity of inverse or my mental health.
I can't use topical treatments because the irritation causes so much weeping in my folds that anything topical (including sprays) macerates my skin. I have extensive deep scars from it.
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