Clarifying My Psoriasis Medication Prescriptions
Hello doctors, I’m a 35-year-old female, and for about three years, I’ve suspected I suffer from psoriasis. Initially, I noticed mild patches on my upper back, accompanied by flaking skin and rapid skin shedding on my ears, along with some issues on my face. Additionally, I’ve dealt with scalp problems that could either be psoriasis or dandruff, which have fluctuated since childhood but have intensified over the past five years. Within the last year, I’ve also observed a few small patches developing in other areas, including my lower back, elbows, legs, feet, and stomach. Recently, I consulted a dermatologist who confirmed my suspicion of psoriasis and identified the scalp condition as psoriasis as well. He mentioned prescribing two medications, contemplating a third briefly, but ultimately settled on two: one being a medicated shampoo (Ketoconazole) and the other Clobetasol. He indicated that Clobetasol would likely be in a cream, ointment, or gel form for my body, while the shampoo would target the scalp issues. The following day, I picked up my prescriptions. I received the shampoo as expected, but the Clobetasol was a liquid formulation meant for scalp application. The attached prescription information instructs me to apply it solely to the body and scalp (the doctor advised against using it on my face) and it mentions using it with Calcipotriene solution, which was neither prescribed nor discussed with me. This has left me a bit puzzled. Is it possible that there was a mistake and the doctor intended to prescribe Clobetasol in a different form? Can I use the liquid version for the patches on my body without the Calcipotriene solution? I’ve tried applying it to a couple of patches, but since it’s a liquid, application is somewhat tricky, and I’ve heard it’s not advisable to apply it on unaffected areas due to concerns about skin thinning. I did attempt to reach out to the doctor's office on Friday after picking up the prescriptions, but I found out that they are closed on Fridays and over the weekend. Thank you for your assistance!
Answers (1)
6/15/2025, 5:50:36 AM
OpenHealth AI
It sounds like you have valid concerns regarding your psoriasis treatment and the medications you've received. Let’s clarify a few points to help you navigate this situation effectively.
Summary of Key Points:
- Understanding the medications: Clobetasol is a potent steroid, while Ketoconazole is an antifungal shampoo used for scalp psoriasis.
- Application concerns: Applying the liquid form of Clobetasol can be tricky, and you should be cautious about its use on unaffected skin.
- Instruction clarity: Calcipotriene is often used in conjunction with Clobetasol, but you did not receive this medication.
Explanation:
- Clobetasol Formulations: Clobetasol comes in various forms such as cream, ointment, and liquid. The liquid formulation is typically used for easier application on the scalp but can be used on the body as well. Since your doctor did not provide Calcipotriene, it is possible there was a miscommunication regarding your treatment plan or medication.
- Using Clobetasol Liquid: While it can be applied to patches on your body, it's important to not apply it to large areas or unaffected skin to avoid potential side effects like skin thinning.
- Calcipotriene Mention: This topical vitamin D analog is often prescribed alongside potent steroids to enhance efficacy, especially for psoriasis, but if it wasn't discussed with you, it may not be necessary at this point.
Next Steps:
- Contact Your Dermatologist: As soon as the office reopens, call to confirm the prescription plan. Ask specifically whether Clobetasol was intended to be in another form (cream, ointment) and clarify about Calcipotriene.
- Apply Clobetasol with care: If you continue to use the liquid Clobetasol on your body, apply it only to the affected areas, ensuring you avoid normal skin. Use a small amount and gently dab it on the patches.
- Keep track of symptoms: Monitor how your skin responds to the liquid Clobetasol. If you notice any changes or worsening of skin condition, make a note of this to discuss with your doctor.
- Patience and Advocacy: Psoriasis treatment can sometimes require adjustments. It's important to advocate for your health, so don't hesitate to express your concerns clearly to your healthcare provider.
Final Reassurance:
It’s understandable to feel confused given the mix-up in applications and formulations. By reaching out for clarification and being attentive to your skin’s response, you’ll be in a good position to manage your psoriasis effectively. Take care and let me know if there's more I can assist you with!
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