Questioning Dovonex Ointment Use for Ear Canal Psoriasis
I’m a 23-year-old female with a medical history that includes psoriasis affecting my scalp and lower back. For several months, I’ve been attempting to identify a persistent issue within my ear, which I have recently determined is also psoriasis. After visiting my doctor for the fifth time regarding my ear, I was given a prescription for Dovonex ointment. However, the psoriasis is not located on the outer area of my ear but solely within the ear canal itself. I applied the ointment once but am uncertain whether this application is appropriate. Did my doctor make a mistake by recommending this cream for use in my ear canal? I appreciate any insights you can provide. Thank you!
Answers (1)
7/21/2025, 1:01:58 AM
OpenHealth AI
It's understandable to have concerns about using Dovonex ointment (calcipotriene) in your ear canal, especially since this is a delicate area. Here are the main points regarding your situation:
-
Dovonex for Psoriasis: Dovonex is a topical treatment commonly used for psoriasis on the skin, particularly for plaques. It helps reduce skin cell growth and can be effective in managing psoriasis symptoms.
-
Application within the Ear Canal: The ear canal is sensitive, and applying ointments not specifically indicated for that area can lead to potential irritation or complications. While the medication works well for psoriasis on the skin's surface, the ear canal poses challenges due to its moisture and shape.
Next Steps:
-
Reassess the Application: It’s advisable to avoid using Dovonex within the ear canal unless your doctor has specified that it’s safe for this purpose. The instructions usually focus on applying it to unobstructed skin areas.
-
Consider Alternative Treatments: There are other treatments more suited for psoriasis in the ear canal, such as medicated ear drops or conditioners specifically designed for areas like this. You might want to discuss these alternatives with your healthcare provider.
-
Monitor Symptoms: Keep track of any changes in your ear symptoms, including itching, redness, or discomfort. If there is worsening or new symptoms develop, this is important information to relay to your doctor.
-
Follow Up: Given your ongoing concerns about psoriasis in your ear, consider scheduling a follow-up appointment specifically to address this issue. Bringing up any new symptoms, your experience with Dovonex, and your preferences for treatment will be beneficial.
Remember, managing psoriasis is often about finding the right treatment for the right location, and it's best to use therapies meant for specific areas of the body. If you have any continued uncertainty, advocating for your preferences and concerns with your healthcare provider will help ensure your treatment aligns with your needs.
Related Questions
Mass on the Glottis
Patient Details: 63-year-old male, height 165 cm, weight 66 kg, Asian descent. Lifestyle Factors: No history of smoking or alcohol consumption. Medical History: Diagnosed with asthma and angina. Current Medications: Uses a Symbicort inhaler and takes Concor tablets. Main Concern: A mass was detected during a gastroendoscopy carried out a year ago. There is no report of pain, but the patient experiences mild hoarseness. What might be the diagnosis?
Experiencing Heart Palpitations Following Chest Impact
I'm a 17-year-old female who has struggled with tachycardia for several years, having been diagnosed with postural tachycardia syndrome (POTS) about five years ago, although I haven't pursued further testing because I haven't completely lost consciousness. Recently, over the past month or two, I've started to experience sensations of my heart skipping beats, accompanied by difficulty in breathing during these episodes. These occurrences have become significantly more frequent, even when I'm at rest. Five years ago, I underwent a Holter monitor test, which indicated primarily tachycardia with occasional premature ventricular contractions (PVCs), but nothing alarming was found. In early December, I was struck hard in the chest by an elbow while in a mosh pit, which resulted in some pain when taking deep breaths for a few days. My sternum became bruised and slightly swollen, and it remained tender to touch for about two weeks, but this discomfort was manageable. I still feel some soreness when stretching, although it’s not severe. Additionally, I have diagnoses of Crohn’s disease and hypermobile Ehlers-Danlos syndrome (HEDS), and I am currently on immunosuppressants. Given these circumstances, would it be advisable for me to seek medical evaluation, or could these symptoms be considered typical?
Understanding My Experiences with Dissociation and Physical Symptoms
Hello everyone! I'm 15 years old and I’ve been grappling with intense feelings of dissociation recently. About two years back, I experienced what I now refer to as a "silent seizure" for the first time. It happened around 2 PM while I was at school in the band hall. Suddenly, I found myself zoning out completely; I was just sitting there, disassociated from reality, until it dawned on me that I couldn’t seem to reconnect with my surroundings. Feeling lost, I turned to a friend and anxiously asked, "Where am I?" She chuckled, unaware of the seriousness of my situation, but I stood up and wandered out of the classroom, aimlessly walking towards the bathrooms. The sensation was akin to being in a dream—you know you’re somewhere, yet you can’t fully engage with the moment for what felt like 5 to 10 minutes. Strangely, I even had the feeling of observing myself from above as I moved through the halls, like a scene from a dream. In a state of panic, I contacted my mom. By the time I managed to leave school, my mind was clearing. She took me to her workplace where a colleague checked my blood sugar levels, revealing it was low. I had eaten that day, so this was unexpected (especially since my mother also faces issues with low blood sugar). This occurrence was unprecedented for me; thankfully, I haven’t faced such low levels since then. In the following weeks, I experienced intermittent dissociative episodes, prompting me to visit a doctor. I underwent blood tests, an electrocardiogram (EKG), and a routine examination. Everything appeared normal, except I was diagnosed with anemia—something my mother and sister also deal with. I walked away from that appointment without any real explanations, and after a while, the episodes subsided—thankfully, a relief. FAST FORWARD TO NOW: (15 years old) (Potentially relevant context) Recently, I’ve been enduring severe heart and chest discomfort. I’ve been noticing irregular heartbeats, sporadic strong pulsations, and sharp pain localized in my heart region and upper right chest. Lying on my side can be quite painful, and sometimes I struggle to take deep breaths. I make it a priority to get a full eight hours of sleep each night, I take daily vitamins, and I’m actively involved in competitive cheerleading, maintaining a healthy fitness level for my height and weight. We sought medical advice again, underwent numerous tests, and, once more, everything checked out fine. My heart was deemed healthy, and all other measurements were satisfactory. Initially, we suspected anxiety might be a factor, but my mom is hesitant to consider antidepressants, believing that my age may limit treatment options. She has recommended that I hydrate more and practice breathing exercises (which is somewhat ironic since I struggle to breathe when these pains occur, yet I don’t argue). UPDATE: During practice today, I unexpectedly experienced my first "silent seizure" episode in two years. It was more disconcerting than I recalled. I lost track of my location again and couldn’t re-engage with reality. It felt as if I was observing those around me from a dream-like vantage point. This realization frightened me, thinking that I had moved past these episodes. It took about ten minutes for me to regain my awareness of my environment. Additionally, this week, I noticed moments of dissociation, albeit not as intense as previous episodes. I found myself vacantly staring, and my vision felt oddly lazy, frequently. It's worth noting that I do not have a lazy eye. I plan to document these occurrences meticulously, and if they persist, I will consult my doctor again. Meanwhile, if anyone has suggestions about what might be happening to me, I would greatly appreciate it. Is this potentially linked to anxiety? I’m genuinely confused about my condition!
Seeking Insight on Abnormal Neuroimaging Results
A 42-year-old female, standing 6 feet tall and weighing 194 pounds, has been grappling with cognitive challenges for over three years. She has a clinical history that includes a diagnosis of Bipolar II disorder coupled with generalized anxiety, which she manages effectively through a regimen of an antidepressant, a mood stabilizer, and medications for anxiety. Currently, she is under the care of her fifth neurologist in the Boston region. An FDG-PET scan revealed a significant decline in metabolic functions, showing a 30-40% reduction within the left parietal lobe and a 20% decrease in both mesial temporal lobes. As part of her evaluation, a lumbar puncture was performed to assess amyloid and tau protein levels, with results coming back negative. Although a radiologist recommended pursuing an amyloid PET scan to gain further insights, her neurologist has declined this option. Despite the neurologist's suggestion that her indications might fit into the Functional Neurological Disorder (FND) category, she remains unconvinced and believes there must be an identifiable underlying cause for her symptoms and the irregularities observed in her scans. She is seeking advice on the next steps to take in pursuing a clearer diagnosis or understanding of her condition.
Worsening Memory Problems Over Time
Age: 25 Weight: 175 lbs Current Medications: Modafinil (200mg); Lexapro (10 mg); Lamotrigine (100mg in the morning + 100 mg in the evening); Cyproheptadine (4 mg); Vraylar (1.5 mg) Supplements: Iron; Vitamin B12; Vitamin D; Salt tablets Health Background: Long-standing, stubborn migraines (resolved as of May 2025, originally began in April 2016); Depression (currently very stable); Attention Deficit Disorder (ADD) (experimented with various stimulants with no improvement in memory); Chronic fatigue syndrome (developed a few years after memory problems began). I possess a documented medical history concerning my memory challenges. Around 2012, I underwent neurological evaluations that included an IQ assessment. The clinician indicated that my memory performance was particularly low, affecting my overall IQ representation, while I scored at or above average in most other areas. In approximately 2017, a neurologist referred me for a neuropsychological evaluation. Unfortunately, the results were deemed "inconclusive" due to inconsistent findings, with the provider stating my memory levels mirrored the previously reported low scores. Fast forward to 2023, when I underwent another neuropsych evaluation, which indicated my working memory was significantly below the average range. The clinician expressed uncertainty regarding effective treatment options for my memory issues, suggesting avenues such as ADHD medications, stress management, enhancing sleep quality, and mental health support—areas which I have pursued or tried to improve. Here is a summary of the strategies and treatments I've explored: - **Sleep Study**: Diagnosed with mild sleep apnea when lying on my back, although I typically sleep in other positions. - **Antidepressants**: Tried various types repeatedly, yet without noticing any significant changes. - **Occupational Therapy**: Participated but found it more stressful than beneficial. - **Speech Therapy**: Benefitted somewhat, yet it didn't meet my expectations, though I continue to use some of the techniques learned. - **Digital Notes**: Attempted to record important information on my phone, but due to many lists, vital entries often get lost. - **Memantine**: Prescribed by my neurologist as a last resort, based on its reported effectiveness in elderly patients for pain management; however, I did not observe any memory improvements while on this medication. - **Nutritional Supplements**: Regularly take Vitamin B complex, fish oil, flaxseed oil, and various other potential memory enhancers. Additionally, family history reveals that my brother, sister, and paternal grandmother have also faced memory-related issues throughout their lives. Unfortunately, several neurologists have declined to treat me, citing my youth and existing diagnoses of depression and ADD as indicators of instability rather than addressing my memory concerns. Moreover, I am anxious that my past struggles with chronic pain could have exacerbated my memory problems. Any insights or suggestions to tackle these ongoing challenges would be greatly appreciated.