严重的牛皮癣会引起多种症状和副作用。治疗结果因人而异。由于这些原因，大多数医生都喜欢通过多种治疗来治疗牛皮癣。

Read on to learn about the benefits of a combination treatment plan and what kinds of treatments are typically used to treat psoriasis.

以下是牛皮癣可用的治疗列表。

局部药物

局部药物包括：

  • creams
  • 软膏
  • 洗发水
  • other forms of medication that are applied to the skin’s surface

牛皮癣最常用的局部疗法含有类固醇。这些治疗方法用于减少炎症，缓解瘙痒和阻断皮肤细胞的产生。

除类固醇外，用作组合治疗的一部分的局部药物可能包括：

  • moisturizers
  • vitamin D3
  • coal tar and anthralin
  • salicylic acid
  • 类视黄素
  • calcineurin inhibitors

Topical treatments are often used in combination with other, more potent treatments, because they aren’t enough to treat the symptoms of severe psoriasis.

Systemic medications

这se medications affect the entire body as opposed to just the skin. They can be taken orally or by injection. The most commonly used systemic medications include:

  • cyclosporine
  • 甲氨蝶呤
  • Apremilast
  • 口服类维生素类似

即使独自使用，系统性药物也通常是有效的。但是，它们与从轻度到重度不等的副作用相关。

将它们与其他治疗结合使用可以降低剂量和效力，从而使副作用的可能性降低。

生物制剂

Also known as “biological response modifiers,” biologics are protein-based drugs. They’re derived from living cells cultured in a laboratory and are given by injection or IV infusion.

生物制剂针对免疫系统的特定部分。它们阻止特定的免疫细胞或蛋白质是银屑病疾病发展的一部分。

Phototherapy

This type of light therapy involves consistent use of ultraviolet light on the skin. It’s performed either under medical supervision or at home using a light unit designed for home use that a certified dermatologist recommends.

有时将光疗与另一种疗法（例如局部疗法）组合用作二级疗法。它可以完全清除皮肤或至少改善皮肤。

光疗通常以小剂量逐渐增加，以避免燃烧皮肤。

Though there’s一些证据那张商业晒黑床可以帮助治疗牛皮癣，这是一种危险和最佳治疗。这 美国卫生与公共服务部 认为使用室内晒黑床是致癌的（引起癌症）。

在使用晒黑床之前，请与您的医疗团队交谈。

Combination treatments are given in different stages or steps. The first step aims to clear skin lesions during an outbreak. This is often done using a strong topical steroid or an oral immunosuppressant for cases of severe psoriasis.

如果牛皮癣在第一阶段后得到良好管理，则可以逐渐减少皮质类固醇，并且只有在发生爆发时才能重新引入。

If symptoms still occur or get worse, corticosteroid injections and other treatments may be introduced.

Special patient populations, such as children, the elderly, and pregnant people, may need more specialized treatments.

Some psoriasis treatments work well on their own. But using a combination of treatments may have added benefit.

A 2012 research review examined the use of combination therapy for psoriasis. Although it indicated that more research is needed, they suggested that combination treatments are more effective and better tolerated than single-therapy treatment.

This result may be due to several benefits of combination treatment. To start, using a combination of treatments allows for smaller doses of each drug. This can decrease the risk of side effects experienced and may end up being less expensive for you.

Also, combining therapies has been shown to relieve symptoms more quickly and efficiently. Some combination therapies may even lower the risk of skin cancers, which 可以提高 在牛皮癣的人中。

结合治疗的另一个重要好处是它提供了许多可能的组合。

Having a potentially large supply of treatment combinations is valuable because there’s no known cure for psoriasis. People depend on treatment to help them keep their symptoms under control.

每个人对牛皮癣的经历都不同，如果您患有严重的牛皮癣，则组合治疗可能对您来说是一个不错的选择。它使您的医生可以灵活地解决您的特定症状和偏好。

If your doctor suggests a combination of treatments, know that it could be the best way for you and your doctor to build the treatment plan that’s right for you.