Psoriasis: Long-Term Management & UK Online Doctor
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Psoriasis is autoimmune — not contagious.
- Topical steroids + vitamin D analogues are first-line.
- Severe disease responds well to biologics.
- Often associated with arthritis, mood and cardiovascular risk.
Topical treatments
- Topical steroid + vitamin D analogue combination (Dovobet, Enstilar).
- Coal tar preparations.
- Salicylic acid for thick scale.
- Calcineurin inhibitors for face and folds.
Phototherapy and systemics
- Narrowband UVB phototherapy.
- Methotrexate, ciclosporin, acitretin.
- Biologics: adalimumab, ustekinumab, secukinumab, ixekizumab, risankizumab — transformative for moderate-severe psoriasis.
Holistic care
Screen for psoriatic arthritis, manage cardiovascular risk, support mental health.
Frequently asked questions
Common questions UK patients ask about psoriasis.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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