My buddy has it really bad, and I think one of his biggest things is diet.

For instance drinking alcohol makes it a lot worse. Inflammatory foods make it worse. Maintaining a good diet and sleep schedule have been helpful.

He’s also mentioned something about apple cider vinegar on the scalp.

Psoriasis is actually an autoimmune disease, so treating internally (through diet and things) is helpful.

I know a lot of people who deal with eczema and related skin conditions. Recognizing the triggers for flare ups is important. Humidity/changes in weather is a big one. Knowing what products help symptoms/make them worse is another one.

I’d say start with the basics: drink more water, use head&shoulders shampoo, get some good unscented lotion (Aveeno). The target house brand “up&up” “intensive healing lotion” with 1% hydrocortisone works really well on hands/dry spots/blisters. I use it every winter. Drink an oz of olive oil every day why not

My partner has it. She puts hydrocortisone on it and shampoos with nizoral, for her that’s been the best one but there’s others too

That could be it, could be other things too.

My wife’s got it and all the advice in here is good, one useful thing is finding a dermatologist and not just a general practitioner for treatment, they’re able to get different treatments.

Biologics.

Remicade, Skyrizi, etc.

Injection/infusion only because stomach acid would orherwise destroy the medicine.

Risk of infections, colds, etc are increased. Dont get pregnant while taking a biologic. Shits expensive, and still not a cure, but they clear up skin pretty well. Theres a lot more intricacy than what im mentioning, but im not a doctor/pharmacist. My experience is passing and casual only.

I have never taken them, but dated someone who did, and she was thankful for them. I think they gave her some dignity back, and allowed her to not be embarrassed or awkward about her condition.

Before she was prescribed biologics, she had a battery of bloodwork done, and she also had to try two or three other meds before she could be prescribed Remicade. She still has regular bloodwork done, too. We still see each other socially on occasion, and i think she is taking Skyrizi, along with something of a non-biologic origin.

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I have mega dandruff. Giant flakes appear!

Yeah it fuckin sucks shit. The older I get the worse it gets too, it’s currently eating away at my god damned scalp

I use Betaderm, it’s prescription only though I think. I’ve been told by a doctor that direct sunlight helps treat it (? I have no idea how or why, but who goes outside these days anyway). If you can, get the cream not the ointment. The ointment is slimy and smells weird but the cream is just like a normal lotion.

Sorry to hear, welcome to the club

I have it on scalp and behind the ears as well. Only thing that has really worked for me so far has been a steroid solution (liquid hydrocortisone) that my partner applies (it’s not easy to apply it effectively yourself IMO). I try to only use it when the outbreaks are the worst becase A) corticosteroids are actually really shit for you in the long run and B) you build a tolerance to it really fast. One time I had a bad outbreak on my scalp, and we dutifully applied the solution every day for like a week, completely clearing it. Aaaaand the next day, it started growing back. Fuck that shit.

I truly believe that stuff like diet and and lifestyle makes a difference (although as my very no-bullshit dermatologist said “feel free to try, but there’s no evidence”), I haven’t been able to connect my rashes to any food, drink, sleep patterns etc.

Next level treatments are just stronger ways of suppressing the immune system, like biologics and metothrexate (a literal chemotherapy drug, but at much lower doses of course). I’m too scared of the side effects of those drugs, even when I have a bad outbreak so I try to do the “safe” stuff like moisturizing, using a salt water solution before showers (literally just salt water on the skin for 10-20 minutes), getting sunlight when available, taking vitamin D and trying to eat healthy (kind of). Sometimes I feel like maybe those things make a slight difference, and at others I feel like its a complete waste of time.

To give a bit of hope, my father in law had it all throughout his youth and then one day his rash cleared up and just never came back. He is now 70. He has no idea why it happened. Fucking autoimmune diseases…

I get it as a secondary immune response. Shit sucks

Royal Oils / head & shoulders works well for my daily maintenance. Sometimes when my shit gets particularly bad I’ll make a bubble bath out of it. After soaking for a bit the buildup will gently wash off and leaves my skin feeling great.

La Roche-Posay Lipikar Triple Repair Moisturizer once or twice a day, especially after a showering using a gentle cleanser helps mine a lot, but I have to stay on top of it. Shit sucks.

something like that, not sure what it is but my brother has eczema and my sister has psoriasis so I’m assuming one of those (they aren’t even mutually exclusive right?)

Honestly I’m currently at the stage of just allowing it to be bad. It’s only in my hair and ears usually so I use nizoral, which kinda sorta helps for a few days, but I have really long hair that I don’t want to wash every day or two. I also tried a coal tar extract shampoo and it seemed like it worked (though not thaaaaaat much better than nizoral) but I didn’t like the smell, and it felt… unhealthy, so I only tried it once.

I use cannabis infused coconut oil for itchy skin, and neuropathic and arthritic pain reduction, even works on bug bites.

No but I have really bad keratosis pilaris. Hopefully you get some good advice