13.5.2. Preparations for psoriasis

Refer to NICE CG153 Psoriasis: assessment and management, NICE CKS Psoriasis and to the BAD website for a range of Patient Information Leaflets on Psoriasis
The formulary provides advice on topical treatments for chronic plaque psoriasis. See resources above for further information including, specialist treatments, identification of co-morbidities (e.g. cardiovascular risk), when to consider referral and the management of other forms of psoriasis
Offer topical treatments, considering patient preference, cosmetic acceptability, practicalities of application to the site(s) and extent of psoriasis
Discuss the variety of formulations available and use:
- Ointment, creams, lotion or gel for widespread psoriasis
- lotion, solution or gel for scalp or hair-bearing areas
In people whose psoriasis has not responded satisfactorily to a topical treatment discuss:
- whether they have any difficulties with application, cosmetic acceptability or tolerability and offer an alternative formulation if appropriate
- other possible reasons for non-adherence
Arrange a review appointment after starting a new topical treatment after 4 weeks in adults