It’s highly recommended that anyone who has psoriasis—especially those experiencing flare-ups or worsening symptoms—see a dermatologist. The Dallas, TX-based Dermatology Office of Dr. Ellen Turner says that even though there are many over-the-counter (OTC) treatments available, these options may not necessarily be enough to provide relief for psoriasis symptoms. 

Dermatologist Dr. Ellen Turner explains: “While there is no known cure for psoriasis, there are several over-the-counter treatments available that can help manage the symptoms. These treatments include topical creams, ointments, shampoos, and bath solutions. For example, over-the-counter low-potency topical steroids, hydrating emollients, and retinoids can sometimes be helpful to start with. However, not all treatments work the same for everyone, and it is important to recognize the signs that your over-the-counter psoriasis treatment is not working.”

What Is Psoriasis and What Causes It? 

Psoriasis is a chronic autoimmune disorder that affects the skin, causing red, scaly patches to appear on various parts of the body. This is a non-contagious condition that affects approximately two to three percent of the population.

Dr. Turner says: “The condition is characterized by the rapid growth of skin cells. The exact cause of psoriasis is unknown, but it is believed to be related to an overactive immune system. In people with psoriasis, the immune system mistakenly attacks healthy skin cells, causing them to grow rapidly and form scaly patches. The most common areas of the body that are affected by psoriasis include the scalp, elbows, knees, and lower back, but the condition can appear on any part of the body.”

Although the physical symptoms of psoriasis can be uncomfortable and painful, the emotional and psychological side effects can also have a significant impact on a person's quality of life. It will usually be a lifelong skin condition. 

How Do You Know If OTC Treatments Aren’t Enough?

A dermatologist can not only provide a diagnosis, but also recommend the best treatment options. You may need to see a dermatologist for a more intensive treatment if you’re noticing the following signs. 

No Improvement in Symptoms

One of the most obvious signs that your OTC psoriasis treatment is not working is that your symptoms have not improved—or have actually worsened. If you have been using a treatment for several weeks or months and have not noticed any improvement in your psoriasis symptoms, it may be time to try a different treatment or speak with your doctor about other options.

Increased Severity of Symptoms

Another sign that your psoriasis treatment is not working is that your symptoms are becoming more severe. If you notice that your psoriasis is becoming harder to deal with, your treatment may not be effective.

Symptoms Spreading to New Areas 

The most common areas for psoriasis to manifest are the knees, elbows, and back, but if it’s spreading to other areas, the change means you need to seek new treatment options. 

Flare-Ups

If you experience frequent flare-ups of your psoriasis symptoms despite using over-the-counter treatments, it may be a sign that the strategy is not working for you. Flare-ups can be frustrating and can significantly impact your quality of life in a negative way, so managing them is critical.

Skin Discoloration

If your psoriasis patches start to become discolored or appear bruised, this may be a sign that your treatment is not working. Discoloration may indicate that the psoriasis is becoming more severe, and it may be time to try a different strategy.

Increased Itching and Burning

If you experience increased itching and burning after using an over-the-counter psoriasis treatment, this is a red flag. While some mild itching and burning may be expected, severe or persistent itching and burning may be a sign that you should change your approach.

Other, Non-Skin Related Symptoms

If you experience issues related to the joints, eyes, or gastrointestinal system at the same time as your skin flare-ups, it’s best to discuss these conditions with a dermatologist and seek something more effective than an over-the-counter cream.

For more advice about managing symptoms of psoriasis, it’s recommended that you see a board-certified dermatologist. Contact the Dermatology Office of Dr. Ellen Turner to learn more. Call (214) 373-7546 or submit a contact form to request a consultation.