Lice and Scabies Treatments, Shampoos, and More
Understanding Lice and Scabies — Treatment
- 1 Understanding Lice and Scabies — Treatment
- 2 What Is the Treatment for Lice?
- 3 What Is the Treatment for Scabies?
- 4 Preventive maintenance and treatment of a pediculosis at home
- 5 Pediculosis: what, in fact, is it?
- 6 Common features of lice
- 7 Reproduction of lice
- 8 Head lice
- 9 Treatment of head lice
- 10 Sprays and other products
- 11 Folk methods
- 12 Pubic pediculosis, or fthiracy
- 13 Treatment of fthiroid
- 14 Lapidary pediculosis
- 15 Treatment of pediculitis
- 16 Misconceptions about lice
- 17 Treatment — Psoriasis
- 18 Topical treatments
- 19 Phototherapy
- 20 Tablets, capsules and injections
In this Article
In this Article
In this Article
What Is the Treatment for Lice?
Getting rid of head lice involves the use of over-the-counter treatments or prescription medications, typically in conjuction with combing the hair with a special comb. In some geographical locations, lice are resistant to certain treatments. Ask your doctor if your area has resistant lice so that you can be sure to get the most effective treatment.
Some prescription and over-the-counter treatments kill both the live lice and their eggs, also called nits. Other products require two applications, approximately 7 to 9 days apart. Check the label to see if the product kills both lice and eggs, and how to use it correctly.
Over-the-counter products with pesticides include:
- Pyrethrins are a common treatment that is available over the counter. Some studies suggest pyrethrins can affect cognitive development in children. More research is needed. Brand names include Rid, Triple X, Pronto, A-200. For best results, follow the directions exactly.
- Permethrin lotion 1% (also known as Nix) is another over-the-counter product that only kills lice, but not eggs, and will require repeat treatment in nine to 10 days.
Pesticide-free, over-the-counter treatments can contain dimethicone. This is a nonpesticide, silicone-based material that works by coating lice and disrupting their ability to manage water. Some studies have shown it to be more effective than products that contain pesticides.
Prescription treatments include:
- Malathion lotion 0.5% (also known as Ovide) is a prescription medication that is approved for head lice and can kill some eggs. Directions and precautions for use must be strictly followed.
- Lindane shampoo 1% is not approved for lice treatment anymore, since in young children, it can attack and damage the brain and other parts of the nervous system.
- Spinosad (Natroba) is topical and applied to the scalp. It is not approved for use on children under age 4.
- Another treatment is a topical lotion called Sklice. A comb is not required with Sklice and one treatment may be all that’s needed. The active ingredient is ivermectin, a powerful parasite killer. Sklice can be used in children as young as 6 months.
Combing: Using a fine-tooth nit comb in the hair is the second part of treating lice after using a topical over-the-counter or prescription product. Hair should be combed for 14 days to help ensure removal of lice and any eggs.
For those who prefer not to use topical products, a «combing only» technique may be effective. Wash the hair with ordinary shampoo and conditioner, and leave wet. With a fine-toothed comb, stroke slowly outward from the roots through one lock of hair at a time. Lice will land on the back of the comb, get caught between the teeth, or fall off. Space at least 30 strokes over the head. Repeat every three days. Because newborn lice do not lay eggs for the first week, all the lice should disappear after about two weeks of combing.
Pubic lice can be treated with over-the counter medications containing pyrethrins or permethrin lotion 1%. Your sexual partners will also have to be treated. Crabs are also sometimes found on eyelashes or eyebrows. A nit comb or fingernails may be used if there are only a few live nits on them. Otherwise a special prescription eye ointment may be prescribed.
To treat body lice, wash the entire body with soap and water. If this is not effective, you may have to use pediculocide preparation — either over-the-counter or prescription. As with a head lice infestation, you’ll have to wash all clothing, towels, and bedding in hot water and dry in a hot dryer.
What Is the Treatment for Scabies?
Scabicides that kill mites — and some also kill eggs — are available by prescription only. Permethrin cream 5% (also known as Elimite) is a common treatment that kills mites and eggs. It is approved for use in adults and children at least two months old.
Crotamiton lotion or cream 10% (also known as Eurax or Crotan) is approved for scabies treatment in adults only. However, it is not very effective.
Lindane lotion is approved for use as scabies treatment, but should not be used as first-line therapy. If used improperly, it can attack and damage the brain and other parts of the nervous system.
A prescription oral drug, ivermectin, is also very effective in eradicating scabies. Two doses taken one week apart are needed.
Preventive maintenance and treatment of a pediculosis at home
Some people have no idea about pediculosis and lice never seen before. Those who happened to encounter them, survived if not catastrophe, then shock, no doubt. On the agenda — a lot of questions. Where did this infection come from? Where to run for help? How to get rid of this abomination? To prevent the unpleasant surprise, we suggest that you familiarize yourself with how to treat pediculosis at home, and in the process — also with the peculiarities of lice and diseases caused by them.
Pediculosis: what, in fact, is it?
The tricky word «pediculosis» is the trivial infection of a person with lice. What is important is one nuance. Lice can be in animals, but they do not have any relation to pediculosis. In the place of parasitism, these creatures are divided into 3 types — pubic, head and ward. Pediculosis, caused by them, is called, respectively, pubic, head and ward. Ectoparasites strictly adhere to their «own» territory. Under natural conditions (on one person), they never mix, but in a lab with forced crossing they give a viable offspring. Carrying out treatment for pediculosis at home, it is necessary to take into account that lice are different, which means that the methods against them are also different. This statement is reliable, since the structure of the legs in each species is such that parasites can only use hairs of a certain section. The head louse is round in the section of the scalp, pubic is the triangular vegetation of the pubis, armpits and other parts of the body, and the dress does not exist at all in the hairline.
Common features of lice
Despite some differences, lice have a lot in common. So, in the course of evolution, all species lost their wings, but acquired the ability to quickly move through the body of the victim. On the head of lice are extremely developed piercing-sucking organs, consisting of two modified lips-stilettos and a proboscis with «teeth.» The salivary gland also leaves here. Saliva of lice prevents the blood coagulability of the victim and almost always when it gets into the wound causes itching. This is the main symptom that «hints» that the pediculosis is caught. Means for treatment, it is desirable to choose the least toxic, not causing irritation of an already traumatized skin. All lice are very responsive to environmental conditions. So, they feel great at +28 degrees. At a temperature of +22 and from +40 о С development of nits stops, but they do not die, but only fall into anabiosis. Nymphs cease to eat under such conditions. At +10 о С adult individuals leave the host, and at +55 о С and -13 о С perish within 5 minutes. Nits can withstand more extreme temperatures, namely +60 о С and -20 о С. They instantly die at +100 degrees. Without food, parasites live up to 7 days.
Reproduction of lice
Lice of any kind have males and females. The first is always smaller, their life is half as long. The latter live up to 40 days, having managed to postpone up to 140 eggs during this time. In the population, the number of females always dominates. Louse eggs are called nits. The females attach them to the hairs with a fairly strong glandular cement. The treatment of pediculosis at home should be based on funds that kill both adults and nits. Eggs of lice are large enough, visible to the naked eye. They remotely resemble a comma or bags of gray-white color. Live nits are more saturated color, and when pressed, they make a characteristic click. The dead are duller, as if empty. Hard to remove from the hair, and those and others. Each female is able to postpone up to 10 eggs a day.
The disease is caused by head lice and manifests itself on the scalp, eyebrows, beard, mustache. The female of the head louse reaches 4 mm in length, the male grows up to 3 mm. You can get infected only from a person suffering from pediculosis when using common combs, hairpins, headgear, bed linen (pillowcases, pillows) or with close contact involving touching hair and heads. This pediculosis is most common in children. Treatment at home is done by medical and folk remedies. Any of them should not have serious side effects.
- Permanent itching of the head;
- The child can become capricious, inattentive;
- Eczema, pyoderma, crusts, puffiness and irritation of the skin in places of scratching.
To catch lice a child can in a manger, a kindergarten, a school, a camp, wherever children closely communicate with each other.
Treatment of head lice
For many parents this is a catastrophe — head lice in children. Treatment at home will not give sense, if not to identify and not exclude the source of the disease. Parents should not hesitate to report the problem to the children’s institution to check all the children in the class or group for lice. In pharmacies are sold many types of shampoos. Not all of them act the same way.
«Pedilin» is good because it kills both lice and nits, but has side effects in the form of allergic rashes, nausea, vomiting, seizures. However, all this happens when the product gets into the mouth. Nevertheless, «Pedilin» to children is not recommended.
«Parasidosis» is sold with a scallop for combing the dead nits, but also not suitable for toddlers.
There are also «Nok», LiceGuard and others. All of them have a restriction on age.
Sprays and other products
In connection with the fact that the head one is the most massive pediculosis, the methods of treating the disease are widely developed. In addition to shampoos, sprays are on sale.
Nyuda is based on silicone. Getting on the hair, it envelops the lice, preventing their breathing.
«Paranita» has a similar effect. The disadvantage of these funds is that they do not work for nits, that is, treatment needs to be done repeatedly.
«Pediculen Ultra» kills both eggs and adult parasites, but it is not recommended for use in the treatment of children younger than 5 years pregnant and lactating.
Treatment of pediculosis at home can be done with ointments (mercury, boric, «Nix»). They are not very convenient to use and have an age limit. «Knicks», in addition, has side effects.
Very popular is the scallop «AntiV». The only drawback of the means is a high price.
Headgear, pillowcases, combs, towels, ribbons of a lice that has fallen ill should be boiled or treated with steam. All family members should also undergo preventive treatment against lice.
Treatment of pediculosis with folk remedies at home before, when there was no such abundance of drugs, was carried out quite successfully. Among them are:
1. Kerosene and any vegetable oil should be mixed in a 1: 1 ratio. Blend the head with a mixture, cover with a plastic bag. After half an hour carefully rinse, dead nits to comb out or choose by hand. The product is effective, but after its application, dandruff may appear.
2. Cranberry juice, diluted with water, lemon juice, vinegar. Any acidic medium kills adult nits and destroys the egg shell, but causing skin irritation.
3. Tar soap. The agent for obtaining the effect must be applied several times.
4. Paint for hair.
Effective and non-toxic is the mechanical effect of hot temperatures (up to 55 degrees). You need to wash your hair and blow it dry with a temperature that you can tolerate with difficulty. Also, an electric rectifier or an electric comb for styling is used.
Dead nits with hair need to be cleaned. This is done by a thick crest, and to facilitate the process, balm, fish oil, and combing liquid are applied to the hair.
Use dichlorvos, dust and engine oil is not possible because of the high toxicity of these products.
Treatment of pediculosis folk remedies (such as essential oils or decoctions of wormwood) are effective only for the prevention. The broths are rinsed with hair, the oils are applied to dry strands in a quantity of several drops. Preventive measures include teaching the child not to use other people’s hats, hairpins and combs. Any other prevention from infection with head lice does not help.
Pubic pediculosis, or fthiracy
The disease is caused by pubic lice. Outwardly, they resemble a minicab and have a second name — ploschitsy. Parasites live in the area of the pubis, in the armpits, on the chest, stomach, in any part of the body (except the head), where there is a suitable hair covering, even in the auricles, on the eyebrows and eyelashes, in the anus and genitals. Ftyariase is referred to venereal diseases, since it is mainly transmitted during sexual intercourse. In connection with this, pubic pediculosis is more common in adults. Treatment at home involves the simultaneous treatment against lice of a sexual partner (wife, husband). You can also grab a pubic louse with bed and underwear, in swimming pools, in saunas and massage rooms.
- Severe itching in places of bites;
- A rash on the abdomen, in the groin, under the arms, on the hips, sometimes on the face;
- Blue spots in places of barking lice skin due to the reaction of hemoglobin with saliva parasite (with pressure they do not disappear);
- Crusts, vesicles and papules on the skin;
- Sometimes from scratching can begin secondary infection, dermatitis, eczema, pyoderma.
Treatment of fthiroid
Treatment of pubic lice in the home begins with the shaving of the hair (pubis, armpits, mustaches, beard). Further on the body is applied any aerosol or gel with pyrethrin, pyrmetrine, melatonin («Spray Pax», «Pedilin», «MediFox»). The agent is left for 30 minutes, after which it is thoroughly rinsed off. Concentrates Medifox and Avicin are also suitable. When using them, be sure to dilute with water, as indicated in the instructions.
At the same time, bed and underwear is subjected to boiling. After drying, it is ironed and sealed for 3 days. Linen (only underwear!) Can be treated with A-Pak aerosol, after which no washing is required.
In the treatment of fthiarasis on eyelashes, eyebrows, in the auricles use a mercury ointment. It is applied up to 4 times a day for 2 weeks.
Preventive maintenance of disease consists in refusal of doubtful sexual partners and in an interdiction for using another’s bed linen and bed linen.
The disease is caused by lice. On a man they only feed, but live in folds of clothes and in a pile, there also breed and lay eggs. The male louse grows 4 mm in length, the female — 5 mm. Under acceptable conditions parasites live up to 40 days. The female is capable of laying about 400 eggs during this time. You can pick up louse lice only with household contact (use of things of the person infected with them, bed linen). The most likely sites of infection are hotels, trains, hospitals, where hygiene standards are not observed. The louse can suffer serious diseases: typhus and recurrent typhus, trench fever. Therefore, the most dangerous is exactly a pedicure. Treatment and prevention here directly depend on the cleanliness of the linen, clothes and the human body.
- Severe itching;
- Rash on the body (abdomen, hips, back, neck, less often the chest and underarm areas);
- Cyanotic spots in places of bites;
- May develop furunculosis, folliculitis, pyoderma, eczema, hyper- and hypopigmentation.
Treatment of pediculitis
In this disease, hygiene plays a major role. Clothing, bedding, even soft toys (if any), bed and preferably the whole house should be carefully processed. The usual washing of clothes in the washing machine is not enough, because the nits of the louse are not killed. Treatment of pediculosis with folk remedies consists in boiling everything that can be boiled, followed by a long drying in the sun (up to 3 days) and ironing, especially in the fold area. The body should also be thoroughly washed, then wipe the skin with menthol (1%) or carbolic (4%) alcohol. If there are furuncles, papules, a rash, you can use therapeutic ointments. It is good to apply for the treatment of clothes (but not the body!) Spray «A-Par». Things in this case do not need to boil.
Another way is to handle things cold. Given that lice perish at -13 degrees, and nits — at -20, in winter, you can hang out the patient’s clothes for frost. This method is convenient when destroying lice on objects not intended for heat treatment. On the street, things should be about a week, after which they are washed in the usual way.
Prevention consists of hygiene, regular body washing, washing and ironing of things.
Misconceptions about lice
Stubborn, complex, and most importantly — reasonable is required with a disease such as pediculosis, treatment. Reviews often target those who have not yet encountered the problem, on frequent hygiene procedures.
Misconception 1: infection with head and pubic lice can be prevented by hygiene. Rather, on the contrary: lice with pleasure settle on clean heads and bodies, because there it is easier to attach them to the hair of nits. Only louse lice can be avoided by using perfectly clean ironed linen.
Misconception 2: lice leap high. Their limbs are not capable of jumping, therefore it is impossible to get infected from a lousy person, being with him, for example, in transport, if there is no physical contact (touch).
Misconception 3: lice are transmitted from animals. The structure of animal hair and human hair is different. Lice of cats and dogs are simply not able to use the hair of people, so they never pass on to them.
Misconception 4: you can get rid of lice, walking without a hat in the cold. Lice do die in the cold, but with a living person, body temperature never reaches critical for parasite marks. Only lame corpses leave their louses.
Misconception 5: lice come only from the poor and the poor. These parasites do not care who lives on. The difference is that the rich are buying money from lice in pharmacies, the less well off are more often using folk methods, and the beggars do not fight at all with lice.
Treatment — Psoriasis
Treatment for psoriasis usually helps to keep the condition under control. Most people can be treated by their GP.
If your symptoms are particularly severe or not responding well to treatment, your GP may refer you to a skin specialist (dermatologist).
Treatments are determined by the type and severity of your psoriasis, and the area of skin affected. Your doctor will probably start with a mild treatment, such as topical creams applied to the skin, and then move on to stronger treatments if necessary.
A wide range of treatments are available for psoriasis, but identifying the most effective one can be difficult. Talk to your doctor if you feel a treatment is not working or you have uncomfortable side effects.
Treatments fall into 3 categories:
- topical – creams and ointments applied to your skin
- phototherapy – your skin is exposed to certain types of ultraviolet light
- systemic – oral and injected medications that work throughout the entire body
Different types of treatment are often used in combination.
Your treatment for psoriasis may need to be reviewed regularly. You may want to make a care plan – an agreement between you and your health professional – as this can help you manage your day-to-day health.
The various treatments for psoriasis are outlined below.
Topical treatments are usually the first treatments used for mild to moderate psoriasis. These are creams and ointments you apply to affected areas.
Some people find that topical treatments are all they need to control their condition, although it may take up to 6 weeks before there’s a noticeable effect.
If you have scalp psoriasis, a combination of shampoo and ointment may be recommended.
Emollients are moisturising treatments applied directly to the skin to reduce water loss and cover it with a protective film. If you have mild psoriasis, an emollient is probably the first treatment your GP will suggest.
The main benefit of emollients is to reduce itching and scaling. Some topical treatments are thought to work better on moisturised skin. It’s important to wait at least 30 minutes before applying a topical treatment after an emollient.
Emollients are available as a wide variety of products and can be bought over the counter from a pharmacy or prescribed by your GP, nurse or health visitor.
Steroid creams or ointments
Steroid creams or ointments (topical corticosteroids) are commonly used to treat mild to moderate psoriasis in most areas of the body. The treatment works by reducing inflammation. This slows the production of skin cells and reduces itching.
Topical corticosteroids range in strength from mild to very strong. Only use them when recommended by your doctor.
Stronger topical corticosteroids can be prescribed by your doctor and should only be used on small areas of skin or on particularly thick patches. Overusing topical corticosteroids can lead to skin thinning.
Vitamin D analogues
Vitamin D analogue creams are commonly used along with or instead of steroid creams for mild to moderate psoriasis affecting areas such as the limbs, trunk or scalp. They work by slowing the production of skin cells. They also have an anti-inflammatory effect.
Examples of vitamin D analogues are calcipotriol, calcitriol and tacalcitol. There are very few side effects as long as you do not use more than the recommended amount.
Calcineurin inhibitors, such as tacrolimus and pimecrolimus, are ointments or creams that reduce the activity of the immune system and help to reduce inflammation. They’re sometimes used to treat psoriasis affecting sensitive areas, such as the scalp, the genitals and folds in the skin, if steroid creams are not effective.
These medications can cause skin irritation or a burning and itching sensation when they’re started, but this usually improves within a week.
Coal tar is a thick, heavy oil and is probably the oldest treatment for psoriasis. How it works is not exactly known, but it can reduce scales, inflammation and itchiness.
It may be used to treat psoriasis affecting the limbs, trunk or scalp if other topical treatments are not effective.
Coal tar can stain clothes and bedding and has a strong smell. It can be used in combination with phototherapy.
Dithranol has been used for more than 50 years to treat psoriasis. It has been shown to be effective in suppressing the production of skin cells and has few side effects. However, it can burn if it’s too concentrated.
It’s typically used as a short-term treatment, under hospital supervision, for psoriasis affecting the limbs or trunk, as it stains everything it comes into contact with, including skin, clothes and bathroom fittings.
It’s applied to your skin (by someone wearing gloves) and left for 10 to 60 minutes before being washed off.
Dithranol can be used in combination with phototherapy.
Phototherapy uses natural and artificial light to treat psoriasis. Artificial light therapy can be given in hospitals and some specialist centres, usually under the care of a dermatologist. These treatments are not the same as using a sunbed.
Ultraviolet B (UVB) phototherapy
UVB phototherapy uses a wavelength of light invisible to human eyes. The light slows down the production of skin cells and is an effective treatment for some types of psoriasis that have not responded to topical treatments.
Each session only takes a few minutes, but you may need to go to hospital 2 or 3 times a week for 6 to 8 weeks.
Psoralen plus ultraviolet A (PUVA)
For this treatment, you’ll first be given a tablet containing compounds called psoralens, or psoralen may be applied directly to the skin. This makes your skin more sensitive to light.
Your skin is then exposed to a wavelength of light called ultraviolet A (UVA). This light penetrates your skin more deeply than ultraviolet B light.
This treatment may be used if you have severe psoriasis that has not responded to other treatment.
Side effects include nausea, headaches, burning and itchiness. You may need to wear special glasses for 24 hours after taking the tablet to prevent the development of cataracts.
Long-term use of this treatment is not encouraged, as it can increase your risk of developing skin cancer.
Combination light therapy
Combining phototherapy with other treatments often increases its effectiveness.
Some doctors use UVB phototherapy in combination with coal tar, as the coal tar makes the skin more receptive to light. Combining UVB phototherapy with dithranol cream may also be effective – this is known as Ingram treatment.
Tablets, capsules and injections
If your psoriasis is severe or other treatments have not worked, you may be prescribed systemic treatments by a specialist. Systemic treatments work throughout the entire body.
These medications can be very effective in treating psoriasis, but they all have potentially serious side effects. All the systemic treatments for psoriasis have benefits and risks. Before starting treatment, talk to your doctor about your treatment options and any risks associated with them.
If you’re planning for a baby, become pregnant or are thinking of breastfeeding, you should also speak to your doctor first before taking any new medicine to check it’s suitable for use during pregnancy or breastfeeding.
There are 2 main types of systemic treatment, called non-biological (usually given as tablets or capsules) and biological (usually given as injections).
Methotrexate can help control psoriasis by slowing down the production of skin cells and suppressing inflammation. It’s usually taken once a week.
Methotrexate can cause nausea and may affect the production of blood cells. Long-term use can cause liver damage. People who have liver disease should not take methotrexate, and you should not drink alcohol when taking it.
Methotrexate can be very harmful to a developing baby, so it’s important that women use contraception and do not become pregnant while they take this drug and for at least 3 months after they stop.
The safety for men fathering a pregnancy while taking methotrexate is less clear. As a precaution, men are advised to delay trying for a baby until at least 3 months since their last dose of methotrexate.
Ciclosporin is a medicine that suppresses your immune system (immunosuppressant). It was originally used to prevent transplant rejection but has proved effective in treating all types of psoriasis. It’s usually taken daily.
Ciclosporin increases your chances of kidney disease and high blood pressure, which will need to be monitored.
Acitretin is an oral retinoid that reduces skin cell production. It’s used to treat severe psoriasis that has not responded to other non-biological systemic treatments. It’s usually taken daily.
Acitretin has a wide range of side effects, including dryness and cracking of the lips, dryness of the nasal passages and, in rarer cases, hepatitis.
Acitretin can be very harmful to a developing baby, so it’s important that women use contraception and do not become pregnant while taking this drug, and for at least 3 years after they stop taking it. However, it’s safe for a man taking acitretin to father a baby.
Apremilast and dimethyl fumarate are newer medicines that help to reduce inflammation. They are taken as daily tablets. These medicines are only recommended for use if you have severe psoriasis that has not responded to other treatments, such as biological treatments.
Biological treatments reduce inflammation by targeting overactive cells in the immune system. They are usually used if you have severe psoriasis that has not responded to other treatments, or if you cannot use other treatments.
Etanercept is injected twice a week, and you’ll be shown how to do this. If there’s no improvement in your psoriasis after 12 weeks, the treatment will be stopped.
The main side effect of etanercept is a rash where the injection is given. However, as etanercept affects the whole immune system, there’s a risk of serious side effects, including severe infection.
If you have had tuberculosis in the past, there’s a risk it may return.
You’ll be monitored for side effects during your treatment.
Adalimumab is injected once every 2 weeks, and you’ll be shown how to do this. If there’s no improvement in your psoriasis after 16 weeks, the treatment will be stopped.
The main side effects of adalimumab include headaches, a rash at the injection site and nausea. However, as adalimumab affects the whole immune system, there’s a risk of serious side effects, including severe infections.
You’ll be monitored for side effects during your treatment.
Infliximab is given as a drip (infusion) into your vein at the hospital. You’ll have 3 infusions in the first 6 weeks, then 1 infusion every 8 weeks. If there’s no improvement in your psoriasis after 10 weeks, the treatment will be stopped.
The main side effect of infliximab is a headache. However, as infliximab affects the whole immune system, there’s a risk of serious side effects, including severe infections.
You’ll be monitored for side effects during your treatment.
Ustekinumab is injected at the beginning of treatment, then again 4 weeks later. After this, injections are every 12 weeks. If there’s no improvement in your psoriasis after 16 weeks, the treatment will be stopped.
The main side effects of ustekinumab are a throat infection and a rash at the injection site. However, as ustekinumab affects the whole immune system, there’s a risk of serious side effects, including severe infections.
You’ll be monitored for side effects during your treatment.
There is an increasing number of newer biological treatments that are given as injections. These include guselkumab and brodalumab.
They’re recommended for people who have severe psoriasis that has not improved with other treatments or when other treatments are not suitable.
- NICE guidance on etanercept and efalizumab for the treatment of adults with psoriasis – efalizumab has been withdrawn from use because of safety concerns, and NICE has suspended its guidance on this drug
- NICE guidance on adalimumab for the treatment of adults with psoriasis
- NICE guidance on infliximab for the treatment of adults with psoriasis
- NICE guidance on ustekinumab for the treatment of adults with moderate to severe psoriasis
- NICE guidance on secukinumab for treating moderate to severe plaque psoriasis
- NICE guidance on ixekizumab for treating moderate to severe plaque psoriasis
- NICE guidance on brodalumab for treating moderate to severe plaque psoriasis
- NICE guidance on guselkumab for treating moderate to severe plaque psoriasis
- NICE guidance on certolizumab pegol for treating moderate to severe plaque psoriasis
- NICE guidance on tildrakizumab for treating moderate to severe plaque psoriasis
Page last reviewed: 9 May 2018
Next review due: 9 May 2021