My Journey to halt/end my psoriasis

[Sheila]

First off I would say though your dermatologist is young she is a dermatologist and has gone through the training, this is better than seeing just a family doctor. You could also look at it another way, a young dermatologist may be more up to date on treatments than an older one that is maybe stuck in their approach.

Next I would imagine most dermatologists would want to put you on creams that you have not yet tried as they have to try all avenues and follow protocol before offering light treatment or an oral medication, yes you have been through it with your GP but your dermatologist has to build up their own picture of what works for you.

I understand your frustration of being offered another topical, but now you have started jumping through the hoops with a dermatologist the sooner you will get to try other things. If you back out now you will only make things worse for yourself and probably end up begging to see another dermatologist in a few years, who will by the way want to start you right at the very beginning again.

So my personal opinion is that as much as it pains you I would try a different approach and try to get on with your dermatologist, who knows you may build up a good relationship and in a few months time think she is the best thing that ever happened. Work with them and get them on your side and you will find you get treated better, have a negative approach and they will probably just keep fobbing you off.

Duobrii like you said contains (Halobetasol proprionate 0.01% w/w) and tazoratene (0.045% w/w lotion) .............. Halobetasol is a highly potent steroid. Tazarotene is a compound similar to vitamin A. The total dosage should not exceed approximately 50 g per week and should never use on the face or genital area.

I would say give it a try, but at the end of the day it has to be your decision as it's your body.

Good luck. 

Fred,

I do respect your opinion. However, fixing the skin, doesn't fix what's going on inside my body. How does a topical fix that? How does it lower the white blood cell count so that my immune system isn't attacking my skin and internal organs.? Am I missing something here? I have no faith in topicals. I just got finished with dovobet, a steroid, which is only a short term use topical. Wouldn't this steroid be the same thing?? If it's a short term measure, then why start it at all?
Sincerely,
Wintrman