Genital psoriasis

[sergecosta]

Clobetasol is way too strong to be using it in the genital area. OTC hydrocortisone cream should work. If not, ask your doctor for something mild like Desonide cream or Westcort cream. If you continue to use clobetasol, don't be surprised if you find vascular changes in that area that might not resolve easily. I think most of us have been tempted to use something strong in delicate areas. But, frankly, one only wastes the medication and potentially creates other dermal problems.

[Cervidae]

I completely agree, the use of strong steriods is a no no in theses areas

[Torvaldr]

I would like to recommend you also try a Dead Sea salt bath. I have some spotting on my penis from P and between normal moisturizing cream, petroleum jelly, and soaks in Dead Sea salt baths it has kept mine in check.

[Just Ducky]

I have this list..not sure if I found it on the net..or here in the forums. I use the westcort ointment (Westcort Ointment, 0.2% Hydrocortisone valerate) which they list as mid strength but my derm called it mild.

Steroid potency chart

The following potency chart categorizes brand-name topical steroid medications along with the name of the corresponding generic drug. The list is an illustration of how these medications are positioned according to their potency. The list may not be comprehensive.

BRAND NAME GENERIC NAME

CLASS 1 - Superpotent

Cormax Cream/Solution, 0.05% Clobetasol propionate
Diprolene Gel/Ointment, 0.05% Betamethasone dipropinate
Olux Foam, 0.05% Clobetasol propionate
Psorcon Ointment, 0.05% Diflorasone diacetate
Temovate Cream/Ointment/
Solution, 0.05% Clobetasol propionate
Ultravate Cream/Ointment, 0.05% Halobetasol propionate

CLASS 2 - Potent

Cyclocort Ointment, 0.1% Amcinonide
Diprolene Cream AF, 0.05% Betamethasone dipropionate
Diprosone Ointment, 0.05% Betamethasone dipropionate
Elocon Ointment, 0.1% Mometasone furoate
Florone Ointment, 0.05% Diflorasone diacetate
Halog Ointment/Cream, 0.1% Halcinonide
Lidex Cream/Gel/Ointment, 0.05% Fluocinonide
Maxiflor Ointment, 0.05% Diflorasone diacetate
Maxivate Ointment, 0.05% Betamethasone dipropionate
Psorcon Cream 0.05% Diflorasone diacetate
Topicort Cream/Ointment, 0.25% Desoximetasone
Topicort Gel, 0.05% Desoximetasone

CLASS 3 - Upper Mid-Strength

Aristocort A Ointment, 0.1% Triamcinolone acetonide
Cutivate Ointment, 0.005% Fluticasone propionate
Cyclocort Cream/Lotion, 0.1% Amcinonide
Diprosone Cream, 0.05% Betamethasone dipropinate
Florone Cream, 0.05% Diflorasone diacetate
Lidex-E Cream, 0.05% Fluocinonide
Luxiq Foam, 0.12% Betamethasone valerate
Maxiflor Cream, 0.05% Diflorasone diacetate
Maxivate Cream/Lotion, 0.05% Betamethasone dipropionate
Topicort Cream, 0.05% Desoximetasone
Valisone Ointment, 0.1% Betamethasone valerate

CLASS 4 - Mid-Strength

Aristocort Cream, 0.1% Triamcinolone acetonide
Cordran Ointment, 0.05% Flurandrenolide
Derma-Smoothe/FS Oil,
0.01% Fluocinolone acetonide
Elocon Cream, 0.1% Mometasone furoate
Kenalog Cream/Ointment/
Spray, 0.1% Triamcinolone acetonide
Synalar Ointment, 0.025% Fluocinolone acetonide
Uticort Gel, 0.025% Betamethasone benzoate
Westcort Ointment, 0.2% Hydrocortisone valerate

CLASS 5 - Lower Mid-Strength

Cordran Cream/Lotion/
Tape, 0.05% Flurandrenolide
Cutivate Cream, 0.05% Fluticasone propionate
DermAtop Cream, 0.1% Prednicarbate
DesOwen Ointment, 0.05% Desonide
Diprosone Lotion, 0.05% Betamethasone dipropionate
Kenalog Lotion, 0.1% Triamcinolone acetonide
Locoid Cream, 0.1% Hydrocortisone
Pandel Cream 0.1% Hydrocortisone
Synalar Cream, 0.025% Fluocinolone acetonide
Uticort Cream/Lotion, 0.025% Betamethasone benzoate
Valisone Cream/Ointment, 0.1% Betamethasone valerate
Westcort Cream, 0.2% Hydrocortisone valerate

CLASS 6 - Mild

Aclovate Cream/Ointment, 0.05% Alclometasone dipropionate
DesOwen Cream, 0.05% Desonide
Synalar Cream/Solution, 0.01% Fluocinolone acetonide
Tridesilon Cream, 0.05% Desonide
Valisone Lotion, 0.1% Betamethasone valerate

CLASS 7 - Least Potent

Topicals with hydrocortisone, dexamethasone,
methylprednisolone and prednisolone

[easydoesit]

In the past I have used a soap called Psoriasil that seemed to help calm things down in the genital area. It's OTC and non-steroidal.

This is it http://www.vitacost.com/HomeHealthPs...edicalBodyWash

As with all psoriasis treatments it probably won't help for everyone but it was one of the few body washes I tried that ever helped, especially with inverse genital P.

[david.m]

Hello everyone,
After reading your advice regarding Elidel and Protopic as a potential cure for Penile Psoriasis, i have cunsolted my doctor and asked him for his opinion and wanted to know if there are any posible side effects.
He said that both, Elidel and Protopic, are used to locally suppress an inflammatory behaviour of the skin without the known side-effects of the corticosteroids creams. the medical indication in Israel (and i don't know if that's the case in the U.S too) is for treating atopic dermatitis though they are known to be effective in cases of gentile and facial psoriasis. However, he said that recently these creams are in headlines for being suspected to increase probability of having Lymphoma due to some absorption to the blood circulation.
Despite that he noted that the u.s dermatology foundation (or something like that) and the manufacturers have not found any cintific proof to belive that's the case.
At the bottom line, he have asked me to think it through and decide wheather i want it or not...
I hope this information helps
(and I apologize for some possible spelling mistakes)
David

[RichJ]

hi david,
thank you for sharing that and i would like to welcome you to the p family. you have meet some of the wonderful people on here and will find alot of great info. welcome and nice to meet you.

have a good day all

richard

[njpsor]

I have P on the head of my penis and around my anus. Daivonex (or dovonex depending on where you live) works wonders for me. Once every two weeks is usually enough. Unfortunately this ointment is being discontinued and I am looking for a replacement.

[RichJ]

hi njpsor,
welcome to the p family. you have meet some of the wonderful people on here and will find alot of great info. welcome and nice to meet you.

try and have a good day all

richard

[tnboy]

Hi njpsor,
I have the same problem areas. Fortunately it has been very mild on my penis. Just 1 or 2 spots which I have controlled with dovenex Also. The other is much worse and bleeds. My doc prescribed me Protopic .03% the last time I saw her. It seems to work but hasn't gone away yet. Usually will get a little better then return. I guess still too soon to give it an A. I haven't actually told her about this problem area. embarrassed I guess. The cream is for inside and around my ears and elbow.

[AlexDreamz]

Originally Posted by Ihurt

I get guttate P in the groin area and the gluteal area. I mostly get it in times of extreme stress. Otherwise, I get it in the routine places, hands, feet. Right now I have a nice patch of plaque on my knuckle of the right hand-which I normally DON'T GET lol. Im not a plaque kinda P girl lol.

Anyway what Im tryng to get at is, when my derm gives me westcourt, no matter what P I have it clears, especially guttate.

Leaving the underwear off may help as well. Sun is the best thing if you can lay out in the nude but that's not always possible. I agree it dies need to dry though. Guttate is always so moist and needs drying.

Ihurt, that's the exact same place I get plaque!

Anyhow, I don't usually post on the skin boards, but since my P has been doing some interesting things of late, this thread interested me. The one OTC that nobody has mentioned is Bag Balm, which may or may not be effective.

Also, after the whole conversation re: Desitin, I'd like to share something I got from my pediatrician, which is - you can mix OTC creams/lotions. If you find 2 that work somewhat, but in different ways, it might be worth it to try combining them (we did this for diaper rashes, which I know is not the same thing - but if it's safe for a baby's genital area, it ought to be safe for an adult's!)

A big thank you to everyone for being willing to share information that isn't always comfortable to talk about... I'm sure there are a bunch of "lurkers" who are learning a great deal from all of you!!

[ethan03]

i was diagnosed with inverse psoriasis today. do you ever get like an itch/burn inside the tube you urinate from?

[spottedcat83]

Originally Posted by ethan03

i was diagnosed with inverse psoriasis today. do you ever get like an itch/burn inside the tube you urinate from?

Hi, Ethan. As I was reading through the old posts on this thread, I found this entry by Kergrun. So you can see you're not the only one with your problem.

Originally Posted by Kegrun

Streeterguy...*sigh*...sorry to hear about that man. It's definitely not a fun situation. I myself have it, had it, and get it. Sometimes it's there, sometimes it ain't. But when it is, oh my lord it's not fun. I try my best to not get aroused when I do have it cause when I do it begins to crack in about 3 or 4 spots on the 'helmet'. Not very comfortable I'll tell you that. Also my P will start to creep into..well...the actual hole. When I try to peel the P off to relieve some pain, it feels like my guts are being ripped out when I get the part that's actually going into myself.

I don't use any drugs besides Floucinocide for it, which helps a lot. I'm just happy that this isn't a constant thing I have to worry about. It just randomly comes and goes. More often than not, it's pretty clear where it doesn't hurt to bad.

Once again man...very sorry to hear about this.

[gragon]

I am new to p and I am in the stages where I am trying to find what works best for me. This may sound a little out of the ordinary but, I take a couple of benedrials and it seems to help me with the itching that comes with p among other things. I too have gone to using detergents that are free and clear. I also, try to use products that dont have any perfumes or anything else in them. My derm told me to start tanning. I jokingly told my derm do you really think I need a little sun seeing that I am african-american. Now as far as the flaking I use an over the counter gel called Dermarest. It seems to help alot and it is 3% salicylic acid gel . But, my derm gave me a 6% salicylic acid lotion with a pre-wash that comes in a container. They are boxed together and she has to prescribe them to you. As I said before I am new here and I hope to pick up good informatiom from this group.

Thanks for having me

Gragon

[flowerguy]

I'm newly diagnosed with penile psoriasis. My doctor has prescribed Desonide .05% (aka: Desonate, Desown, Tridesilon)

I'd like to know if anyone has had trouble with side effects, like irritation of the skin or thinning of the skin from using Desonide.

Also, I'm Bi-Polar and I'd like to know if anyone has had trouble with systemic side effects like changes in mood, sleep, or any other systemic problems whle using Desonide.

Thanks and good luck to all.

[flowerguy]

Originally Posted by Just Ducky

I have this list..not sure if I found it on the net..or here in the forums. I use the westcort ointment (Westcort Ointment, 0.2% Hydrocortisone valerate) which they list as mid strength but my derm called it mild.

Steroid potency chart

The following potency chart categorizes brand-name topical steroid medications along with the name of the corresponding generic drug. The list is an illustration of how these medications are positioned according to their potency. The list may not be comprehensive.

BRAND NAME GENERIC NAME

CLASS 1 - Superpotent

Cormax Cream/Solution, 0.05% Clobetasol propionate
Diprolene Gel/Ointment, 0.05% Betamethasone dipropinate
Olux Foam, 0.05% Clobetasol propionate
Psorcon Ointment, 0.05% Diflorasone diacetate
Temovate Cream/Ointment/
Solution, 0.05% Clobetasol propionate
Ultravate Cream/Ointment, 0.05% Halobetasol propionate

CLASS 2 - Potent

Cyclocort Ointment, 0.1% Amcinonide
Diprolene Cream AF, 0.05% Betamethasone dipropionate
Diprosone Ointment, 0.05% Betamethasone dipropionate
Elocon Ointment, 0.1% Mometasone furoate
Florone Ointment, 0.05% Diflorasone diacetate
Halog Ointment/Cream, 0.1% Halcinonide
Lidex Cream/Gel/Ointment, 0.05% Fluocinonide
Maxiflor Ointment, 0.05% Diflorasone diacetate
Maxivate Ointment, 0.05% Betamethasone dipropionate
Psorcon Cream 0.05% Diflorasone diacetate
Topicort Cream/Ointment, 0.25% Desoximetasone
Topicort Gel, 0.05% Desoximetasone

CLASS 3 - Upper Mid-Strength

Aristocort A Ointment, 0.1% Triamcinolone acetonide
Cutivate Ointment, 0.005% Fluticasone propionate
Cyclocort Cream/Lotion, 0.1% Amcinonide
Diprosone Cream, 0.05% Betamethasone dipropinate
Florone Cream, 0.05% Diflorasone diacetate
Lidex-E Cream, 0.05% Fluocinonide
Luxiq Foam, 0.12% Betamethasone valerate
Maxiflor Cream, 0.05% Diflorasone diacetate
Maxivate Cream/Lotion, 0.05% Betamethasone dipropionate
Topicort Cream, 0.05% Desoximetasone
Valisone Ointment, 0.1% Betamethasone valerate

CLASS 4 - Mid-Strength

Aristocort Cream, 0.1% Triamcinolone acetonide
Cordran Ointment, 0.05% Flurandrenolide
Derma-Smoothe/FS Oil,
0.01% Fluocinolone acetonide
Elocon Cream, 0.1% Mometasone furoate
Kenalog Cream/Ointment/
Spray, 0.1% Triamcinolone acetonide
Synalar Ointment, 0.025% Fluocinolone acetonide
Uticort Gel, 0.025% Betamethasone benzoate
Westcort Ointment, 0.2% Hydrocortisone valerate

CLASS 5 - Lower Mid-Strength

Cordran Cream/Lotion/
Tape, 0.05% Flurandrenolide
Cutivate Cream, 0.05% Fluticasone propionate
DermAtop Cream, 0.1% Prednicarbate
DesOwen Ointment, 0.05% Desonide
Diprosone Lotion, 0.05% Betamethasone dipropionate
Kenalog Lotion, 0.1% Triamcinolone acetonide
Locoid Cream, 0.1% Hydrocortisone
Pandel Cream 0.1% Hydrocortisone
Synalar Cream, 0.025% Fluocinolone acetonide
Uticort Cream/Lotion, 0.025% Betamethasone benzoate
Valisone Cream/Ointment, 0.1% Betamethasone valerate
Westcort Cream, 0.2% Hydrocortisone valerate

CLASS 6 - Mild

Aclovate Cream/Ointment, 0.05% Alclometasone dipropionate
DesOwen Cream, 0.05% Desonide
Synalar Cream/Solution, 0.01% Fluocinolone acetonide
Tridesilon Cream, 0.05% Desonide
Valisone Lotion, 0.1% Betamethasone valerate

CLASS 7 - Least Potent

Topicals with hydrocortisone, dexamethasone,
methylprednisolone and prednisolone

Thanks so much for this post! This is exactly what I was looking for.

I thought I was being given the mildest treatment out there - Desonide .05% - but according to this list, hydrocortisone would be even milder. I want to start with the mildest.

Guess my doc has some explaining to do.

[RichJ]

Originally Posted by gragon

I am new to p and I am in the stages where I am trying to find what works best for me. This may sound a little out of the ordinary but, I take a couple of benedrials and it seems to help me with the itching that comes with p among other things. I too have gone to using detergents that are free and clear. I also, try to use products that dont have any perfumes or anything else in them. My derm told me to start tanning. I jokingly told my derm do you really think I need a little sun seeing that I am african-american. Now as far as the flaking I use an over the counter gel called Dermarest. It seems to help alot and it is 3% salicylic acid gel . But, my derm gave me a 6% salicylic acid lotion with a pre-wash that comes in a container. They are boxed together and she has to prescribe them to you. As I said before I am new here and I hope to pick up good informatiom from this group.

Thanks for having me

Gragon

hi gragon,
welcome to the p family. you have meet some of the wonderful people on here and will find alot of great info. welcome and nice to meet you.

try and have a good weekend all

richard