If diagnosis uncertain. If too widespread to make treatment at home by patient practical. Dovonex Ointment or Cream should be used twice a day. However, care in the flexures as it can irritate and therefore use daily at first and care on the face and particularly prevent it getting in the eyes where it might irritate. Alternative to Dovonex is Curatoderm but this is only available in an ointment for daily use.
Efficacy is limited by irritation.
Use plenty of moisturisers prior to application of Tazarotene Gel and, if irritation occurs, possibly alternate with a weak topical corticosteroid. Do not use Dovonex, or Dithrocream, or Tazarotene if the psoriasis is eczematous as it will only irritate. If the plaques are thick, it may be necessary to thin them down prior to other treatment. Suggest Cocois, or even more effective is Ung Cocois Co, St John's Formula, available from Boots. An alternative to Cocois or Ung Cocois Co is Arachis Oil.