DITHROCREAM FOR PSORIASIS

Apply the Dithrocream sparingly to the psoriatic lesions and rub gently into the skin until it is absorbed. After 30 minutes, remove any excess cream on the skin by bathing, showering or washing. Clean the bath or shower with a proprietary cleanser immediately after use, since if Dithrocream remains on it permanent staining may ensue. Carry out the treatment once daily. If the cream is difficult to remove, liquid paraffin can be used.

The lesions will gradually stain brown as treatment progresses. This is a normal response to the treatment, which tends to occur as the psoriasis is clearing. If excess cream is applied there is a risk of clothing being stained.

Tolerance of Dithrocream varies, intolerance being manifest as inflammation and soreness in the treated areas. Any psoriasis in the creases should not be treated with Dithrocream without a doctor's advice, as intolerance is likely. The face should not be treated with Dithrocream as staining may prove unsightly, and if it gets into the eyes it will sting.

Provided that 0.1% Dithrocream is tolerated, the 0.25% cream should be substituted after 7 days of treatment. Provided this is tolerated the 0.5% cream should be substituted after a further 7 days, likewise the 1% cream after a further 3 days, and then the 2% cream after a further 7 days. If treated lesions become obviously inflamed, halt the treatment until this settles and then resume with a lower concentration cream. Keep the cream away from the eyes, and wash the hands after use.

Once the psoriatic lesions can no longer be felt, stop the treatment. The staining will disappear over the next couple of weeks. Treat any new psoriatic plaques with Dithrocream, starting at the weaker strength and moving up as before.

If all five strengths of Dithrocream are on the same prescription, only one charge is made.