N AT ION A L P S ORI A SIS FOUND AT ION

TOPICAL
TREATMENTS for psoriasis
Topical steroids Over-the-counter products
Vitamin D derivatives Combination agents
Vitamin A derivatives + more

Photo illustration
Introduction to psoriasis
WHAT IS PSORIASIS?
Psoriasis is a noncontagious, genetic disease of
the immune system that affects the skin
and/or joints. Psoriasis in the United
States affects approximately 7.5 million
Americans. The most common form, plaque
psoriasis, results in raised, red lesions covered
by silvery white scales. Psoriasis can be limited
to a few lesions or can involve much larger
areas of skin.

Psoriasis is considered moderate when it affects

3 to 10 percent of the body. Less than
three percent is considered mild.
Psoriasis is considered severe
when it covers more than 10
percent. For most people, the
surface area of one hand,
including palm, fingers and
thumb, equals about 1 percent
of the skin surface. However,
the severity of psoriasis can be
measured by how the disease affects a persons
quality of life. Psoriasis can have a serious
impact even if it involves a small area, such as the
palms of the hands or soles of the feet.

Up to 30 percent of individuals with

psoriasis also develop psoriatic arthritis,
which causes pain, stiffness and swelling in and
around the joints.

To learn more about the different types of

psoriasis or psoriatic arthritis, visit the
National Psoriasis Foundation website
at www.psoriasis.org.

Cover: Photo illustration.

Hand and cream photograph shutterstock/Yurchyks
TOPICAL
TREATMENTS

TOPICAL TREATMENTSmedications
applied to the skinare usually
the first line of defense in treating
psoriasis. Researchers believe
psoriasis occurs when faulty signals
in the immune system cause skin cells
to grow too rapidly and build up on the
skin. Topicals slow down or normalize
that excessive cell reproduction and
reduce inflammation associated with
psoriasis.

There are many effective topical

treatments for psoriasis. While
many can be purchased over the
counter (OTC), others are available by
prescription only.

Corticosteroids, or just steroids, are

the most frequently used treatment
for psoriasis. They are referred to as
anti-inflammatory agents, because
they reduce the swelling and redness
of lesions. See page 8 for more
information about steroids.

PRESCRIPTION TOPICALS
Tips for all topical medications

Always follow your health care providers

directions for application and consult your
provider if you experience any unusual
discomfort.

topical treatments 1
 Apply topical treatments only to psoriasis
lesions if possible to avoid irritating
unaffected skin. A thin layer is generally
sufficient. Wash your hands thoroughly
after applying, unless your hands are
being treated.

Do not apply topical treatments around

the eyes, genitals or other sensitive
areas unless directed by your health care
provider.

When prescribed multiple topicals, apply

the topicals at different times of the day or
ask your provider in which order to apply
them.

Do not overuse topical medications, as

they can be absorbed into the body.

Pregnant or breastfeeding women should

discuss the use of topical medications
with their health care provider. Generally,
topicals are not recommended unless the
benefits outweigh the risks.

Do not occludeor cover upan

application of a topical medication without
first talking to your provider.

Keep in mind that the amount of time a

medication takes to work varies among
individuals. Consistent use is important
for achieving treatment success.

Anthralin
What is it and how does it work?
Anthralin is used to treat plaque psoriasis. It

2 National Psoriasis Foundation

works by reducing the rapid growth of skin
cells associated with plaque psoriasis.

How is anthralin used?

Anthralin comes in a cream and a scalp
formulation that can be applied directly to the
skin and scalp. While Anthralin used to be a
common topical treatment for psoriasis, the
availability of newer, easy-to-use topicals has
caused a decline in its usage.

Anthralin can be messy to use. It will cause

brown stains if it comes into contact with
unaffected skin. A stain in the center of a
plaque may indicate that the psoriasis is
clearing. Several weeks of use may be required
to see results.

What are the side effects?

There are no known long-term side effects to
using anthralin. It may cause skin irritation
and can stain light-colored hair as well as
unaffected skin, clothing and bedding. Stains
on skin and hair will eventually fade and
disappear.

Can it be used with other treatments?

Anthralin may be combined with ultraviolet
light B (UVB), PUVA (the light-sensitizing drug
psoralen plus ultraviolet light A), Tazorac or
topical steroids to improve the response. Ask
your health care provider before initiating any
such regimen.

Vitamin D Derivatives

Dovonex
What is it and how does it work?
Dovonex (generic name calcipotriene) is a form
of synthetic vitamin D3. It is not the same as the
vitamin D found in dietary supplements taken

topical treatments 3
by mouth, which should not be used to treat
psoriasis. Dovonex is formulated to slow skin
cell growth, flatten lesions and remove scale. It
can also be used to treat psoriasis of the scalp
and nails.

How is it used?
Dovonex comes in a 0.005% cream or scalp
solution. Health care providers usually
recommend applying it twice per day. Dovonex
is typically prescribed for an initial treatment
period of six to eight weeks. It is approved by
the U.S. Food and Drug Administration (FDA)
for long-term use.

What are the side effects?

Dovonex has no known serious side effects
when used according to guidelines. Changes
in levels of calcium may occur with the use of
topical Dovonex. If elevation of calcium levels is
beyond a normal range, the treatment should
be discontinued until the calcium levels are
back to normal.

The most common minor side effect is skin

irritation, such as stinging or burning. Less
common side effects include dry skin, peeling,
rash, dermatitis and worsening of psoriasis.

Can it be used with other treatments?

Dovonex can be used with many other
treatments. Combining it with topical steroids
can be more effective and less irritating than
Dovonex alone; however, the specifics of the
combination matter since some steroids, for
example, may cause faster breakdown of
Dovonex. If Dovonex is prescribed with other
topicals, apply the medications at different
times of day and never mix them unless they
are known to be compatible.

4 National Psoriasis Foundation

Dovonex increases the effectiveness of both UVB
and PUVA treatments. However, apply Dovonex
after UV treatments, because UV rays can
inactivate the medication.

In cases of moderate to severe psoriasis,

Dovonex may be combined with systemic
treatments, such as cyclosporine or Soriatane
(generic name acitretin). There are no known
problems using Dovonex with methotrexate or
biologics, but studies are limited.

Taclonex
What is it and how does it work?
Taclonex is a combination of calcipotriene, a
form of synthetic vitamin D3, and betamethasone
dipropionate, a steroid. It slows skin cell growth,
flattens lesions, removes scale and reduces itch
and inflammation.

How is it used?
It comes in an ointment and is applied once a day
for no more than four weeks. Thereafter, follow
your providers directions. Taclonex should be
used on no more than 30 percent of the bodys
surface at any time.

What are the side effects?

The most common side effects are itching,
rash, skin thinning and skin burning. Less
common side effects include redness of the skin,
folliculitis, skin irritation, worsening of psoriasis,
change of skin color and swollen fine blood
vessels at the application site.

Vectical
What is it and how does it work?
Vectical (generic name calcitriol) is a naturally
occurring active form of vitamin D3. In studies,
it has been shown to help control excessive skin
cell production.

topical treatments 5
How is it used?
Vectical comes in an ointment that is applied
twice daily to affected skin, morning and
evening. The maximum weekly dose should not
exceed 200 mg. Vectical can be applied to most
places on the body except for face, lips and eyes.

What are the side effects?

Changes in calcium metabolism may
occur. However, this side effect is extremely
uncommon. Treatment should be stopped until
the levels of calcium return to normal. Vectical
may increase the ability of ultraviolet light to
bring about the development of skin tumors. It
is not recommended for use during pregnancy
or while breast-feeding.

Can it be used with other treatments?

Studies have shown that using a sequential
schedule of Clobex spray (generic name
clobetasol propionate) followed by Vectical
is effective in managing plaque psoriasis.
Vectical has also been clinically assessed
and shown to be effective with phototherapy
treatments and betamethasone.

Vitamin A Derivatives

Tazorac
What is it and how does it work?
Tazorac (generic name tazarotene) is a
vitaminA derivative and is also known as a
topical retinoid. It is thought to slow skin cell
growth.

How is it used?
Tazorac comes in a gel and a cream that are
available in either 0.05% or 0.1% strength. The
gel is odorless and non-staining. The cream
is in a moisturizing base which may make it
more tolerable for people with sensitive or drier

6 National Psoriasis Foundation

skin or for people who live in harsher climates.
Tazorac can be applied to most parts of the
body, including the face, hairline, scalp and
nails.

What are the side effects?

The most common side effects are skin
irritation and dry skin. Tazorac may make
your skin more susceptible to sunburn. Use
sunscreen and wear protective clothing if skin
treated with Tazorac will be exposed to the sun.
It is normal for psoriasis plaques to become
very red before clearing when using Tazorac.
The redness is often intense in color, but it
is generally not painful. If you experience
discomfort, burning, itching or stinging, check
with your health care provider.

Tazorac is not recommended for use by

pregnant women, women who may become
pregnant or women who are breastfeeding.
Women in their childbearing years should
use reliable birth control during treatment.
Tazorac has no effect on sperm, so it is safe for
a woman to become pregnant while her partner
is using the medication.

Can it be used with other treatments?

Tazorac may be combined with a mid- to
high-potency topical steroid to more quickly
clear plaques as well as reduce irritation,
redness and itching. Combining Tazorac with
phototherapy treatment has proven to be more
effective for clearing psoriasis than either
treatment alone.

OTHER PRESCRIPTION TOPICALS

Treatments for other skin conditions can be
helpful to those with psoriasis, even though

topical treatments 7
they were not developed specifically to treat
psoriasis. Protopic (tacrolimus) and Elidel
(pimecrolimus) are two such topical treatments.
These two nonsteroidal, anti-inflammatory
medications have been approved for treating
eczema, but have also been found to be helpful
in treating psoriasis in sensitive areas, such
as the face, genitals and skin folds. Due to the
potential risk of skin cancer and lymphoma,
use of these treatments should be thoroughly
discussed with your health care provider.

TOPICAL STEROIDS
What are they and how do they work?
Corticosteroids (or just steroids) are the most
frequently used treatment for psoriasis. These
steroids, used on the skin, are derivatives
of the natural corticosteroid hormones that
are produced by the adrenal glands. These
have many important functions in the body,
including control of inflammatory responses.
The way that steroids work is not completely
understood; however, they are referred to as
anti-inflammatory agents because they reduce
the swelling and redness of lesions.

How are they used?

Steroids come in various strengths, ranging
from very strong or superpotent (Class 1) to
very weak or least potent (Class 7). The chart
on page 12 provides the potencies of a variety
of steroid medications. Generally, the stronger
the steroid, the more effective it is in clearing
psoriasis, but the risk of side effects is also
greater.

Topical steroids are not considered adequate

when used as the only treatment for moderate
to severe psoriasis, and are usually combined

8 National Psoriasis Foundation

with other treatments. Steroids come in a
variety of bases, such as creams, shampoos,
ointments, gels, sprays, solutions, lotions, foam
and tape. The base can influence how much
medication is absorbed into the skin. Steroids
are generally applied once or twice a day.
Always use steroids exactly as your health care
provider prescribes them.

Low-strength steroids are ordinarily used to

treat thin, sensitive skin, such as the face, groin
and breasts. These areas are more prone to
side effects, so apply with caution. This kind of
application should only be carried out under
the direction of a doctor. Steroids should not be
used on the face or other steroid-sensitive sites
for long periods of time. Stronger steroids are
suitable for thicker skin, such as the knees and
elbows. Use superpotent steroids with caution.

Always check with your provider before

occluding (covering up) a steroid medication,
as many steroids are too strong to cover.
Occlusion can increase the effectiveness of a
steroid medication, but it can also intensify
the side effects, such as skin atrophy (thinning
of the skin), skin sensitivity and systemic
absorption (see side effects). Your health care
provider can decide if occlusion is appropriate
for you.

Topical steroids can stop working over time,

and abruptly discontinuing the use of a steroid
can cause psoriasis to flare, in some cases very
severely. Do not make any changes to your
steroid regimen without consulting your doctor.

What are the side effects?

Potential side effects of higher-strength
steroids or steroids used in the wrong areas
include skin damage, such as skin thinning,

topical treatments 9
 changes in pigmentation, easy bruising, stretch
marks, redness and dilated surface blood
vessels. Using steroids on the face can cause
redness, acne or visible blood vessels that
appear swollen.

Some of the side effects of steroids may go

away after the medication is stopped; in other
cases, the damage is permanent. Have your
health care provider check your skin for steroid
damage periodically (at least two to three times
per year), as it can be difficult to recognize the
subtle changes that mark steroid damage.

Pulse-dosing is an application schedule that

can minimize the risk of steroid side effects. In
a typical schedule, a person might clear lesions
with daily applications of a potent steroid. Once
the lesions clear, the steroid application is
reduced to two days a week.

Potent steroids should not be used on or around

the eyelids. Cataracts and glaucoma can result
when stronger steroids come in contact with
the skin around the eyes. Steroids should not be
applied to uninvolved skin.

Steroids can be absorbed through the skin

and affect internal organs. This occurs when
a steroid is excessively misused, such as when
applied to widespread areas of skin, used over
long periods of time or used with excessive
occlusion.

Women who are pregnant or nursing should

discuss the use of steroids with their health
care provider. Topical steroids can be absorbed
through the skin and get into breast milk.

In most cases, experts feel that mild- to mid-

strength steroids are safe for children if used

10 National Psoriasis Foundation

on small areas of the body. Potent steroids can
be used sparingly with careful monitoring,
usually for very brief periods of time.

Can it be used with other treatments?

Steroids can be used with other topical
treatments such as anthralin, coal tar, Dovonex,
Tazorac and salicylic acid. Steroids work
particularly well with Tazorac and salicylic
acid because they help calm the irritations
these medications can cause.

Steroids can be used with UVB treatments to

help clear stubborn areas of psoriasis. There
may be a slight advantage to using steroids in
combination with PUVA.

Steroids may also be prescribed in combination

with systemic medications including
methotrexate, cyclosporine, Soriatane and
biologics.

STEROID POTENCY CHART

The following potency chart categorizes brand-
name topical steroid medications along with the
name of the corresponding generic drug. The
medications are listed in order of their potency.
Please note that the percentage of ingredient in
the medication does not necessarily correlate
with the strength of the steroid. The list may not
be comprehensive.

BRAND NAME GENERIC NAME

CLASS 1 - Superpotent
Clobex Lotion/Spray/Shampoo, 0.05% Clobetasol propionate
Cormax Cream/Solution, 0.05% Clobetasol propionate
Augmented
Diprolene Ointment, 0.05%
betamethasone

topical treatments 11
 Steroid Potency Chart: Class 1 - Superpotent continued

Olux E Foam, 0.05% Clobetasol propionate

Olux Foam, 0.05% Clobetasol propionate
Temovate Cream/Ointment/Solution,
Clobetasol propionate
0.05%
Ultravate Cream/Ointment, 0.05% Halobetasol propionate
Vanos Cream, 0.1% Fluocinonide
Cordran Tape, 0.05% Flurandrenolide
CLASS 2 - Potent
Augmented
Diprolene Cream AF, 0.05%
betamethasone
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
Psorcon E Cream, 0.05% Diflorasone diacetate
Topicort Cream/Ointment, 0.25% Desoximetasone
Topicort Gel, 0.05% Desoximetasone
CLASS 3 - Upper Mid-Strength
Cutivate Ointment, 0.005% Fluticasone propionate
Lidex-E Cream, 0.05% Fluocinonide
Betamethasone
Luxiq Foam, 0.12%
valerate
Topicort LP Cream, 0.05% Desoximetasone
CLASS 4 - Mid-Strength
Cordran Ointment, 0.05% Flurandrenolide
Elocon Cream/Lotion, 0.1% Mometasone furoate
Triamcinolone
Kenalog Cream/Spray, 0.1%
acetonide
Synalar Ointment, 0.025% Fluocinolone acetonide
Hydrocortisone
Westcort Ointment, 0.2%
valerate

12 National Psoriasis Foundation

CLASS 5 - Lower Mid-Strength
Capex Shampoo, 0.01% Fluocinolone acetonide
Cordran Cream/Lotion, 0.05% Flurandrenolide
Cutivate Cream/Lotion, 0.05% Fluticasone propionate
Dermatop Cream, 0.1% Prednicarbate
DesOwen Lotion, 0.05% Desonide
Locoid Cream/Lotion/Ointment/ Hydrocortisone
Solution, 0.1% butyrate
Pandel Cream, 0.1% Hydrocortisone
probutate
Synalar Cream, 0.025/ Fluocinolone acetonide
Westcort Cream, 0.2% Hydrocortisone
valerate
CLASS 6 - Mild
Aclovate Cream/Ointment, 0.05% Alclometasone
dipropionate
Derma-Smoothe/FS Oil, 0.01% Fluocinolone acetonide
Desonate Gel, 0.05% Desonide
Synalar Solution, 0.01% Fluocinolone acetonide
Verdeso Foam, 0.05% Desonide
CLASS 7 - Least Potent
Cetacort Lotion, 0.5%/1% Hydrocortisone
Cortaid Cream/Spray/Ointment, 1% Hydrocortisone
Hytone Cream/Lotion, 1%/2.5% Hydrocortisone
Micort-HC Cream, 2%/2.5% Hydrocortisone
Nutracort Lotion, 1%/2.5% Hydrocortisone
Synacort Cream, 1%/2.5% Hydrocortisone

OVER-THE-COUNTER TOPICALS
OTC topicals are available in pharmacies,
drugstores and supermarkets or directly from
the manufacturer without a prescription. They
come in many different forms. Two active

topical treatments 13
 ingredients, salicylic acid and tar, are approved
by the U.S. Food and Drug Administration as
treatments for psoriasis.

Salicylic acid
What is it and how does it work?
Salicylic acid is classified as a keratolytic,
or peeling agent, and works by causing the
outer layer of skin to shed. It is a common and
effective treatment for a wide variety of skin
problems. As a psoriasis treatment, it acts as
a scale lifter, helping to soften and remove
psoriasis scales.

How is it used?
It comes in many OTC forms, including creams,
gels, lotions, ointments, shampoos and soap.
Salicylic acid is available over the counter in
concentrations up to 3%. Concentrations more
than 3% are only available with a prescription.

What are the side effects?

Strong salicylic acid preparations can cause
irritation if left in contact with the skin too long.
The body may absorb salicylic acid if used over
large areas of the skin.

Can it be used with other treatments?

Salicylic acid removes scales from plaques,
allowing other topical medication to better
penetrate the affected skin. It is often combined
with topical steroids, anthralin or tar to
enhance effectiveness.

Tar
What is it and how does it work?
Tar derived from both coal and wood (for
example, juniper or pine) is used for medicinal
purposes. However, coal tar is the type used
most commonly to treat psoriasis. Tar can help
slow the rapid growth of skin cells and restore

14 National Psoriasis Foundation

the skins appearance. In addition, it can help
reduce the inflammation, itching and scaling of
psoriasis.

Tar products vary dramatically from brand to

brand. When reading labels on tar products,
keep in mind that, generally, the higher the
concentration of tar, the more potent the
product. Tar has a strong odor and can be
messy. Higher concentrations can also mean
greater odor and mess.

How is it used?
Tar preparations can be applied directly to
psoriasis plaques, added to bath water or
applied to the scalp. Follow the directions on
the label or instructions from your doctor. Tar
medications are generally left on for at least
two hours, except for tar shampoos, which are
left on for five to 10 minutes.

Tar is sometimes occluded, both to increase

effectiveness and to help prevent staining.

What are the side effects?

Tar can irritate, redden and dry the skin. Test a
tar product on a small area of the skin first. If
reddening occurs, try applying the tar on top of
a moisturizer.

Tar can stain bleached, light blond and gray

hair. Tar gels usually cause less staining and
may be a good alternative for people with light-
colored hair. Tar can also stain clothing and
bed linen.

To reduce staining, allow the medication to air

dry before covering with clothing. For heavy
applications, covering the area with pajamas
or a warm-up suit may help hold the medication
in place and prevent staining of bedding

topical treatments 15
 and furniture. Cotton socks can be helpful in
covering arm or leg lesions. Use a breathable
fabric such as cotton to decrease the risk of
infection.

Tar makes skin more sensitive to natural

sunlight. Be sure to use sunscreen and monitor
your sun exposure to avoid sunburn. Wash
tar off thoroughly if your skin is going to be
exposed to the sun. Be aware that tar remains
active on the skin for at least 24 hours, and you
are at increased risk of burning during this
period.

Studies show some of the chemicals in coal

tar may cause cancer, but only in very high
concentrations, such as in coal tar used in
industrial paving. Anyone using tar regularly
should have a dermatologist recommend a skin
cancer checkup schedule. According to the
FDA, over-the-counter products with coal tar
concentrations between 0.5% and 5% are safe
and effective for psoriasis and no scientific
evidence suggests that the coal tar in OTC
products is carcinogenic.

Can it be used with other treatments?

Tar can be combined with ultraviolet light B
to treat severe psoriasis. This is known as the
Goeckerman regimen. It is used in a hospital or
day treatment program and requires three or
four weeks of treatment. A limited number of
clinics offer this treatment.

Tar can be combined with home phototherapy.

However, given the possible risk of severe
burning, a health care provider must be
consulted in devising a home-care regimen of
tar and UVB.

16 National Psoriasis Foundation

OTHER OTC TOPICALS
There are other products that dont contain
salicylic acid or coal tar but may be beneficial
for treating psoriasis. Substances such as aloe
vera, jojoba, zinc pyrithione, capsaicin and
many more are frequently used to moisturize,
soothe, remove scale or relieve itching.

The effectiveness of some of these products is

not known. Be aware that natural agents can
also cause side effects or allergic reactions. If
irritation occurs, discontinue use.

Moisturizers
Keeping the skin lubricated is an important
part of psoriasis care because it helps reduce
redness and itching and helps the skin heal.
Apply moisturizers on a daily basis to keep the
skin lubricated. Skin experts say the greasiest
products (creams and ointments) work best
for locking water into the skin. Cooking
oils and even shortening can be effective
and economical substitutes for commercial
moisturizers.

Bath solutions
Bath solutions can be beneficial in treating
psoriasis. Adding oil, oilated oatmeal, Epsom
salts or Dead Sea salts to a bath can help
remove psoriasis scale and soothe itching. It
is common to soak for 15 minutes and apply a
moisturizer or oil to the skin immediately after
getting out of the bath to lock in moisture.

Scale lifters
Scale lifters (keratolytics) help loosen and
remove scale. This enables other medications
to reach the psoriasis lesions. Some scale-
lifting products are for the scalp and some are
designed for use on the body. Some products

topical treatments 17
 can be used for both purposes, but the scalp
products are usually stronger and may be too
harsh for regular skin. OTC products that
contain an active ingredient of salicylic acid,
lactic acid, urea or phenol can be used as scale
lifters.

Occlusion
Some topical medications or moisturizers can
be occluded (or covered) to increase their
effectiveness and the amount absorbed into the
skin. With occlusion, the topical is applied to
psoriasis lesions and the area is covered with
plastic wrap, cellophane, waterproof dressing,
cotton socks or a nylon suit. Always check with
your health care provider before occluding a
steroid or other prescription medication.

Thanks to diligent scientific research,

todays treatments are providing a wide
range of safe and effective options
for people with psoriasis and psoriatic
arthritis. And the search continues
to find safer and even more effective
treatments.

The National Psoriasis Foundation

tracks the movement of drugs for
psoriasis and psoriatic arthritis from
preliminary studies through the three
phases of clinical trials as required by
the U.S. Food and Drug Administration.
This information is compiled, along with
that from other sources, and entered
into our drug research pipeline.

To learn more about research

and upcoming treatments visit
www.psoriasis.org/research.

18 National Psoriasis Foundation

Were here for you.

At the National Psoriasis Foundation, our

priority is giving you the information and
services you need to take control of your
psoriasis and/or psoriatic arthritis, while
funding research to find a cure.

RESEARCH
Finding a cure for psoriasis and psoriatic
arthritis is our highest priority. Were working
for you by:

Funding promising new studies through our

Discovery and Translational grants programs
Increasing the number of scientists doing
research through our Medical Fellowship
program
Hosting the worlds largest collection of
psoriasis DNA for genetic research

ADVOCACY
Were ensuring that people with psoriasis and
psoriatic arthritis have a say in the policies that
affect their lives. Join us as we:

Work to increase federal funding for psoriasis

and psoriatic arthritis research
Improve access to health care for patients

topical treatments 19
 HEALTH EDUCATION
National Psoriasis Foundation is your one-stop
shop for news and information about psoriasis
and psoriatic arthritis. Visit www.psoriasis.org
to learn more about:

The latest treatment information and

research updates

Health events in your area

CONNECTION
Sometimes the best resource to manage
psoriasis and psoriatic arthritis is another
person with your condition. Share information
and get support from:

TalkPsoriasis.org, the largest online community

for people affected by psoriasis and psoriatic
arthritis

Psoriasis One to One mentor program

National Walk to Cure Psoriasis events

LEARN MORE
Find more information and resources at
www.psoriasis.org.

20 National Psoriasis Foundation

Get Psoriasis Advanceand
morewith your membership.
Join for $35.

Become a member of the National

Psoriasis Foundation and get the
tools and information you need
to manage your psoriasis and/or
psoriatic arthritis. As a member,
youll receive a full year of Psoriasis
Advance magazine and other
benefits and services designed to
help you live well with psoriatic
disease.

Yes, I want to join the National Psoriasis

Foundation. Please send me a bill for $35.
For faster service, join online at www.psoriasis.org
or call 800.723.9166.
Name

Address

City

State ZIP

Phone

Email address (to receive Foundation updates)

BRC Ed Bkt
National Psoriasis Foundation is a 501 (c) (3) charitable organization governed
by a volunteer Board of Trustees and advised on medical issues by a volunteer
Medical Board.

National Psoriasis Foundation educational materials are reviewed by members

of our Medical Board and are not intended to replace the counsel of a physician.
National Psoriasis Foundation does not endorse any medications, products
or treatments for psoriasis or psoriatic arthritis and advises you to consult a
physician before initiating any treatment.

2013 National Psoriasis Foundation September 2013

National Psoriasis Foundation

6600 SW 92nd Ave., Suite 300, Portland, OR 97223-7195
800.723.9166 | [email protected] | www.psoriasis.org
FIRST-CLASS MAIL
BUSINESS REPLY MAIL
PORTLAND OR 97223-9758
6600 SW 92ND AVE STE 300
NATIONAL PSORIASIS FOUNDATION

POSTAGE WILL BE PAID BY ADDRESSEE

PERMIT NO. 1451
PORTLAND OR

UNITED STATES

NO POSTAGE
NECESSARY
IF MAILED
IN THE