Latest & Best Psoriasis Treatment in Lahore, Islamabad, Karachi,Pakistan
Latest psoriasis treatments in Pakistan at COSMETIQUE can be easily compared with the top centers in the world. From topical treatments with different medicines
in the form of creams, to Narrow Band Ultraviolet-B therapy, oral treatments including Methotrexate and Retinoids are freely available in Lahore. Now the most advanced treatments with
biologic agents like Enbrel (etanercept), Humira (adalimumab) and Remicade (infliximab) are available at the Institute Cosmetique. Since these were the intravenous or subcutaneous agents with needles and discomfort involved, the latest oral treatment with with Apremilast (Apremist) is available as well. These PDE-4 (phosphodiesterase-4) inhibitors are the latest in the armamentarium in the fight against psoriasis. Fortunately all the cutting edge treatment options available at the most advanced centers in the United States or European countries, are available in Pakistan at the Institute Cosmetique, Alhamdulillah (Praise Be to Lord).
Psoriasis is a skin disease in which red patches covered with silver or white colored dry skin scales appear on different parts of the body. There are two
age groups that are mostly affected 20-30 years age and then another peak comes at 50-60 years of age for most patients. Psoriasis typically affects the
skin of head (scalp), elbows, knees and lower back areas but may spread to other parts of the body as well. The skin lesions (red and scaly patches) are
usually painless and do not itch, but they may be itchy in some patients. For most patients they are cosmetically unacceptable and a source of
embarrassment and depression. Fortunately, in most patients the disease is limited to small portions of the skin like scalp only, whereas in other patients
the skin may be involved extensively involving most of the body surface area. In some patients joints may be involved with the disease causing psoriatic
arthritis. The good news is that with the latest advancements in the treatment of this disease, most patients get better only with topically applied creams
and lotions. For those who have very extensive disease and cannot apply medications to large surface of the skin or who suffer from psoriatic arthritis,
many other options exist. Narrow Band Ultraviolet B has emerged as the gold standard for extensive psoriasis and is very convenient and extremely safe. In
this form of treatment patient's skin is exposed to violet colored light called as 'Narrow Band Ultraviolet B' or 'Narrow Band UVB' by using our
state-of-the-art special equipment made by Daavlin USA and National Biological Corporation, USA which are the exact same phototherapy machines used at the best centers in
the United States. You can read more about phototherapy here. For those who suffer from psoriatic arthritis, we work in close collaboration with some of the most qualified rheumatologists in Pakistan
to provide the most comprehensive, advanced and cutting edge treatment to our patients. We encourage our patients to join National Psoriasis Foundation online for free and extremely useful information.
Q:What is Psoriasis (also known as Chambal or Dadri in Urdu language)?
A: In Pakistan, Psoriasis is commonly known as Chambal or Dadri. It is a disease in which the skin starts to accumulate and make thick scales which peel off like white sheets mostly on knees, elbows and scalp. Usually silvery scales are the hallmark of psoriasis. It can affect the skin of the scalp, face, body, armpits, groin and especially knees, elbows and lower back or sacral areas. It can affect virtually any part of the body. It may even affect children and the two most common age groups affected are between the ages of 20-30 years and then around 50-60 years.
Q: What is the cause of Psoriasis
A: Most of the scientific evidence suggests that the immune system (body defence system that protects us from germs and infections caused by bacteria, viruses and fungi) gets hyper-activated and rather than attacking these foreign bad elements, starts to act against your own skin cells and produces inflammation in the skin that stimulates the extra production of the top layer of skin called as epidermis (pronounced as EPEE-DER-MIS). Allah (God) has produced an amazing automatic skin renewal process in humans, in which our skin gets replaced with a brand new skin every month without us even knowing. Our skin's top old layer sheds off almost every 30 days, but so subtly, that we do not even know, unless it is winter and we wear a black shirt or dress where very fine flakes can be seen on the inner side of the dress, and we think it is dry skin coming off. In fact this is how the new skin comes on and the old skin gets shed-off in a normal human being. Unfortunately, this automatic process of skin renewal gets a little berserk in psoriasis and the old cells become sticky and do not shed off while the new skin continues to grow underneath, causing thick adherent scales - a hallmark of psoriasis.
Q: Can any food cause psoriasis?
A: NO. Absolutely not. This myth exists only in Pakistan and in many 3rd world countries that certain foods can cause psoriasis but it's scientific evidence is lacking.
Q: Is Psoriasis treatable?
A: Yes. Alhamdulillah. In most of the cases Psoriasis is a 100% treatable disease, especially if diagnosed properly and if the treatment is done by a well qualified skin specialist (dermatologist) especially if he/she has a special interest in psoriasis treatment. At Institute Cosmetique, we specialize not only in all the treatment of the diseases of the skin, hair and nails, but also have a special interest in the treatment of psoriasis in Lahore, Pakistan using the latest treatment and the cutting edge technology.
Q: What are the different treatment options?
A: Following are some of the treatments available for Psoriasis:
1. Topical Treatment using ointments, creams and lotions:
Different creams and lotions that contain certain specific medicines can be prescribed to be applied on the affected area. In most instances, such medicated creams and lotions are very effective especially if the area of psoriasis is small and it is practical to apply creams, lotions or oils containing the medications. Wonderful medications are available today to treat psoriasis very very effectively in most of the cases if the area is limited as it is difficult to apply the topical medications if too many small spots are present or the area is too large. This makes it difficult for the patient to cover all these spots and may take too much time and energy to apply the medication on all these areas. In such cases, we prefer to change the treatment to either the light therapy (phototherapy) or systemic therapy meaning the pills, capsules or injections.
2. Light Therapy / Phototherapy - Latest Narrow Band Ultra Violet B (NBUVB) or PUVA (psoralen orally or topically plus Ultra Violet-A (thus the name PUVA):
If the area of the skin involved is too big or the small spots of psoriasis are too many in number (in 100's), making it impossible for the patient to apply the medication on all these spots, then we consider the light therapy as the safest choice as it is only done from outside and does go into the body, like oral pills/capsules or intravenous injections. In old days PUVA was used and caused skin cancers if used for a prolonged period of time in white skin but the latest treatment with Narrow Band UVB phototherapy, no case of cancer has ever been reported anywhere in the world. So, alhamdulillah it is an extremely safe option. A special kind of light with a specific wavelength (311 nm in case of narrow band UVB) is used to treat the affected area. The patient is given timed and controlled exposure to light in a special computerized chamber, or with a handheld home use device if the area is too small. We use highly advanced machines by some of the finest brands in the United States for Narrow Band UVB therapy. Treatment with this special light is especially indicated if the area involved is too large to be handled with topical medicines or if the later has failed to treat psoriasis completely. Narrow Band UVB (NBUVB) therapy is the latest and highly recommended treatment available in the world today which has been available at Institute Cosmetique since it's inception in 2005, Alhamdulillah.
3.Treatment with oral and injectable medications
a. Oral Medications There are many inflammatory molecules involved in the causation of psoriasis and numerous oral medications including Acitretin, Mycophenolate Mofetil, Methotrexate and Cyclosporine are the options easily available in Pakistan. Although old, these are true and tried therapies with decades of safety records. So they can be tried in those cases where neither topical therapy nor phototherapy worked, or these were not the options to begin with. Such cases usually include the worst cases of psoriasis or psoriasis with psoriatic arthritis - arthritis caused by psoriasis. We work in close collaboration with some of finest Board Certified Rheumatologists in Lahore, Pakistan, to treat our patients of psoriasis who also have psoriatic arthritis. In such cases, we treat the psoriasis, while the rheumatologist treats the arthritis caused by psoriasis.
b. Latest Intravenous Biologics: There are many inflammatory molecules involved in the causation of psoriasis including a notorious molecule called as TNF-alpha. Most commonly used medications in this category are Enbrel (etanercept), Humira (adalimumab) and Remicade (infliximab) and Cosyntax are available at the Institute Cosmetique, in Lahore. .
c. Latest PDE-4 (Phosphodiesterase-4) inhibitors (Apremilast)- Phosphodiastersae-4 has been implicated in the causation of psoriasis and it's inhibitors are becoming the leading treatment option in the treatment of psoriasis as well as psoriatic arthritis. The advantage is the availability of oral form, thus avoiding injections.
Q: When can the Phototherapy be considered?
A: Phototherapy Treatment for Psoriasis should be considered for all those patients in whom the course of psoriasis has not changed despite the topical application or the areas are too small but too many (like hundreds of small spots) where applying the topical creams or lotions are not possible physically.
Q: Is Narrow Band Phototherapy painful?
A: No. It is literally a special kind of light using special tube lights which emit an invisible light but to make sure that we know when the lights are "on" company mixes some "violet" light, and thus you will see a violet light coming out of the tube lights, while getting the phototherapy treatment. It does not cause any immediate pain but may cause a mild redness later in the day or next day. If done inappropriately or in rare cases, it can cause sunburn kind of reactions but is extremely rare if done under the strict supervision of a dermatologist using the latest computerized equipment.
Q: Cost of psoriasis treatment in Lahore, Pakistan
A: The usual cost of consultation is between PKR 2500-5000 by most dermatologists with higher qualifications. The medications are extremely inexpensive in Pakistan and cost in a few hundred to a few thousand rupees in m most cases. Phototherapy is between PKR 2500-5000 per session depending on the extent of the body area involved and the kind of equipment used.
Q: Is there any laser treatment for psoriasis
A: Yes We do perform Excimer laser for psoriasis but the area covered with this laser is very small in most cases causing it less valuable for most cases. Since the wavelength used in Excimer laser is exactly the same as in narrow band ultraviolet B therapy, that is 311 nm, it makes sense to use a less expensive option of NBUVB rather than an excimer laser for large areas. Nevertheless, excimer laser is a good option for small spots of psoriasis, which do not respond to topical treatments.
Q: How many treatment sessions of phototherapy are needed for treatment of psoriasis?
A: We usually recond three times per week treatment with narrow band UVB. This usually includes a few minutes trip to one of our 3 convenient locations in Lahore. We have clinics in Gulberg, Johar Town and DHA for your convenience, where our latest Narrow Band UVB machines are available. You can opt for Monday, Wednesday Friday Schedule or Tuesday, Thursday, Saturday schedule. You will only spend a few minutes inside the phototherapy chamber or will be treated using other kinds of pho therapy machines. It is a quick in-out painless procedure, where your skin will be exposed to ultraviolet light.
Q: When would you see the result in psoriasis area?
A: Usually it takes between 6 to 8 weeks for the improvement to start and usually by the end of second month, most of our patients are Alhamdulillah 60-80% clear of psoriasis.
Q: How long does it take to see the full results?
A: It may take from 2-4 months to clear psoriasis 100% in most cases. We continue the treatment but will decrease the dose or your visits gradually to maintain the clearance of psoriasis.
Q:Is there a permanent "cure" for psoriasis?
A: No. There is no "cure" but almost 100% cases are treatable - meaning that in most cases the disease will disappear Alhamdulillah, but the treatment will need to be continued. Just like high blood pressure (hypertension) and sugar (Diabetes), you will need to continue the treatment life log in most cases. We will see you every few weeks in the brining but will taper down the medication or phototherapy to minimum dose gradually to keep psoriasis under control.
Q: The best ointment for psoriasis in Pakistan? The best cream for psoriasis in Pakistan
A: Best Ointment for psoriasis in Pakistan or psoriasis treatment cream in Pakistan depends upon the area involved and the size of the area of psoriasis. At Institute Cosmetique all the latest ointments are available for psoriasis treatment including our in-house dispensed proprietary formulas of tar and salicylic acids to a combinations of calcipotriol, tazarotene, clobetasol and varying combinations of them as well as topical immunomodulators like tacrolimus. We are the experts in tailor-made combinations according to the specific needs of the patients for their convenience and efficacy. After we diagnose the patient, we would want to make sure that patient is the right candidate for topical creams or ointments. we would suggest you to at least consult with one of our best doctor for psoriasis in Pakistan and see which ointment or cream will be best for your psoriasis and then purchase from our pharmacy. if you can not visit us in lahore, please make a WhatsApp video call appointment by calling our UAN number โ๏ธ 03-111-077-111
Q: Is Melanocyte Transplant Surgery commonly available in Pakistan and other countries?
A: No. Melanocyte Transplant Surgery is a very sophisticated surgery requiring very highly skilled doctors and very specialized equipment that is not available in most parts of the world. We are the only center in Pakistan providing Melanocyte Transplant Surgery. There are only a few places in the world, where Melanocyte Transplant Surgery is being performed and by the grace of God we are one of them.
Best Psoriasis treatment in Lahore Pakistan
Are you worried and looking for best psoriasis treatment in Lahore Pakistan? We are just a call away. Call our helpline UAN โ๏ธ03-111-077-111 for the latest psoriasis treatment in Pakistan
Like most advanced centers in the world, at COSMETIQUE we are committed to providing you with the most advanced and authentic treatment of Psoriasis in Lahore, at your doorstep. In order to educate our patients in great detail about psoriasis in general, it's causes, different types of psoriasis and various treatment options available in the world, we have dedicated a full website www.psoriasis.com.pk. Please visit this informative and authoritative website specifically focused on psoriasis. We are sure you will love what you will learn from this great resource, which is written by our expert and best Psoriasis specialists in Lahore, Pakistan. We cater the patients from all over Pakistan including Lahore, Islamabad, Faisalabad, Multan, Sialkot, Karachi and many neighboring countries. Many patients who live abroad or live in other cities consult us via Online Consultation using Face Time, WhatsApp, Skype or Zoom. Please fill out this form and click "submit" or contact us on WhatsApp or call our UAN to schedule an online appointment usingFace Time, WhatsApp, Skype or Zoom. Please tell the receptionist that you want an online WhatsApp appointment rather than an in-person appointment. This way you can utilize the expertise of our internationally known doctors who are rated as the best psoriasis specialists and dermatologists in Lahore, Pakistan with special interest in psoriasis via these platforms, in case you can not visit us for consultation.
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