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You will need your dermatologist’s prescription nevertheless even if the previous treatment hasn’t been effective. Depending on the acuteness of your psoriasis and past medical history, he/she will decide what will work best for you. Your treatment may not have worked due to improper application of the medicine or exposure to some psoriasis trigger(s). Detailed discussion with the doctor may help resolve the issue. Generally, for psoriasis, steroids, retinoids, salicylic acid/coal tar ointments, calcipotriene, etc. are prescribed, depending on the patient’s condition. The most frequently recommended – steroids are anti-inflammatory medicines that reduce redness, itching and overproduction of cells characteristic in psoriasis. Coal tar creams also aid to pace down the fast growth of skin cells, whereas salicylic acid ointments help to get rid of psoriasis flakes. Retinoids are synthetic derivatives of vitamin A that aid to ease psoriasis symptoms whereas calcipotriene is a form of vitamin D which cuts down the rate of skin cells proliferation. At the same time, you must be wary about avoiding all possible psoriasis triggers, e.g. bacterial or viral infections, smoking, heavy alcohol intake, skin injuries, sunburns, etc.