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Need help today with red, itchy plaques, a psoriasis flareup, or psoriatic arthritis? Book an affordable, hassle-free video appointment for psoriasis on your schedule. Any prescriptions will be sent to your preferred pharmacy for same-day pickup.

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2. Meet with your providerTalk through your psoriasis symptoms and treatment options during a face-to-face video call with a board-certified dermatologist or provider of your choice.
3. Get a prescriptionIf medication is prescribed, your provider will send your prescription to your preferred pharmacy for same-day pickup.

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About Psoriasis

Psoriasis is a chronic skin condition that can cause red, scaly, and itchy patches (known as plaques) on various parts of the body, including the elbows, knees, scalp, feet, lower back, and genitals. Psoriasis is caused by an overreactive immune system that generates new skin cells at rapid rates. When these skin cells are produced quickly, they begin to build up on the surface of the skin and lead to patchy, scaly skin.

There are many types of psoriasis, including:

  • Plaque psoriasis: The most common type of psoriasis, characterized by red or purple raised patches of skin covered by silvery scales (plaques).
  • Erythrodermic psoriasis: A type of severe psoriasis that can cause psoriasis plaques to form on large portions of your body.
  • Guttate psoriasis: This form of psoriasis often presents as red, teardrop-shaped bumps that are typically smaller than 1cm in size.
  • Inverse psoriasis: Inverse psoriasis usually occurs in areas where your skin rubs against itself, like the armpits and groin. It can cause smooth, shiny red legions in these skin folds.
  • Nail psoriasis: Also known as psoriatic nail dystrophy, this type of psoriasis affects the nails and causes discoloration and pitting
  • Pustular psoriasis: Pustular psoriasis is a rare form of psoriasis. It is marked by painful, pus-filled blisters that develop most commonly on the hands and feet.

Psoriasis symptoms usually begin to appear between the ages of 15 and 25. Symptoms of psoriasis can be triggered or worsened by a number of factors, including:

  • Injury to the skin (cuts, scrapes, bug bites, or sunburn)
  • Infections (such as strep throat, bronchitis, or skin infections)
  • Chronic health conditions (such as Type 2 diabetes and heart disease)
  • Stress
  • Cold, dry weather
  • Alcohol consumption
  • Medications (such as lithium and beta-blockers)
  • Food allergies

If you have psoriasis, you may be at greater risk of developing other health conditions. Inflammation from psoriasis can lead to a form of arthritis known as psoriatic arthritis, which can cause joint pain and stiffness. Talk to your doctor if you are experiencing an itchy, persistent, and scaly rash, as this is the most common symptom of psoriasis.

Psoriasis is an autoimmune condition and cannot be cured, but it can be effectively managed with medication or therapeutic measures like the ones below. During your Sesame appointment, you can speak with your provider about what treatment plan is right for you.

  • Steroids: Topical corticosteroid creams, gels, and ointments are among the most commonly prescribed medications for psoriasis. Depending on the severity of your symptoms, and the location of your rash, your doctor may recommend an over-the-counter medication (such as Cortizone) or a prescription-strength medication (such as Acetonide or Temovate).
  • Biologics: Biologic medications like Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab) and Stelara (ustekinumab) target your immune system to stop inflammation. Biologics are usually administered via an injection or an IV.
  • Retinoids: Retinoids like tazarotene and acitretin can be prescribed to help slow skin cell overgrowth and prevent skin inflammation.
  • Salicylic acid: Medicated shampoos, body washes, and soaps containing salicylic acid are widely available as an over-the-counter treatment. These products help reduce the scaly, itchy skin caused by psoriasis.
  • Vitamin D ointments: Calcipotriene and calcitriol are synthetic forms of vitamin D, and are prescribed to prevent skin cell overgrowth without damaging skin cells.
  • Anthralin: Usually prescribed as a topical cream or shampoo, anthralin can help clear away scaly skin and smooth skin. Anthralin can irritate the skin, so it is usually applied to the affected skin and then washed off after a prescribed period of time.
  • Coal tar: Coal tar-based topical treatments can be purchased over-the-counter and are considered to be a very effective psoriasis therapy.

Light therapy involves exposing affected skin to a concentrated dose of natural or UV light. Types of light therapy used in the treatment of psoriasis include:

- Sunlight (Heliotherapy): Your doctor may recommend daily exposure to sunlight to slow skin cell production and reduce skin inflammation.

- UV Light: Controlled doses of UV narrowband light are administered several times a week to improve affected skin. Narrowband UV light may cause redness and burns to the skin. Talk to your doctor about whether or not UV light therapy is right for you.

- Psoralen plus ultraviolet A (PUVA): This therapy involves a combination of the light-sensitizing medication psoralen with a specialized UV light to aggressively treat psoriasis. PUVA therapy is generally reserved for severe cases of psoriasis, as it can cause adverse side effects like an increased risk of skin cancer.

- Methotrexate: Methotrexate (Trexall) may be prescribed to treat severe cases of psoriasis. This medication slows skin cell production and reduces inflammation. If you are prescribed methotrexate as a treatment for psoriasis, your doctor will monitor your blood count and liver function with lab tests and biopsies as it has been shown to cause liver disease.

- Cyclosporine: Cyclosporine, an immunosuppressant drug, is administered as an oral pill for severe cases of psoriasis. This medication suppresses the immune system, preventing psoriasis outbreaks. It can also lead to an increased risk of infection and illness as it is blocking your body’s natural defense system.

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FAQs

Have more questions about psoriasis?

Medically reviewed by:Dr. Jillian Foglesong-Stabile

Psoriasis occurs when your immune system accidentally attacks healthy skin cells. This can cause cell overgrowth and buildup, leading to inflammation and plaques. While the exact cause of psoriasis isn’t known, it can be triggered or worsened by certain health conditions, medications, stress, and even cold weather.

If you’re unsure what’s triggering your psoriasis, book an in-person or online skin consult with a licensed healthcare provider. They can help you identify the cause of your symptoms and come up with a personalized treatment plan.

Psoriasis symptoms can be managed with a range of treatment options, including over-the-counter medications, prescription medications and at-home remedies.

To find out which psoriasis treatment is best for you, talk with a licensed medical provider. They can offer personalized medical advice catered to your needs and prescribe medication if appropriate.

Yes. If deemed clinically appropriate, an online doctor or provider on Sesame can prescribe medication and other treatments for psoriasis symptoms like skin rashes, dry skin and plaques. Any psoriasis prescriptions will be sent to a pharmacy of your choice for pickup.

Sesame also offers convenient, online psoriasis management through Skincare Rx, a $59 monthly subscription that includes video consults with a provider of your choice, messaging & prescriptions for psoriasis medication if appropriate.

No. Sesame does not accept insurance to keep prices low and transparent – the upfront price you see next to your provider’s name is the price you pay!

However, you can pay for your online visit using your Health Savings Account (HSA) card or Flexible Spending Account (FSA) card if you have one.

If you do have insurance and are prescribed medication during your appointment, your prescription may be covered depending on your plan.

You will also receive a prescription savings card from Sesame if medication is prescribed. The prescription savings card is often cheaper than a co-pay on your prescription, so we recommend comparing your insurance co-pay to the savings card price before filling your prescription.

Yes! Sesame is available to all patients regardless of insurance status. Simply browse Sesame providers, select a price and an appointment time slot that works for you, and get the care you need without hidden fees or surprise bills.

If medication is prescribed during your appointment, you will also receive a prescription discount card that you can show to your pharmacist when you pick up your medication for even more savings.

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