Author Topic: Psoriasis and lithium  (Read 1003 times)

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Offline lucyrebekah

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Psoriasis and lithium
« on: November 12, 2011, 10:26:13 PM »
Hi, I'm new here but not new to to psoriasis. I've had it for 15 years. It has flared up from time to time but always gone eventually. I have now been taking lithium for 2 months for severe mood swings which has caused a major flare up. I have it all over my body, in my finger and toe nails and all over my scalp. My consultant has asked me to persevere with the lithium so I was wondering if anyone else knows if any treatment works despite being on lithium? Thanks :)

delbee28

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Re: Psoriasis and lithium
« Reply #1 on: November 12, 2011, 11:42:29 PM »
I would love to help but never heard of lithium treatment....hopefully someone  on this fab forum may be able to help.

Offline Eveloftus

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Re: Psoriasis and lithium
« Reply #2 on: November 13, 2011, 12:33:17 AM »
hi Lucy, I would think that UV treatment would work, either nbuvb or puva. If you have been diagnosed with bipolar illness then lithium is a good treatment, but if it is just depression there are other medications available that would work and don't worsen psoriasis. In the past a psychiatrist tried to put me on lithium but I refused knowing that it would worsen my psoriasis and I did not have bipolar illness, just depression.

Offline leamarieuk

Re: Psoriasis and lithium
« Reply #3 on: November 13, 2011, 04:29:55 PM »
a lot of anti-depressants can also make psoriasis worse. Citalporam made my skin really bad :(
HELP...........................

Offline sweetskin

Re: Psoriasis and lithium
« Reply #4 on: November 13, 2011, 04:54:55 PM »
hi , check it out but i think that use of inositol, a b vitamin, could be something that can reduce the effect of lithium exacerabing psoriasis,  googlle it and research, sorry i cant help more but sure it is known as possibly helping..

Offline lucyrebekah

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Re: Psoriasis and lithium
« Reply #5 on: November 13, 2011, 05:34:53 PM »
Thanks everyone will do some research on inositol :)

Offline Eveloftus

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Re: Psoriasis and lithium
« Reply #6 on: November 13, 2011, 05:52:55 PM »
Here is the study:

The effect of inositol supplements on the psoriasis of patients taking lithium: a randomized, placebo-controlled trial.
Br J Dermatol. 2004. Department of Dermatology, Victoria Hospital, Kirkcaldy, Fife, UK.
Lithium carbonate is the most widely used long-term treatment for bipolar affective disorders, but its ability to trigger and exacerbate psoriasis can become a major problem in patients for whom lithium is the only treatment option. Inositol depletion underlies the action of lithium in bipolar affective disorders and there are good theoretical reasons why the use of inositol supplements might be expected to help this group of patients. Fifteen patients with psoriasis, who were taking lithium, took part in a randomized, double-blind, placebo-controlled, crossover clinical trial comparing the effect of inositol supplements with those of a placebo (lactose). Changes in the severity of their psoriasis were measured by Psoriasis Area and Severity Index scores recorded before and after the different courses of treatment. The effect of inositol supplements on the psoriasis of 11 patients who were not taking lithium was evaluated in the same way. The inositol supplements had a significantly beneficial effect on the psoriasis of patients taking lithium. No such effect was detected on the psoriasis of patients not on lithium. The use of inositol supplements is worth considering for patients with intractable psoriasis who need to continue to take lithium for bipolar affective disorders.


Offline lucyrebekah

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Re: Psoriasis and lithium
« Reply #7 on: November 14, 2011, 10:05:04 AM »
Thanks everyone and thanks Eveloftus! I am going to the health shop today! Hopefully it works I will post again to let you know :)

Offline lucyrebekah

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Re: Psoriasis and lithium
« Reply #8 on: November 23, 2011, 08:20:17 PM »
Hi All, Have started on the Inositol so going to see how it goes. Surprisingly I ave also had my appointment come through to see a dermatologist this Sunday!  :) I am hoping for light therapy, does anyone have any experience  of it? And if the p goes how long for? Thank s

Offline lucyrebekah

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Re: Psoriasis and lithium
« Reply #9 on: December 01, 2011, 11:45:01 PM »
Well my appointment with the dermatologist wasn't very productive. Nothing really works while on lithium! I am taking the Iniosital but I don't think I can wait to see if the p improves. Have seen my consultant today and i'm going to start reducing the lithium and try a different drug. Hopefully the p will start to calm down, I look like I have been burnt on my face and neck at the moment! Ther eisn't a part of my body that hasn't got p on it. I really really hope that reducing and finally coming off the lithium gets rid of this itchy, dry, unsightly psoriasis!! :-[