Regarding Pott's disease?
My husband has psoriasis and has been taking Neotigason for about three years, which has improved his condition significantly.
However, he still has lesions on his calves.
He has been using topical calcipotriene for about a year, but there has been no improvement.
Recently, a friend suggested trying Pustulosis.
What is the treatment efficacy of Pustulosis, and is it covered by health insurance?
AMY, 20~29 year old female. Ask Date: 2006/09/11
Dr. Hong Zhengsheng reply Dermatology
Hello AMY: The National Health Insurance (NHI) coverage for Putty Skin has clear regulations set by the NHI Administration.
If you are interested, you can directly call your local NHI office for inquiries.
I won't elaborate further on this.
Answers found online can only speculate based on descriptions and experiences, and cannot provide the precise diagnosis and treatment that a clinic visit can offer.
For any medication-related questions, you can consult your attending physician in person or ask the pharmacist when picking up your medication, which can immediately resolve your concerns.
Additionally, there is a "Drug Information Network" on the Department of Health's website that provides relevant medication information for the public, which you can utilize.
Thank you for using "Taiwan e-Hospital," and we care about your health.
Reply Date: 2006/09/11
More Info
Putapi, also known as Tacrolimus ointment, is a topical immunomodulator that is often used to treat various skin conditions, including psoriasis. Psoriasis is a chronic autoimmune condition characterized by the rapid growth of skin cells, leading to scaling and inflammation. While traditional treatments like Neotigason (Acitretin) and topical corticosteroids (like Na Li Shuang) can be effective, they may not work for everyone, and some patients may continue to experience persistent lesions.
Efficacy of Putapi for Psoriasis
Putapi has been shown to be effective in managing psoriasis, particularly in cases where traditional therapies have failed or are not well-tolerated. It works by inhibiting T-cell activation and reducing the inflammatory response in the skin. Clinical studies have indicated that Tacrolimus can lead to significant improvement in psoriatic plaques, especially in sensitive areas such as the face and intertriginous regions (areas where skin rubs against skin).
For patients who have not responded well to other treatments, Putapi may offer a viable alternative. However, it is essential to note that while it can help reduce the severity of psoriasis, it may not completely eliminate the condition. The response to treatment can vary significantly from person to person, and some may experience a recurrence of symptoms after discontinuation of the medication.
Side Effects
Like any medication, Putapi can have side effects. Common side effects include local skin irritation, burning, or itching at the application site. Long-term use of Tacrolimus has raised concerns about potential systemic absorption and the risk of skin infections, particularly in immunocompromised patients. Therefore, it is crucial to use this medication under the guidance of a healthcare provider who can monitor for any adverse effects.
Insurance Coverage
Regarding insurance coverage, the availability of coverage for Putapi can vary depending on the specific health insurance plan and the regulations in your country or region. In many cases, topical treatments for psoriasis may be covered, but it is essential to check with your local health insurance provider for specific details. In Taiwan, for example, the National Health Insurance (NHI) may have specific guidelines regarding the reimbursement of certain medications, including Putapi. It is advisable to contact your local NHI office or your healthcare provider to get accurate information about coverage and any necessary documentation that may be required for reimbursement.
Conclusion
In summary, Putapi can be an effective treatment option for psoriasis, especially for patients who have not achieved satisfactory results with other therapies. However, it is essential to have a thorough discussion with your healthcare provider about the potential benefits and risks associated with its use. Additionally, checking with your insurance provider will help clarify whether this treatment will be covered under your plan. Always follow your healthcare provider's recommendations and report any side effects or concerns during your treatment journey.
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