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pregnancy & psoriasis

Question:

>hello!  i need help!.  i am currently 4 months pregnant and am having bad >Psoriasis flare-ups on my face, and neck. [snip] >  i would like to know if anyone has information on the effects of Exorex (or >any other medications for that matter) during pregnancy.

[posted and emailed] Hi Kristen – Did you know that the National Psoriasis Foundation has a handout available called "Conception, Pregnancy and Psoriasis?" http://www.psoriasis.org/booklets.html The booklet not only discusses treatment options during pregnancy, but talks about breastfeeding and has some information about the genetic aspects of psoriasis. Also, you may want to do a search for information about pregnancy at their site: http://www.psoriasis.org/searchtools/wwwwais/npfwais.cgi Most importantly, have you spoken with your dermatologist or OB/GYN? They may be able to help you to figure out a treatment plan for this time. – Linda

Response:

>i would like to know if anyone has information on the effects of Exorex >(or any other medications for that matter) during pregnancy.

Unfortunately, no.  There is not a lot of testing done on pregnant women with drugs, unless those drugs are specifically for use during pregnancy or for use almost exclusively by women.  The reasons should be pretty obvious, as who’s going to really take the chance, however small it might be? Most of the time, drugs will come with pregnancy warnings which advise close supervision by a doctor, and terminating immediately upon just about *any* untracable symptom.  They’ll also say things like that there have been no tests during pregnancy, but there have been no significant patterns of adverse effects on the foetus.  Basically means that the number of birth defects or developmental problems or whatnot haven’t been any higher than average for those women who *did* use a particular drug while pregnant.  It’s far from a guarantee, but it’s about the best that can be expected under the circumstances. Coal tar probably falls in this category, too.  There don’t seem to be any studies or reports out there warning about serious problems.  However, Exorex in particular is claimed by the manufacturer to have some ingredients which help the coal tar penetrate the skin better (better than, say, coal tar mixed into Vaseline).  The answer to the question is, "nobody knows for sure, one way or the other."  It’s probably safer to avoid coal tar completely during pregnancy, in general (don’t do any chimney sweeping or road paving while pregnant, either <g>). – Dave W. http://members.aol.com/psorsite/

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> I thought that Psoriasis becomes better at pregnancy. > <snip> > I noticed my first spot of Ps under my wedding ring while I was pregnant for > our second child ( a boy ), by the time he was 6 wks old I was covered > front,back, and top to bottom and I’ve had it ever since in varying forms of > severity.

    Jean:)  ( using Freds’ machine )

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<…> – Hide quoted text — Show quoted text -> I know this is a little rambling, but I do believe that we all need to make > an informed choice of the meds we use. Sometimes the good of the med > outweighs the bad, but at no time should you take a med without knowing the > possible side effects or risks you will suffer from them. I stuck with a > derm for (?) 3 years who never discussed meds or anything else with me. He > came in looked at my "body parts"  then said here’s your prescription see > you next month. If I hadn’t been a nurse I may have not had access to > information on those meds and known the risks.  All I can say is it is so > nice to be on the internet and have info at my fingertips.

Well I snipped, but not because it was rambling (which it wasn’t). Trust me, I know from rambling : ) Just wanted to emphatically agree -understanding the importance of getting info and making an informed judgement about how you treat your P is one of the most important lessons people should pick up here. More important than opinoins about specific therapies or theories about what does what or who to believe in the periodic bickering over alternative vs conventional meds. Ask. Find out. Question. Don’t assume. Then THINK. Don’t just submit to treatments, use them well and for good reasons that you understand and understand/accept the consequences of rather than shrug off or think what harm can it do. Plus, the big corollary is that you’ve got to pro-active and ASK your doctor and insist on info. Don’t wait for them to offer it and resent them because they didn’t when you also never asked (if they refuse it is another issue). Derms vary, like any other group of people, and you need to take some responsibility for your care yourself. Even with the best will in the world, a derm’s habits may have been formed by patients who didn’t want to hear all that technical stufff, and he may think he’s doing you a favor by not ‘drowning’ you with too much info. Ask, learn, think, participate in your care. Don’t be a victim to the disease or those it forces you to deal with, from spammers to derms. Look upon getting info and making informed decisions as a way for you to regain some of the control over your life that living with the disease has stolen away. Babe- now THERE’S a ramble : ) But thanks for your excellent post. And if it’s any comfort from an anecdotal evidence standpoint, my Mom was a lifelong kenalog and other steroid cream addict on her skin and I thrived up to a solid 5 foot 9 inches plus. -Kim

Response:

hello!  i need help!.  i am currently 4 months pregnant and am having bad Psoriasis flare-ups on my face, and neck.       i have been using Exorex on my face – being under the impression that it is natural and made from banana peels and that it wouldn’t hurt the baby.     i have since read that Exorex is NOT natural, and NOT made from banana peels, and that it is infact a tar based solution.     i would like to know if anyone has information on the effects of Exorex (or any other medications for that matter) during pregnancy.     i am having a hard time getting rid of the Psoriasis on my face with over the counter medications and feel i need something stronger.    i was told by me dermatologist that Dovonex is not good during pregnancy, but she didn’t have any information on Exorex….and i can’t find any news (good or bad) here on the web…..if someone can help, please e-mail me.  thanx for your time and for listening! take care!        Kristen…..NJ

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> I am currently 4 months pregnant and am having bad > Psoriasis flare-ups on my face, and neck. > I have been using Exorex on my face – being under the impression that it is > natural and made from banana peels and that it wouldn’t hurt the baby. > Ii have since read that Exorex is NOT natural, and NOT made from banana > peels, and that it is infact a tar based solution.

Because of your pregnant condition, I would stop using the coal tar lotion for the remainder of the term.  Coal tar does carry warnings of being a carcinogen.  Even though the probability of it causing cancer are quite low, I don’t think its something you want in your blood stream during pregnancy.  I recommend you switch to just a moisturizing lotion and ride out the flares for the remaining months. This may sound stupid, but instead of buying a large bottle of moisturizer, try buy several small bottles of different brands/types.  The war with my Ps always seems to be more in my favor if I keep it guessing… :) Good luck, Scott —

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When I was pregnant my psoriasis flared also.  I went to a genetic counselor and was advised against coal tar.  Absolutely no Dovonex or Tazorac.  I used alot of moisturizer(Aquaphor worked best), a home UVB lamp.  I was also told the last month I could use my steroids again since it would not harm the baby in this stage.  Check with your own Dr. on this though.  Try to avoid excess sugar.  This is definitely a trigger for me.  Good luck-Nancy

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I thought that Psoriasis becomes better at pregnancy. — Visit our site for Psoriasis cure: http://uvblamps.8m.com/ G.T.marketing  7 Hachavazelet street Jerusalem 94224 ISRAEL Internet sites: http://uvblamps.8m.com/ http://www.myfreeoffice.com/uvblamps/

Response:

>I thought that Psoriasis becomes better at pregnancy. >–

A common misconception gilteva.  Some women do clear upon conception, and some either develop PS or become much worse.  Same can be said about menopause; Pagano’s diet: I am living proof about the downside of Pagano’s program; UVB/UVA exposure: I clear quite nicely with UVB, and or sunlight exposure, however, my Dad must avoid sunlight as if it were the plague.  UVA doesn’t seem to have much affect on my PS one way or the other. The list can go on and on, but the one constant with PS (so-far) is that there is no constant.  We are all different, and it appears as though our remissions and flares are brought about by a myriad of different things.  IRV says it best in his patented succinct signature. "Irv —> in Alabama and don’t give up – ever!" >Visit our site for Psoriasis cure:

p.s. There is no cure! Cheers Tim http://hometown.aol.com/nesielheum/

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