AboutDr Alan Galbraith Expertise I can answer most questions on drugs, both medical and "recreational". Answers can be given in either technical or layperson terminology. My main areas of interest are psychiatric, gastrointestinal and cardiovascular drugs.
Experience I have been a university lecturer/head of department for almost thirty years, but am now retired. My research interests were alcohol, smoking and cardiovascular disease.
Organizations Institute of Biology, London.
Publications Principal author of "Fundamentals of Pharmacology" 4th Edition published in November 2003 by Pearson Education, Australia.
Question IOhave been using betamethasone Dipropionate 45 g in my elbow for couple of months, couple of times it got rid of the scales but it keeps coming back and now is not working. Bear in mind that I was just diagnosed as having seboraitic Arthritis which had my hand, fingers and ankle extremely swollen and in pain. The DR put me on Prednisone for ra week adn then I am moving to Alphad... something. I have another appt with the DR. in 5 weeks to review the findings.My question is what other cream can use for my elbow that works better?
Answer Dear Jannie
You obviously need a change from betamethasone and it is not unusual that it stops being all that effective after a time. I hesitate to recommend anything specific as psoriasis is notoriously difficult to treat in many cases but do not lose hope as there are many different strategies aimed at relieving this condition. These include other creams and ointments, oral therapy and light therapy. It should be handled by a dermatologist who cab assess the situation precisely and then decide what option is better for you.
Please do not be disheartened by the lack of an precise answer but it needs a recommendation from someone expert in this field who can directly assesses your condition and prescribe the most appropriate remedy.