### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
dear sir,I am suffering from psoriasis for the past one decade but am not able to get a cure and my lessions also dont go away at all. I use ointment Propysalic NF 6 and Dermadew cream. I feel nausea when I take Methotraxate so I am not using the same. I have also tried Ayurvedic and HomeopatChatDoctoredicines but they dont work at all.I need some advice desperately kindly help.RegardsVed Prakash

### output:

Hello Led Prakash, Welcome to Chat Doctor. Psoriasis is not a curable disease, but it is controllable. It may go into remissions, but cure is not possible. So stop going from one system of medicine to other searching for cure as it is there in your genes. Every 2 out of 100 people will have psoriasis, the type and severity differs. As a dermatologist we see a lot of psoriasis and training to treat psoriasis is a major chunk in our post graduation training curriculum and if a doctor cannot treat psoriasis he will not be a dermatologist. There are a lot of treatments for it according to severity. Even methotrexate induced nausea can be controlled by certain precautions. Oral retinoids like Accretion works. Cyclosporine, Phototherapy, topical steroids, calcitriol, tacrolimus, Biological injections etc. is available for treatment. Consult an experienced dermatologist and stick by him. He will discuss with you the pros and cons of each and choose the best line of treatment. If one modality does not work go back to him rather than somebody else because he will know what works for you and what not. Hope this helpedTake care and all the best