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Guttate Psoriasis (cont.)

What Medications Are Used in the Treatment of Guttate Psoriasis?

Doctors may use antibiotics when the guttate psoriasis is related to a streptococcal infection. They may choose an antibiotic that will act on a wide range of bacteria. People should always tell their doctor what drugs they are currently taking because of the possibility of drug reactions.

Erythromycin (EES, E-Mycin, Ery-Tab) reduces inflammation and is used to treat bacterial infections. The usual dosing is one tablet per day by mouth for about seven to 14 days. People with allergies to erythromycin or who have liver problems should not take this drug. Discontinue use if nausea, vomiting, fatigue, intestinal cramping, or fever occurs.

Penicillin VK (Veetids, Beepen-VK) is used to treat bacterial infections. The usual dosing is one tablet per day by mouth for about 10-14 days. People with allergies to penicillin should not take this drug. Caution is taken with the dosing of this drug in those who have reduced kidney function.

Rifampin (Rifadin, Rimactane) is recommended for resistant cases of streptococcal infection. If the doctor thinks it is possible that the infection will last a long time and an individual may become a chronic carrier of the bacteria, he or she may prescribe this drug. Rifampin is usually given in addition to either erythromycin or penicillin. The medication is taken by mouth over the course of five days.

Be aware of possible allergic reactions to any antibiotic used, especially penicillin. Stop taking the drug if an allergic reaction is suspected. Patients who are sensitive to penicillin generally do well on erythromycin. Cephalosporin is an antibiotic that can also be used for streptococcal infections, but some cross-sensitivity with penicillins has been documented.

Medically Reviewed by a Doctor on 3/2/2016

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Read What Your Physician is Reading on Medscape

Psoriasis, Guttate »

Guttate psoriasis refers to a distinctive, acute clinical presentation of an eruption characterized by small, droplike, 1-10 mm in diameter, salmon-pink papules, usually with a fine scale

Read More on Medscape Reference »

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