What to Do When Psoriasis Flares Up

Psoriasis is a chronic autoimmune condition that causes thick, dry, scaly patches on the skin, which may be itchy or painful.

At times, these symptoms can worsen, a period known as a flare-up.

Each person experiences flare-ups differently. Some may last only a few days, while others can persist for weeks or even months.

The good news? There are several steps you can take to help alleviate symptoms and promote faster healing.

Here are 10 ways to manage a psoriasis flare-up:

1. Keep Your Skin Moisturized

One of the most common symptoms of psoriasis is dry, scaly skin. Keeping your skin hydrated can help ease itching and promote healing.

Try using over-the-counter (OTC) moisturizers, such as:

• Emollients form a protective layer to prevent water loss from the skin.
• Topical corticosteroids help reduce inflammation during flare-ups.
• Natural oils, such as aloe vera, lavender oil, or chamomile oil, can help soothe and moisturize the skin.

Bathe in warm (not hot) water and apply moisturizer immediately afterwards while your skin is still slightly damp.

2. Use Products with Coal Tar

Coal tar has antibacterial and anti-inflammatory properties that can help relieve itching and reduce flaking.

It’s often found in shampoos, soaps, ointments, or bath treatments made for psoriasis.

However, avoid using it on sensitive areas like the face or genitals, as it may irritate.

3. Treat Scalp Psoriasis

About 80% of people with psoriasis experience symptoms on their scalp. The plaques can be extremely itchy and scaly, and if left untreated, may lead to hair loss.

Use psoriasis-specific shampoos or lotions, especially those with salicylic acid, which helps loosen and remove scales.

Avoid products containing alcohol or fragrances, as these can further dry out or irritate the scalp.

4. Manage Your Stress Levels

Stress is a major trigger for psoriasis flare-ups. When stress levels rise, the body produces more inflammation, which can worsen symptoms.

Effective ways to manage stress include:

• Practising yoga, meditation, or deep breathing daily.
• Engaging in regular light exercise, such as walking or cycling.
• Reducing screen time and spending more time outdoors.
• Ensuring enough sleep and maintaining a balanced diet.

5. Watch Your Diet

While food doesn’t directly cause psoriasis, certain foods can trigger or worsen inflammation.

Try to:

• Avoid sugary foods, saturated fats, and heavily processed foods
• Eat more anti-inflammatory foods, such as fatty fish, leafy greens, nuts, and berries
• Keep a food journal to track any dietary triggers

6. Avoid Scratching

Itching can be hard to resist, but scratching can damage your skin, cause open wounds or infection, and prolong the flare-up.

Here are some tips to prevent scratching:

• Use anti-itch creams that are safe for psoriasis
• Store lotions or creams in the fridge; cool applications can soothe itching
• Apply a cold compress to itchy areas

7. Stay Physically Active

Regular movement—such as walking, gentle yoga, or cycling—can help reduce stress, support your immune system, and aid in maintaining a healthy weight. All of these can play a role in managing psoriasis.

8. Get Enough Sleep

Lack of sleep can worsen psoriasis symptoms by weakening the immune system and raising stress levels. Aim for 7–8 hours of sleep each night with a consistent bedtime routine.

9. Avoid Alcohol and Smoking

Alcohol and smoking can both trigger inflammation in the body, making psoriasis worse. If you drink or smoke regularly, try cutting back gradually and seek support if needed.

10. Seek Social Support

Living with psoriasis can be emotionally exhausting. Joining a support group or talking with others who share similar experiences can help you feel encouraged and less alone.

Managing psoriasis during a flare-up requires a combination of approaches, including proper skin care, stress management, a healthy diet, and an active lifestyle.

While there’s no permanent cure, you can keep symptoms under control and continue living a comfortable, productive life.

References

Alluredermny. Accessed in 2025. How to Manage a Severe Psoriasis Flare-up.

Healthline. Accessed in 2025. 10 Tips for Managing a Psoriasis Flare.

WebMD. Accessed in 2025. 10 Tips to Prevent Psoriasis Flare-Ups.