What treatments are available for nail psoriasis?There are many treatments for nail psoriasis. Your treatment plan may include one or more of the following.Treatment you apply to your nails: This can be helpful when nail psoriasis is mild, early (just starting), or affecting a few nails.Nails grow slowly, so you’ll need to apply these treatments for at least six months, often once or twice a day. Because nail psoriasis can be stubborn, you may need to use more than one treatment. Sometimes, two medications are combined to give you a better response.Treatment that you apply to your nails includes the following:A strong or very strong corticosteroid: This can be helpful for most signs and symptoms of nail psoriasis. It’s safe to use this medication once or twice a day. Your dermatologist will tell you how long you can use it.Calcipotriol: Derived from vitamin D, this medication is useful for treating the buildup that can develop beneath the nails.Tazarotene: Derived from vitamin A, this medication can treat pitting, a separating nail, or discoloration. Be sure to follow your dermatologist’s directions for applying this medication, as it may irritate the surrounding skin.If you have trouble applying the medication as directed or treatment fails to work, tell your dermatologist. Other treatment is available. Your treatment plan may be changed to include one of the following:Injections of corticosteroids (or another psoriasis medication): These injections can effectively treat the buildup under your nails, nail ridges, thickening nails, and separating nails (when the nail lifts up from the fingers or toes)., Nail changes can also be a sign of a type of arthritis called psoriatic arthritis. Keeping all of your dermatology appointments can help find nail psoriasis and psoriatic arthritis early. Early treatment can, prevent both nail psoriasis and psoriatic arthritis from worsening, which may help reduce the effects these can have on your life., Nail psoriasis is an autoimmune condition. It causes discoloration, pitting and changes in your fingernails and toenails. There isn’t a cure, but treatments can alleviate related symptoms..