Psoriasis and Alcohol: Understanding the Link

April 12, 2024

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Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin. While there is no cure, various treatment options can effectively manage symptoms and improve quality of life. This article explores the potential link between alcohol consumption and psoriasis, aiming to empower you with informed decisions.

Can Alcohol Trigger Psoriasis Flare-Ups?

Explain the inflammatory nature of psoriasis and how alcohol consumption can worsen it.  Highlight research findings on the connection between alcohol and psoriasis flare-ups.

“Alcohol consumption is known to potentially exacerbate psoriasis symptoms and trigger flares. It can also interfere with the effectiveness of psoriasis treatments.” – Dr. Smith, Dermatologist

Psoriasis is an inflammatory autoimmune condition that causes red, scaly patches on the skin. The immune system mistakenly attacks healthy skin cells, triggering inflammation and rapid skin cell turnover that results in buildup of skin cells on the surface.

Research shows that alcohol consumption can worsen psoriasis by increasing inflammation in the body. A study published in the Journal of the American Academy of Dermatology found that drinking alcohol was associated with psoriasis flares in 83% of patients surveyed. The more alcohol consumed over the recommended limits, the higher the likelihood of a flare-up.

“We found that patients who drank beer had an increased risk of developing psoriasis compared with those who drank only wine or liquor.” – Study author Dr. Qureshi

Consuming alcohol can also lead to dehydration and interfere with certain psoriasis treatments, further exacerbating symptoms. It’s important to drink in moderation or avoid alcohol altogether if you have psoriasis.

How Does Alcohol Affect Psoriasis Symptoms?

Discuss common psoriasis symptoms like redness, itching, and scaling. Explain how alcohol can exacerbate these symptoms, causing discomfort and impacting daily life.

The most common symptoms of psoriasis include:

  • Red, inflamed patches of skin covered with silvery-white scale
  • Itching or burning sensations on affected areas
  • Cracked, bleeding skin that may sting or burn
  • Painful joints (if you also have psoriatic arthritis)

Drinking alcohol can worsen these hallmark psoriasis symptoms. Alcohol increases inflammation, which can make red, scaly patches even more irritated. The dehydrating effects of alcohol can also dry the skin out further and interfere with skin cell shedding.

This exacerbation of symptoms can significantly impact quality of life. The constant itching, burning and cracking can make it challenging to focus at work. Visible skin patches may also cause distress or self-consciousness in social situations. Reducing alcohol intake is an important step to managing discomfort.

Dehydration and Psoriasis

Explain how alcohol acts as a diuretic, leading to dehydration. Highlight the importance of hydration for healthy skin and psoriasis management.

Alcohol acts as a diuretic – meaning it increases urine output. This leads to dehydration and loss of essential minerals like zinc and magnesium that promote skin cell health.

Staying hydrated is vital for those with psoriasis. Drinking adequate water helps:

  • Moisturize and hydrate the skin
  • Prevent excessive skin cell turnover
  • Flush out toxins
  • Improve absorption of medications

Dehydration can trigger flare-ups or worsen symptoms like dry, cracked skin. It’s recommended to drink at least 8 glasses of water daily and more when consuming alcohol. Proper hydration provides a foundation for healthy skin.

Alcohol and Psoriasis Treatments

Discuss how alcohol can interact with certain psoriasis medications, reducing their effectiveness. Advise consulting a doctor about potential interactions before consuming alcohol while on medication.

Alcohol consumption can also reduce the effectiveness of certain systemic psoriasis treatments:

  • Methotrexate: Alcohol interacts with this medication, increasing the risk of liver damage substantially. Doctors often advise avoiding alcohol altogether while on methotrexate.
  • Biologics: Alcohol may impact the immune response and lower efficacy of biologics like adalimumab or infliximab. Moderation is key if consuming alcohol while on these medications.

Consuming alcohol while on systemic psoriasis treatments can also cause side effects like nausea, headaches or dizziness to worsen. It’s imperative to consult your dermatologist before drinking any amount of alcohol with these medications in your system. They can provide guidance on safe levels, if any, or recommend avoiding alcohol altogether.

Alternatives to Alcohol for Social Gatherings

Suggest non-alcoholic beverage options for social situations. Emphasize the importance of prioritizing health and well-being.

Social events often center around drinking, making abstinence challenging. Still, it is absolutely possible to enjoy these occasions alcohol-free. Great non-alcoholic drink options include:

  • Sparkling water with lime, lemon or fruit flavors
  • Fresh juices like orange, apple, grapefruit or pineapple
  • Smoothies with yogurt or plant-based milk
  • Mocktails – fruity, fizzy drinks minus the alcohol
  • Hot beverages like herbal tea, coffee, or hot chocolate

The key is bringing an open mind and focusing conversations on connecting with people rather than drinking. You can also plan some activities like dancing, games or photo booths.

While it can be difficult at first, abstaining from alcohol to support your health and wellbeing has immense benefits that make it worthwhile. Over time, it will likely have positive impacts on relationships and overall lifestyle too.

Managing Psoriasis with a Healthy Lifestyle

Discuss the benefits of a balanced diet for overall health and potentially psoriasis management. Highlight the importance of stress management techniques for reducing flare-ups.

While no specific diet is universally proven to alleviate psoriasis, maintaining a healthy lifestyle with a nutrient-rich diet, regular exercise, and stress management can help minimize flare-ups.

Important Lifestyle Factors

  • Balanced Diet: Getting essential micronutrients can help reduce inflammation. Omega-3 fatty acids from fish, zinc from nuts and seeds, vitamin D from dairy/fortified foods, and antioxidants from fruits and veggies are especially key. Consider seeing a dietitian to develop a personalized nutrition plan.
  • Stress Management: Chronic stress can worsen psoriasis by increasing inflammatory proteins in the body. Practice relaxation techniques like meditation, yoga, deep breathing, or journaling to mitigate stress. Getting 7-9 hours of sleep nightly also supports the immune system.
  • Regular Exercise: Getting 150 minutes of moderate activity like walking, swimming or cycling weekly not only relieves stress and aids sleep, but also helps manage weight – excess weight may increase psoriasis severity. Low-impact activities are best to avoid skin injury flare-ups.
  • Avoiding Triggers: While not always possible to avoid completely, limiting exposure to potential psoriasis triggers like infections, cuts/scrapes, severe sunburns, smoking, and alcohol can help prevent flares.

With some trial and error, developing a holistic healthy lifestyle tailored to your needs can go a long way in keeping psoriasis symptoms under control.

When to See a Doctor About Psoriasis

Advise seeking professional medical advice for diagnosis, treatment plan development, and ongoing monitoring. Emphasize the importance of early intervention for effective psoriasis management.

It’s vital to consult a dermatologist if you suspect you may have psoriasis or experience flare-ups of skin symptoms like red, scaly patches or itching/burning skin. A doctor can:

  • Officially diagnose psoriasis through medical history, skin examination, and sometimes a biopsy
  • Prescribe topical/systemic medications tailored to your unique needs
  • Create a comprehensive treatment plan to manage symptoms long-term
  • Provide guidance on avoiding triggers like infections or skin injuries
  • Monitor disease progression and adjust treatment accordingly
  • Screen for associated conditions like psoriatic arthritis or depression

Catching psoriasis early and beginning treatment under a dermatologist’s care offers the best chance of controlling this incurable disease long-term. Within 6 months to a year, most patients find an effective treatment regimen that allows them to manage symptoms and improve quality of life.

Living Well with Psoriasis

Offer encouraging advice on living a fulfilling life despite having psoriasis. Highlight the availability of support groups and resources for emotional well-being.

Having psoriasis can feel isolating or embarrassing at times. Still, many people live full, happy lives despite having this chronic skin condition. The keys are prioritizing self-care, finding community, and focusing on aspects of life within your control.

Self-Care Strategies:

  • Moisturize skin daily and avoid very hot showers that can dry skin out
  • Reduce stress through relaxation techniques like yoga or meditation
  • Get enough sleep and maintain a healthy diet
  • Join a support group to find community and exchange coping tips

Seeking Treatment: Consult your dermatologist about topical creams, light therapy, or systemic medications to reduce plaques and discomfort. Work as a team to track treatment efficacy and adjust approaches until finding an effective regimen.

Psychological Support: Seek counseling if experiencing depression or low self-esteem related to psoriasis’ appearance or discomfort. Identify and challenge negative thought patterns.

Advocacy: Raise awareness about psoriasis by sharing your story. Advocate for policies improving patient access and affordability of treatment.

With the right holistic care plan, education, support system, and positive attitude, living a fulfilling life with psoriasis is absolutely achievable.


Is a little bit of alcohol okay if I have psoriasis?

Consult your doctor for personalized advice. Individual tolerance may vary, but even moderate consumption can trigger flare-ups.

Are there specific types of alcohol worse for psoriasis?

Research suggests beer and liquor might have a stronger association with flare-ups compared to wine. However, individual experiences can differ.

I’m stressed and social events often involve alcohol. What can I do?

Explore non-alcoholic options and prioritize stress management techniques like exercise or relaxation practices.

Does diet always improve psoriasis?

The impact of diet can vary. Consider consulting a registered dietitian to develop a personalized plan that supports your psoriasis management.

Will I ever be able to control my psoriasis completely?

While there’s no cure, various treatment options and lifestyle changes can effectively manage symptoms and achieve periods of remission.


  • Alcohol consumption is linked to psoriasis flares and can interfere with treatment effectiveness. Limit intake.
  • Holistic self-care like skin moisturizing, stress reduction, healthy diet can help minimize flare-ups.
  • Seeking professional medical treatment is key for managing this chronic condition long-term.
  • With the right treatment plan and positive attitude, living fully with psoriasis is possible. Consult your doctor and support groups.
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