Treating Psoriasis Medication Side Effects- the Diluted Bleach Bath

Treating Psoriasis Medication Side Effects: the Diluted Bleach Bath

This week I tried something that I had put off for a couple months.I took my first diluted bleach bath.My dermatologist suggested I try taking the bath as a therapy for the skin infections proliferating all over my body.Apparently, the immune suppression effects of my medications (etanercept and cyclosporine) allow for staph skin infections.The unchecked bacteria cause infections in my hair follicles (folliculitis) and exacerbate the eczema.I didn’t really believe the doctor until I had some of the sores biopsied and took a course of cephalexin antibiotic for a strep throat infection.The antibiotic cleared the folliculitis, the itchiness of my eczema, and even improved my psoriasis.But just days after finishing my antibiotic course, all those skin irritations returned.After a few weeks I felt as miserable as before dealing with all the new infections and eczema rashes.

Since the immune suppression medications have become my lifeline, I didn’t want to stop them just yet.At the same time I felt reluctant to try the dilute bleach bath.Would it work as advertised?Would my skin dry out from the bleach?What if I put too much bleach in?In addition, my wife raised similar concerns.If necessity is the mother of invention, skin misery is the mother of trying new treatments.My apprehensions to trying something new seem to vanish the more uncomfortable I become with my psoriasis.So with a measure of fear and trepidation, I filled up the bathtub with water then added a few ounces of bleach according to the recipe my dermatologist gave me.  (Note:  if you have any thoughts of trying this at home I would consult with your doctor first for specific instructions.).  That fear and trepidation kept me out of the tub for a few more minutes until the water became lukewarm.

When I finally did enter into the bathtub, I found the bath refreshing.  I only smelled a faint scent of bleach, much less than at the pool.  After the prescribed time I drained the tub.   I did put on a thick layer of a cream moisturizer, as instructed by the doctor.  That night through the next day the itchiness of my eczema was gone.  The folliculitis seemed to recede some as well.  My psoriasis didn’t improve any, but I hadn’t expected that to happen anyway.

After a couple more days I was ready for my next bath as the skin infections symptoms returned.  I’ll keep trying to take these baths twice a week as instructed to see if the symptoms get better and better over time.

Important: The views and opinions expressed in this article are those of the author and not Everyday Health.

Howard Chang

Howard Chang

Author
Rev. Howard Chang has lived with severe psoriasis and atopic dermatitis for over 45 years — since childhood. He is an active patient advocate and health blogger, writing for his psoriasis column, The Itch to Beat Psoriasis, for Everyday Health since 2007. He is the recipient of the 2021 National Psoriasis Foundation Outstanding Volunteer Leader award and was named one of the 2018 WEGO Health Top 10 Lifetime Achievement Patient Leaders.

Chang has volunteered with the National Psoriasis Foundation in various roles, including as a social ambassador, Western Advocacy Committee co-chair, Capitol Hill day committee member, Sacramento community division chair, One to One mentor, and guest blogger. He has served on patient panels and industry advisory groups and is a founding member of Determi-Nation—a movement that addresses inequities in psoriatic disease among people of color.

He is the first patient advocate editorial board member for the journal Dermatology and Therapy and a community ambassador for the Inspire Psoriasis Community. Chang has blogged for PlaquePsoriasis.com as a psoriasis expert advocate and on his own website, PsoHoward.com.

As an ordained minister, he has worked in churches and university settings since 1995 and holds a doctor of ministry degree from Fuller Theological Seminary. He grew up in the San Francisco Bay Area and now lives in the greater Sacramento, California area. He and his wife have three adult children and enjoy cooking, coffee, and traveling together.