How does smoking impact psoriasis?

February 9, 2025

The Psoriasis Strategy™ By Julissa Clay  to treat your skin problem of psoriasis The Psoriasis Strategy can be the best option for you as it can help you in curing your skin problem without worsening or harming your skin condition. All the tips provided in this eBook can help you in treating your psoriasis permanently, regardless of the period you are suffering from it.


How does smoking impact psoriasis?

Smoking can have a significant negative impact on psoriasis, both in terms of disease severity and overall management. Research has shown that smoking exacerbates the condition in several ways:

1. Increased Inflammation

  • Psoriasis is an autoimmune condition that causes inflammation in the skin. Smoking has been shown to increase inflammation in the body, which can worsen the inflammatory response associated with psoriasis. This heightened inflammation can lead to more severe flare-ups, greater skin discomfort, and more extensive plaques.

2. Triggering Psoriasis Flare-Ups

  • Smoking is a known trigger for psoriasis flare-ups. People who smoke may experience more frequent or severe episodes of the disease. The chemicals in cigarettes, such as nicotine and tar, can irritate the skin and immune system, potentially leading to new flare-ups or making existing ones worse.

3. Impaired Immune Function

  • The toxins in cigarette smoke can affect the immune system, potentially making it overactive. Psoriasis is driven by an overactive immune response where the immune system attacks healthy skin cells. Smoking can exacerbate this dysfunction, making it harder for the body to regulate immune responses and leading to worsening symptoms.

4. Delayed Healing

  • Smoking has been shown to delay wound healing, which can be particularly problematic for people with psoriasis. Psoriasis often causes the skin to crack, bleed, or become irritated, and smoking can hinder the healing process, leading to longer recovery times for these areas.

5. Increased Risk of Psoriatic Arthritis

  • Smoking is also linked to an increased risk of psoriatic arthritis, a condition that affects some people with psoriasis and leads to joint pain, stiffness, and swelling. Smokers are at a higher risk of developing psoriatic arthritis, and if they already have it, smoking may worsen their symptoms.

6. Reduced Effectiveness of Treatments

  • Smoking may reduce the effectiveness of certain psoriasis treatments, including both topical therapies and systemic medications. Research suggests that smokers may not respond as well to certain biological drugs used to treat moderate to severe psoriasis, as smoking can interfere with the body’s ability to process medications properly.

7. Higher Risk of Other Health Problems

  • People with psoriasis are already at a higher risk for developing other conditions such as heart disease, diabetes, and high blood pressure. Smoking further increases the risk of these conditions, compounding the overall health issues associated with psoriasis. The combination of smoking and psoriasis can significantly elevate the risk of cardiovascular problems.

8. Impact on Skin Health

  • Smoking damages the skin in several ways, including reducing blood flow to the skin, which can impair the delivery of nutrients and oxygen to the skin cells. This lack of nourishment can worsen psoriasis symptoms, leading to more pronounced plaques and skin lesions. Additionally, smoking accelerates skin aging, causing wrinkles, dryness, and thinning skin, which can make psoriasis symptoms more visible and harder to manage.

9. Secondhand Smoke

  • Exposure to secondhand smoke can also worsen psoriasis in non-smokers. If someone with psoriasis is regularly exposed to secondhand smoke, it can trigger flare-ups and cause the skin to become more irritated. This is particularly concerning for people who live with smokers or are in environments where secondhand smoke is common.

10. Potential for Increased Stress

  • Smoking can also contribute to higher levels of stress, which is another known trigger for psoriasis flare-ups. The addictive nature of nicotine can lead to stress around the need to smoke, and nicotine withdrawal can exacerbate both physical and emotional stress.

Conclusion:

Smoking has a range of negative effects on psoriasis, from triggering flare-ups and increasing inflammation to impairing healing and complicating treatment effectiveness. Quitting smoking can be a significant step in better managing psoriasis and improving overall health. If you smoke and have psoriasis, seeking support to quit smoking can improve your quality of life and potentially lead to better skin health.

If you’re looking for resources or strategies to help quit smoking while managing psoriasis, I can offer tips on that too!

Alcohol consumption can have a significant impact on psoriasis, potentially worsening the condition in several ways. While moderate drinking may not affect everyone with psoriasis in the same way, excessive alcohol intake has been linked to various complications related to the condition. Here are the primary ways alcohol can affect psoriasis:

1. Triggering Flare-Ups

  • Alcohol consumption is known to trigger psoriasis flare-ups in some individuals. It can activate the immune system, leading to an increase in inflammation, which is a key factor in psoriasis. In some people, even small amounts of alcohol may provoke a flare-up, particularly if their psoriasis is already active.

2. Increased Inflammation

  • Alcohol has inflammatory properties, and when consumed in excess, it can increase the systemic inflammation in the body. Since psoriasis is an autoimmune condition characterized by chronic inflammation, alcohol-induced inflammation can exacerbate psoriasis symptoms, making them more severe and widespread.

3. Interfering with Treatment Effectiveness

  • Drinking alcohol regularly can reduce the effectiveness of psoriasis treatments. Alcohol may interfere with certain medications, especially topical treatments, oral medications, and biologic drugs used to manage psoriasis. For example, alcohol can affect liver function, and since many psoriasis medications are metabolized in the liver, excessive drinking can hinder the body’s ability to process these medications properly.
  • Methotrexate, a common treatment for severe psoriasis, can be particularly affected by alcohol, as both alcohol and methotrexate can have toxic effects on the liver. Combining the two can increase the risk of liver damage.

4. Dehydration and Skin Health

  • Alcohol is a diuretic, meaning it causes the body to lose more water, which can lead to dehydration. Dehydration can worsen psoriasis symptoms, making the skin dry, flaky, and more prone to irritation. Dry skin can lead to more severe outbreaks of psoriasis and increase discomfort.

5. Liver Function and Psoriasis

  • People with psoriasis are at a higher risk for liver disease, especially if they also have non-alcoholic fatty liver disease (NAFLD) or other liver-related issues. Alcohol consumption can put additional strain on the liver, making it harder for the body to process toxins and medications effectively, which can worsen both psoriasis and liver function.

6. Disruption of the Skin’s Barrier Function

  • Excessive alcohol intake can disrupt the skin’s barrier function, which is important for maintaining hydration and protecting the skin from irritants. A compromised skin barrier can lead to more frequent and severe psoriasis flare-ups.

7. Weight Gain and Psoriasis

  • Regular alcohol consumption can contribute to weight gain, especially with high-calorie alcoholic beverages. Being overweight or obese is a known risk factor for psoriatic arthritis, a condition that affects the joints and is commonly associated with psoriasis. The additional weight can also worsen the severity of psoriasis by putting more stress on the body and immune system.

8. Nutritional Deficiencies

  • Heavy drinking can lead to nutritional deficiencies, as alcohol may interfere with the absorption of essential nutrients. Certain vitamins and minerals, such as vitamin D, vitamin A, and zinc, play important roles in skin health and immune function. Deficiencies in these nutrients can potentially worsen psoriasis symptoms.

9. Sleep Disruption

  • Alcohol can affect the quality of sleep, leading to poor rest. Since sleep disturbances are a known trigger for psoriasis flare-ups, inadequate sleep may contribute to worsening symptoms and make it more difficult to manage the condition effectively.

10. Psychological Impact

  • Alcohol consumption can sometimes contribute to increased stress or anxiety, which are well-known triggers for psoriasis flare-ups. Additionally, drinking may impair judgment and lead to poor coping behaviors, such as neglecting skincare routines or treatment regimens, further exacerbating psoriasis symptoms.

11. Excessive Sun Exposure

  • Some people with psoriasis find that sun exposure helps improve their condition. However, alcohol can increase the risk of sunburn by affecting the skin’s ability to tolerate UV rays. Excessive sun exposure combined with alcohol consumption can increase the risk of skin damage and potentially worsen psoriasis.

12. Increased Risk of Comorbidities

  • Psoriasis is associated with several comorbidities, including heart disease, high blood pressure, and diabetes. Alcohol can exacerbate these conditions, and the combined effect of alcohol and psoriasis may lead to more severe health problems, complicating the overall management of the condition.

Conclusion:

While occasional, moderate alcohol consumption may not directly affect everyone with psoriasis, excessive drinking can significantly worsen the condition by triggering flare-ups, increasing inflammation, and interfering with treatment. If you have psoriasis, it’s important to be mindful of your alcohol intake and discuss any concerns with your healthcare provider. In some cases, reducing or eliminating alcohol may help improve psoriasis symptoms and overall health.

If you’re looking for strategies to manage psoriasis while balancing alcohol consumption, I can offer tips on that as well!


The Psoriasis Strategy™ By Julissa Clay  to treat your skin problem of psoriasis The Psoriasis Strategy can be the best option for you as it can help you in curing your skin problem without worsening or harming your skin condition. All the tips provided in this eBook can help you in treating your psoriasis permanently, regardless of the period you are suffering from it.