Conventionally, potent to super potent steroids have been used for palmoplantar psoriasis for periods up to 6-8 weeks and sometimes even longer. Newer formulations being used now include BMV % foam (Luxiq; Connetics Corp., Palo Alto, CA, USA) and CP % foam (OLUX, Connetics Corp.). These foam formulations offer cosmetic advantages over traditional forms, including minimal residue after application, quick drying, ease of application and lack of fragrance. These advantages may lead to improved compliance and hence efficacy.  ,  , 
Topical steroids are available as creams, lotions, gels and ointments; selection of an appropriate product can also provide good moisturization of the skin. The wide spectrum of potencies and bases allows these mediations to be used both effectively and safely while under the care of an experienced physician.
During flares, over-the-counter moisturizing preparations that include a topical corticosteroid (such as clobetasone butyrate and hydrocortisone) are helpful to control inflammation and restore the skin barrier. The intensive use of emollient-based products can reduce the need for topical steroids.
Instruct patient or caregiver on the proper use of the nasal spray.
Shake well before each use.
Before using for the first time, the unit must be primed. Keep the sprayer pointed away from people and pets. Pump the activator 10 times or until a fine spray appears. If the unit has not been used for 1 week, re-prime by pumping the activator twice or until a fine spray appears.
After administration, wipe the nasal applicator with a clean tissue. Replace the cap right after cleaning.
To avoid the spread of infection, do not use the inhaler in more than one person.