Since Topisal and Momate haven't provided relief, your psoriasis may require a different therapeutic approach. For your scalp, a combination gel containing Calcipotriol (Vitamin D analogue) and Betamethasone, or a Clobetasol shampoo, often works better. For your body, alternative topical options include Calcipotriol ointment, Tazarotene (a retinoid), or Tacrolimus ointment for sensitive areas. If these topicals still fail to show improvement, it may be time to discuss systemic treatments with your dermatologist, such as oral medications (like Apremilast or Methotrexate) or targeted biologic injections. Please consult your dermatologist to safely transition to a new, tailored treatment plan.