Ayudermis comes in the form of capsules or pills. Each capsule contains dried herbs and roots. Taste very bitter. It is supposed to be swallowed but I've seen some patient break off the capsule and applying it on the skin. I was quite skeptical about this product because I thought Psoriasis is an external skin problem and doctors always recommend all kinds of external skin creams to me. After 9 years of trying most products this is by far the best results I have seen since my skin problem was consider very serious. I started to see result on the third week and by the third month my skin is cleared of psoriasis. Ayudermis is manufactured by Welex Laboratories