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Updated: Jun 21, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Psoriasis induced or aggravated by drugs
Franco Rongioletti1, Cristina Fiorucci, Aurora Parodi
1Section of Dermatology, DISEM, University of Genoa, 16132, Genova, Italy. franco.rongioletti@unige.it
Certain medications like lithium, beta blockers, and antimalarials can trigger or worsen psoriasis. This review classifies drugs based on their link to psoriasis, aiding in understanding drug-induced skin conditions.
Area of Science:
- Dermatology
- Pharmacology
Background:
- Drug ingestion can exacerbate existing psoriasis or induce new lesions.
- Therapeutic agents are classified by their causal relationship to psoriasis.
Purpose of the Study:
- To review common causative agents for drug-induced or aggravated psoriasis.
- To discuss controversies surrounding drug-psoriasis relationships.
- To present clinical experience with drug-induced psoriasis.
Main Methods:
- Classification of drugs based on evidence of psoriasis induction/aggravation.
- Review of literature on drug-associated psoriasis.
- Analysis of clinical cases from the University of Genoa.
Main Results:
- Lithium, beta blockers, and synthetic antimalarials show strong evidence for causing psoriasis.
- Other drugs have insufficient or occasional associations with psoriasis.
- Clinical experience highlights the complexities of drug-induced psoriasis.
Conclusions:
- Understanding drug-psoriasis links is crucial for patient management.
- Further research is needed to clarify associations for certain drug classes.
- Careful medication review is essential for patients with or at risk for psoriasis.
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