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Updated: Apr 17, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Emerging oral drugs for psoriasis
Tahmina Mahmood1, Daniel Zaghi, Alan Menter
1Texas A&M Health Science Center College of Medicine , 8447 Texas 47, Bryan, TX 77807 , USA.
New oral treatments for moderate-to-severe psoriasis are needed, as development has lagged behind biologics. This review covers emerging oral therapies for psoriasis, addressing the ongoing need for safe, long-term options.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Psoriasis is a chronic, immune-mediated inflammatory disease.
- Characterized by erythematous plaques, it frequently affects nails and joints.
- While topical treatments suffice for some, 25% require systemic or biologic therapy.
Purpose of the Study:
- To review emerging oral treatments for moderate-to-severe psoriasis.
- To highlight the gap in oral agent development compared to biologics.
Main Methods:
- Review of current literature on oral therapies for psoriasis.
- Focus on emerging oral agents and their potential.
Main Results:
- Biologic therapies have advanced significantly.
- Oral treatments for psoriasis remain limited, including methotrexate, acitretin, cyclosporine, and apremilast.
- Development of new oral agents has lagged behind biologics.
Conclusions:
- Apremilast is a recent FDA-approved oral treatment.
- There is an unmet need for novel, safe, and effective long-term oral therapies for moderate-to-severe psoriasis.
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