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Updated: Mar 15, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Increasing adherence to topical therapy in psoriasis through use of solution medication
Dane Hill, Michael E Farhangian, Steven R Feldman1
1Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine Department of Pathology, Wake Forest School of Medicine Department of Public Health Sciences, Wake Forest School of Medicine. sfeldman@wakehealth.edu.
Improving adherence to topical psoriasis treatments is key for better patient outcomes. Strategies include choosing the right medication vehicle and involving support systems to enhance convenience and efficacy.
Area of Science:
- Dermatology
- Pharmacology
- Patient Adherence Research
Background:
- Topical medication adherence significantly impacts patient outcomes, particularly in chronic dermatological conditions like psoriasis.
- A notable proportion of patients (approximately 20%) express dissatisfaction with the convenience of topical treatments, affecting adherence.
- Psoriasis management often relies on topical therapies, making adherence a critical factor for clinical improvement.
Discussion:
- Healthcare providers play a crucial role in enhancing topical medication adherence.
- Strategies include optimizing medication vehicle selection for improved usability and patient acceptance.
- Educating patients on potential side effects before treatment initiation can proactively address concerns and foster trust.
Key Insights:
- Patient-provider communication regarding medication convenience and potential side effects is vital.
- Involving family members or friends in the application process can serve as a practical support mechanism.
- Tailoring treatment approaches to patient convenience can directly influence adherence rates.
Outlook:
- Enhanced adherence to topical psoriasis treatments is anticipated to lead to superior disease control.
- Future research could explore novel drug delivery systems to further improve topical therapy convenience.
- Long-term studies are needed to quantify the direct correlation between improved adherence strategies and sustained psoriasis remission.
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