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Updated: Feb 26, 2026

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
Guidelines on the Use of Methotrexate in Psoriasis
G Carretero1, L Puig2, L Dehesa1
1Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, España.
Methotrexate remains a valuable treatment for psoriasis, offering effective symptom control alone or with other therapies. Guidelines are provided for its safe and appropriate use in managing this chronic inflammatory skin condition.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Psoriasis is a chronic, multifactorial inflammatory disease affecting 1.5% of the Spanish population, significantly impacting quality of life.
- Current treatments include traditional systemic therapies and newer biologic agents, expanding therapeutic options for severe cases.
Purpose of the Study:
- To establish the role of methotrexate in psoriasis treatment.
- To develop consensus guidelines for the safe and effective use of methotrexate in psoriasis management.
Main Methods:
- Consensus development among members of the Psoriasis Group of the Spanish Academy of Dermatology and Venereology.
- Review of existing systemic treatments and biologics for psoriasis.
Main Results:
- Methotrexate is a classic antipsoriatic drug still useful as monotherapy or in combination with other systemic drugs.
- Methotrexate can be used as rescue therapy or in combination with biologics for improved psoriasis control.
Conclusions:
- Methotrexate plays a significant role in the therapeutic armamentarium for psoriasis.
- Guidelines are essential for ensuring the safe and proper use of methotrexate in managing psoriasis.
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