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Updated: Jun 25, 2025

The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
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Oral Psoriasis Therapies.

JaBreia James1, Tracey Otto2, Julia Gao2

  • 1Harvard Combined Dermatology Residency Program, Department of Dermatology, Harvard Medical School, 55 Fruit Street, BH 616 Boston, MA 02114, USA.

Dermatologic Clinics
|May 25, 2024
PubMed
Summary

Oral psoriasis treatments offer effective options, including traditional immunosuppressants and newer targeted agents. Patients may prefer these oral medications over injections for managing psoriasis.

Keywords:
AcitretinBaricitinibCyclosporineJak inhibitorsMethothrexatePsoriasisPsoriatic arthritisTofacitinib

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Area of Science:

  • Dermatology
  • Pharmacology

Background:

  • Psoriasis is a chronic inflammatory skin condition with various treatment options.
  • Oral therapies are a key component in managing psoriasis, offering an alternative to injectable medications.

Purpose of the Study:

  • To review existing and emerging oral agents for psoriasis treatment.
  • To discuss the role of these oral therapies in the current treatment landscape.

Main Methods:

  • Literature review of traditional and novel oral psoriasis medications.
  • Analysis of the efficacy and administration route preferences for oral psoriasis therapies.

Main Results:

  • Traditional oral immunosuppressants (methotrexate, cyclosporine, acitretin) are effective.
  • Newer targeted oral agents (apremilast, deucravacitinib, IL-23 receptor antagonists) provide advanced treatment options.

Conclusions:

  • Both older and newer oral psoriasis therapies are valuable tools.
  • Oral administration is a preferred route for many patients, influencing treatment choices.