New Treatment

[Fred]

I thought there was a treatment 'ladder' we all go on in the UK, topical, then uvb, then drugs like methotrexate, then biologicals.

Correct it's all here: NICE issues new guidance for GPs treating psoriasis

And the bit you are referring to is just over half way down in the Quote which reads:

Quote:

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first-line therapy describes traditional topical therapies (such as corticosteroids, vitamin D and vitamin D analogues, dithranol and tar preparations). Second-line therapy includes the phototherapies (broad- or narrow-band ultraviolet B light and psoralen plus UVA light [PUVA]) and systemic non-biological agents such as ciclosporin, methotrexate and acitretin. Third-line therapy refers to systemic biological therapies such as the tumour necrosis factor antagonists adalimumab, etanercept and infliximab, and the monoclonal antibody ustekinumab that targets interleukin-12 (IL-12) and IL-23.