New Treatment

[jiml]

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:

---

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.

And no mention of fumaderm type drugs

No probably do to it's still new in use by the NHS and that post was made in 2012 ............................................ Fred goes off to see if there has been a change ........................................... Nope there is still no mention of using Fumaderm so it must be only in certain parts of the country and only available to some people as it's not yet classified as a "Line" therapy.

Perhaps it's only available to special people