Mechanisms of action of topical therapies and the rationale for combination therapy.

Abstract:

:The advent of new topical agents such as topical calcineurin inhibitors, as well as the reformulations of older agents in new vehicles, has broadened the treatment approaches to psoriasis and atopic dermatitis. The clinician must now consider additional novel physiologic pathways and mechanisms of action as well as expanding options for combination therapy. Combination therapy is especially beneficial when the selected agents possess differing mechanisms of action that provide additive or synergistic efficacy, reducing the required doses of the individual agents compared with monotherapy and potentially limiting side effects. Therapeutic approaches also can be rotated or used in various sequences for maintenance therapy. In psoriasis, a number of trials have demonstrated the effectiveness of combination therapy. Although combination therapy has not been extensively studied in atopic dermatitis, many practitioners combine topical corticosteroids and topical calcineurin inhibitors in their clinical practice because the two drug classes have different and possibly complementary mechanisms of action. For both diseases, the decision as to what agents are combined must also be tempered by patient type, disease presentation or severity, and patient preferences.

journal_name

J Am Acad Dermatol

authors

Norris DA

doi

10.1016/j.jaad.2005.04.027

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

S17-25

issue

1 Suppl 1

eissn

0190-9622

issn

1097-6787

pii

S0190962205013058

journal_volume

53

pub_type

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