The Medical Letter on Drugs and Therapeutics
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Some tumor necrosis factor (TNF) inhibitors are being promoted on the internet directly to the public for use in psoriasis (

EFFECTIVENESS — In one study, the percentage of patients with moderate-to-severe psoriasis treated with etanercept 50 mg twice weekly who improved 75% in psoriasis area severity index (PASI) score was 49% at 12 weeks and 59% at 24 weeks.1 About 75% of patients treated with infliximab achieved a 75% reduction in PASI score after 3 injections over a 10-week period.2 In a 52- week multicenter study of 1212 patients randomized to receive adalimumab (40 mg) or placebo every other week, 71% (578 of 814) of adalimumab-treated and 7% (26 of 398) of placebo-treated patients had achieved >75% improvement in the PASI score by week ... more      

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