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                      "doi" => "10.1111/j.1365-2133.2008.08732.x"
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                      "titulo" => "&#40;Chair of Guideline Group&#41;&#46; British Association of Dermatologists&#8217; guidelines for biologics interventions for psoriasis 2009"
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                      "doi" => "10.1111/j.1365-2133.2009.09505.x"
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                  "referenciaCompleta" => "National electronic Library for Medicines&#46; Usketinumab&#46; &#40;Consultado 17&#47;07&#47;2011&#41;&#46; Disponible en&#58; <a class="elsevierStyleInterRef" href="http://www.nelm.nhs.uk/en/NeLM-Area/Evidence/Drug-Specific-Reviews/ustekinumab/">http&#58;&#47;&#47;www&#46;nelm&#46;nhs&#46;uk&#47;en&#47;NeLM-Area&#47;Evidence&#47;Drug-Specific-Reviews&#47;ustekinumab&#47;</a>&#46;"
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                    0 => array:2 [
                      "titulo" => "The effect of weight on the efficacy of biologic therapy in patients with psoriasis"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46; Clark"
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                      "doi" => "10.1016/j.jaad.2007.11.011"
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                        "tituloSerie" => "J Am Acad Dermatol"
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                      "titulo" => "Impact of weight on the efficacy and safety of ustekinumab in patients with moderate to severe psoriasis&#58; rationale for dosing recommendations"
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                          "etal" => true
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                            4 => "S&#46; Li"
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                      "doi" => "10.1016/j.jaad.2009.11.012"
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                        "fecha" => "2010"
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                    0 => array:2 [
                      "titulo" => "PHOENIX 1 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 76-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 1&#41;"
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                      "titulo" => "PHOENIX 2 study investigators&#46; Efficacy and safety of ustekinumab&#44; a human interleukin-12&#47;23 monoclonal antibody&#44; in patients with psoriasis&#58; 52-week results from a randomized&#44; double-blind&#44; placebo-controlled trial &#40;PHOENIX 2&#41;"
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Journal Information
Vol. 103. Issue S2.
Actualización del uso de ustekinumab: un ava nce en el tratamiento de la psoriasis
Pages 52-58 (October 2012)
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Vol. 103. Issue S2.
Actualización del uso de ustekinumab: un ava nce en el tratamiento de la psoriasis
Pages 52-58 (October 2012)
Full text access
Manejo práctico de ustekinumab en la psoriasis moderada-grave
Practical management of ustekinumab in moderate-severe psoriasis
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J. Notario
Corresponding author
jnotario@bellvitgehospital.cat

Autor para correspondencia.
, X. Bordas
Servicio de Dermatología. Hospital Universitari de Bellvitge. L’Hospitalet de Llobregat. Barcelona. España
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Article information
Resumen

Ustekinumab (UST) es hasta la fecha el último fármaco biológico aprobado para el tratamiento de la psoriasis. En su manejo práctico nos son útiles tanto los trabajos con UST como la experiencia previa acumulada con otros agentes. Los estudios previos al tratamiento, así como su monitorización y seguimiento presentan semejanzas entre los diferentes fármacos biológicos. En otros aspectos como el tratamiento combinado o el tránsito entre tratamientos, la todavía corta experiencia con UST nos obliga a tomar decisiones según la práctica seguida con otros agentes biológicos.

El objetivo de este artículo es repasar algunos aspectos relacionados con el manejo práctico de UST incidiendo en características diferenciales del fármaco e intentar aprovechar el conocimiento de que disponemos con otras terapias biológicas para optimizar su uso.

Palabras clave:
Psoriasis
Ustekinumab
Fármacos biológicos
Tratamiento combinado
Tránsito tratamientos
Abstract

Ustekinumab is the latest biologic agent to be approved for the treatment of psoriasis. Experience is therefore limited, but data from studies of ustekinumab can be complemented by experience with other biologic agents. While the guidelines for pretreatment screening and follow-up practices are similar in all of the biologic therapies, no standardized information on combination therapy or treatment switches is yet available for ustekinumab, and dermatologists thus have to base their decisions on experience with other biologic agents.

This chapter discusses several aspects related to the use of ustekinumab in clinical practice. We focus on the distinguishing characteristics of this drug and discuss how our knowledge and experience with other biologic agents can be used to help optimize the use of ustekinumab.

Keywords:
Psoriasis
Ustekinumab
Biologic agents
Combination therapy
Treatment switch
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Copyright © 2012. Academia Española de Dermatología y Venereología
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¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?