title: Combined topical calcipotriene ointment 0.005% and various systemic therapies in the treatment of plaque-type psoriasis vulgaris: review of the literature and results of a survey sent to 100 dermatologists.
abstract: BACKGROUND
  Plaque-type psoriasis may at times require systemic therapy. There are limited data as to whether topical calcipotriene ointment 0.005% can be used to increase the efficacy and improve the risk/benefit ratio of concurrent systemic antipsoriatic therapy.
  
  
  OBJECTIVE
  We attempt to answer this question by means of a literature review and results of a written survey that was sent to 100 international psoriasis treatment experts.
  
  
  METHODS
  The survey was sent to academic and psoriasis treatment center-based dermatologists who treat approximately 3000 to 4000 patients with psoriasis per month. The survey requested that dermatologists relate their experience regarding the safety and efficacy of topical, systemic, and combined topical/systemic agents in psoriasis after 8 weeks of therapy.
  
  
  RESULTS
  The results of the survey support the experience in the literature regarding the favorable use of calcipotriene ointment combined with systemic therapy for the treatment of psoriasis.
  
  
  CONCLUSIONS
  Combination therapy with calcipotriene ointment and acitretin/etretinate, cyclosporine, methotrexate, or phototherapy usually enhances efficacy while improving the risk/benefit ratio by decreasing exposure to the potentially hazardous systemic agent.
authors.affiliation: Department of Dermatology, University of Minnesota, Fridley, USA.
authors.forename: H I
authors.initials: HI
authors.lastname: Katz
mesh_terms: D017255:Acitretin / Q000008:administration & dosage / Q000627:therapeutic use; D000287:Administration, Topical; D002117:Calcitriol / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D003131:Combined Modality Therapy; D016572:Cyclosporine / Q000008:administration & dosage / Q000627:therapeutic use; D003879:Dermatologic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D004357:Drug Synergism; D004359:Drug Therapy, Combination; D005050:Etretinate / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000627:therapeutic use; D007641:Keratolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D008727:Methotrexate / Q000008:administration & dosage / Q000627:therapeutic use; D009824:Ointments; D010789:Phototherapy; D011565:Psoriasis / Q000188:drug therapy*; D012306:Risk; D012449:Safety; D016896:Treatment Outcome
chemical_list: D003879:Dermatologic Agents; D007166:Immunosuppressive Agents; D007641:Keratolytic Agents; D009824:Ointments; C055085:calcipotriene; D005050:Etretinate; D016572:Cyclosporine; D002117:Calcitriol; D017255:Acitretin; D008727:Methotrexate