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Intermittent corticosteroid maintenance treatment of psoriasis: a double-blind multicenter trial of augmented betamethasone dipropionate ointment in a pulse dose treatment regimen.

AbstractNinety psoriasis patients, who were either completely cleared of or manifested only a minimal presence of disease signs following 3-4 weeks of twice daily treatment with augmented betamethasone dipropionate (ABD) ointment 0.05%, were enrolled in this multicenter, double-blind, placebo-controlled study. The study was designed to determine if an intermittent pulse dose regimen of ABD ointment could safely and effectively maintain a remission disease status when treatment was applied in three consecutive applications 12 h apart, once a week for a maximum treatment period of 6 months. The disease of 60% of the patients in the active treatment group was successfully controlled for 6 months, while 80% of the placebo-treated patients experienced exacerbation of disease signs. No serious local or systemic treatment-related adverse experiences were reported. ABD ointment 0.05%, when applied using the intermittent treatment regimen described here, was shown to be a clinically beneficial and well-tolerated method of long-term (up to 6 months) maintenance therapy for psoriasis patients.
AuthorsH I Katz, S E Prawer, R S Medansky, G G Krueger, J J Mooney, M L Jones, C R Samson (Affiliation: Minnesota Clinical Study Center, Fridley.)
JournalDermatologica (Dermatologica) Vol. 183 Issue 4 Pg. 269-74 ( 1991) ISSN: 0011-9075 SWITZERLAND
PMID1809589 (Publication Type: Clinical Trial, Journal Article, Multicenter Study, Randomized Controlled Trial)
Chemical References
  • Anti-Inflammatory Agents
  • Ointments
  • Betamethasone
  • Hydrocortisone
  • betamethasone-17,21-dipropionate
Topics
  • Administration, Topical
  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Inflammatory Agents (administration & dosage, therapeutic use)
  • Betamethasone (administration & dosage, analogs & derivatives, therapeutic use)
  • Double-Blind Method
  • Drug Administration Schedule
  • Female
  • Humans
  • Hydrocortisone (blood)
  • Male
  • Middle Aged
  • Ointments
  • Psoriasis (blood, drug therapy)
  • Time Factors