Skilarence (dimethyl fumarate) vs Tremfya (guselkumab)

Skilarence (dimethyl fumarate) vs Tremfya (guselkumab)

Skilarence (dimethyl fumarate) is an oral medication primarily used to treat moderate to severe plaque psoriasis by modulating the immune system to reduce inflammation. Tremfya (guselkumab), on the other hand, is a biologic injectable medication that targets a specific protein, interleukin-23 (IL-23), implicated in psoriatic inflammation, and is also used for the treatment of moderate to severe plaque psoriasis. The choice between Skilarence and Tremfya may depend on patient preference for oral versus injectable administration, the presence of comorbidities, the severity of psoriasis, previous treatment responses, and the specific recommendations of a healthcare provider.

Difference between Skilarence and Tremfya

Metric Skilarence (dimethyl fumarate) Tremfya (guselkumab)
Generic name Dimethyl fumarate Guselkumab
Indications Psoriasis Plaque psoriasis, Psoriatic arthritis
Mechanism of action Activates the Nrf2 pathway Inhibits interleukin-23 (IL-23)
Brand names Skilarence, Tecfidera Tremfya
Administrative route Oral Subcutaneous injection
Side effects Flushing, gastrointestinal issues, lymphopenia Upper respiratory infections, headache, injection site reactions
Contraindications Known hypersensitivity to dimethyl fumarate or its excipients Known hypersensitivity to guselkumab or its excipients
Drug class Fumaric acid ester Monoclonal antibody
Manufacturer Almirall, Biogen Janssen Biotech

Efficacy

Skilarence (Dimethyl Fumarate) for Psoriasis

Skilarence, containing the active ingredient dimethyl fumarate, is an oral medication approved for the treatment of moderate to severe plaque psoriasis. Psoriasis is a chronic immune-mediated skin condition characterized by red, scaly patches. The efficacy of Skilarence in the management of psoriasis is attributed to its anti-inflammatory and immunomodulatory properties, which help to reduce the excessive skin cell production and inflammation that are hallmarks of the disease. Clinical trials have demonstrated that Skilarence can lead to significant improvements in the Psoriasis Area and Severity Index (PASI) scores, which is a measure of the severity and extent of psoriasis. Patients treated with Skilarence have shown marked reductions in plaque thickness, scaliness, and erythema.

Long-term studies on Skilarence have also indicated sustained efficacy and an acceptable safety profile for continuous use. The therapeutic effects of Skilarence are dose-dependent, with higher doses typically resulting in greater improvements in psoriasis symptoms. However, the optimal dose must be balanced against the potential for side effects, and the dose escalation schedule recommended by the manufacturer should be followed to minimize adverse reactions.

Tremfya (Guselkumab) for Psoriasis

Tremfya, with the active ingredient guselkumab, is a biologic injectable medication specifically designed for the treatment of moderate to severe plaque psoriasis. Guselkumab is a monoclonal antibody that targets interleukin-23 (IL-23), a cytokine that plays a key role in the inflammatory processes associated with psoriasis. By inhibiting IL-23, Tremfya helps to control the overactive immune response that contributes to the development of psoriatic plaques. Clinical trials have shown that Tremfya can produce significant clinical improvement as measured by PASI scores, with many patients achieving PASI 75, PASI 90, or even PASI 100 responses, indicating a 75%, 90%, or 100% reduction in PASI scores, respectively.

In head-to-head trials against other biologics, Tremfya has demonstrated superior efficacy in some measures of psoriasis improvement. The onset of action is also relatively rapid, with some patients experiencing noticeable improvements within just a few weeks of starting treatment. The maintenance of efficacy over time and the favorable safety profile make Tremfya a valuable option for long-term management of psoriasis. Furthermore, the convenience of subcutaneous administration every eight weeks, after initial dosing, is an advantage for patient adherence and quality of life.

Regulatory Agency Approvals

Skilarence
  • European Medical Agency (EMA), European Union
Tremfya
  • European Medical Agency (EMA), European Union
  • Food and Drug Administration (FDA), USA
  • Health Canada
  • Pharmaceuticals and Medical Devices Agency (PMDA), Japan
  • Therapeutic Goods Administration (TGA), Australia

Access Skilarence or Tremfya today

If Skilarence or Tremfya are not approved or available in your country (e.g. due to supply issues), you can access them via Everyone.org.

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