Skilarence (dimethyl fumarate) vs Zoryve (roflumilast)

Skilarence (dimethyl fumarate) vs Zoryve (roflumilast)

Skilarence (dimethyl fumarate) is an oral medication approved for the treatment of moderate to severe plaque psoriasis, working by modulating the immune system to reduce inflammation. Zoryve (roflumilast) is a newer topical phosphodiesterase-4 (PDE4) inhibitor indicated for the treatment of plaque psoriasis, including intertriginous areas, applied directly to the affected skin to reduce inflammation. Patients deciding between these two medications should consider factors such as the severity and location of their psoriasis, their preference for oral versus topical treatment, and any individual health considerations that may be discussed with their healthcare provider.

Difference between Skilarence and Zoryve

Metric Skilarence (dimethyl fumarate) Zoryve (roflumilast)
Generic name Dimethyl fumarate Roflumilast
Indications Psoriasis Plaque psoriasis
Mechanism of action Activates the Nrf2 pathway PDE4 inhibitor
Brand names Skilarence Zoryve
Administrative route Oral Topical
Side effects Flushing, gastrointestinal issues Diarrhea, headache, nausea
Contraindications Known hypersensitivity to dimethyl fumarate or excipients Known hypersensitivity to roflumilast or any component of the formulation
Drug class Fumaric acid ester Phosphodiesterase 4 (PDE4) inhibitor
Manufacturer Almirall Arcutis Biotherapeutics

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. Plaque psoriasis is a chronic autoimmune condition characterized by the rapid growth of skin cells, leading to thick, red, and scaly patches on the skin. The efficacy of Skilarence in the management of psoriasis is attributed to its anti-inflammatory and immunomodulatory properties. Clinical trials have demonstrated that Skilarence can lead to significant improvement 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 a reduction in the thickness, scaling, and redness of plaques, with some achieving a clear or almost clear skin status.

Zoryve (Roflumilast) for Psoriasis

Zoryve, with the active component roflumilast, is a topical phosphodiesterase-4 (PDE4) inhibitor indicated for the treatment of plaque psoriasis, including in those with body surface area involvement. Unlike Skilarence, Zoryve is applied directly to the affected skin areas. The efficacy of Zoryve in treating psoriasis has been established through clinical trials where it has been shown to reduce the severity of plaques in terms of redness, thickness, and scaliness. The therapeutic effects of Zoryve are due to its ability to modulate the inflammatory response that plays a central role in the pathogenesis of psoriasis.

Comparative Efficacy in Psoriasis Treatment

When comparing the efficacy of Skilarence and Zoryve, it is essential to consider their modes of administration and the specific patient populations they serve. Skilarence, as an oral treatment, is generally used for patients with more extensive disease or when topical therapies are insufficient. Zoryve, being a topical agent, is suitable for patients with localized lesions or for those who prefer topical over systemic treatments. Both medications have shown to be effective in their respective roles, with Skilarence often being a choice for more severe cases and Zoryve for patients with mild to moderate psoriasis or for use in specific areas of the body.

Conclusion

In conclusion, both Skilarence and Zoryve have been proven to be efficacious in the treatment of psoriasis. Skilarence is effective for systemic treatment of moderate to severe plaque psoriasis, while Zoryve is beneficial as a topical treatment for patients with less extensive disease. The choice between these medications should be based on the severity of the condition, the patient's preference, and the clinical judgment of the healthcare provider. It is important for patients to discuss with their healthcare providers the most appropriate treatment option for their individual needs.

Regulatory Agency Approvals

Skilarence
  • European Medical Agency (EMA), European Union
Zoryve
  • Food and Drug Administration (FDA), USA

Access Skilarence or Zoryve today

If Skilarence or Zoryve 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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