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How do you counsel patients on the risks and benefits of an IL-23 agent versus an IL-17A or IL-17A/F agent?

What side effects do you highlight in conversation with them? How do you approach toxicity monitoring?
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What potential side effects do you highlight when discussing bimekizumab with patients?

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2 Answers
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Mednet MemberInvited Expert
Dermatology · Medical College of Wisconsin
Answered on

Both IL-17 and IL-23 agents have demonstrated excellent efficacy for psoriasis. Choosing between them often comes down to access and insurance coverage.
With that being said, considerations include:

  1. Side effect profile: The side effect profile for both IL-23 and IL-17 agents is similar, with the exc...

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Mednet Member
Mednet MemberInvited Expert
Dermatology · Wake Forest University
Answered on

I let patients with severe psoriasis know that both IL-23 and IL-17 blocking drugs are wonderful, both very effective and both very safe. IL-23 drugs don't require as many shots and maybe a touch safer (with less risk of candidiasis and inflammatory bowel disease as near as I can tell). IL-17 drugs ...

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