The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome

Objective. To evaluate the efficacy and safety of the combination of metformin and methotrexate (MTX) versus MTX monotherapy in treating psoriasis in patients with metabolic syndrome. Materials and Methods. A prospective clinical trial was conducted using metformin and MTX to treat psoriasis patient...

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Main Authors: Huynh Thi Xuan Tam, Luong Nguyen Dac Thuy, Ngo Minh Vinh, Tran Ngoc Anh, Bui Thi Van
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/9838867
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author Huynh Thi Xuan Tam
Luong Nguyen Dac Thuy
Ngo Minh Vinh
Tran Ngoc Anh
Bui Thi Van
author_facet Huynh Thi Xuan Tam
Luong Nguyen Dac Thuy
Ngo Minh Vinh
Tran Ngoc Anh
Bui Thi Van
author_sort Huynh Thi Xuan Tam
collection DOAJ
description Objective. To evaluate the efficacy and safety of the combination of metformin and methotrexate (MTX) versus MTX monotherapy in treating psoriasis in patients with metabolic syndrome. Materials and Methods. A prospective clinical trial was conducted using metformin and MTX to treat psoriasis patients with metabolic syndrome. A treatment group of 35 psoriasis patients with metabolic syndrome was treated with MTX and metformin. A control group of 31 psoriasis patients with metabolic syndrome was treated with MTX only. Results. Patients treated with the combined regimen showed measured improvement in disease status compared to those treated with MTX monotherapy. The Psoriasis Area and Severity Index (PASI) scores of psoriasis patients with metabolic syndrome using the metformin and MTX combination were significantly lower than those treated with MTX only p<0.05. The combination treatment group also showed a significant decrease in blood sugar and triglyceride levels after 3 months p<0.05. However, there were no significant differences in subclinical indexes between the treatment and control groups. Conclusion. In this treatment sample, a combination of metformin and MTX in psoriasis patients with metabolic syndrome showed positive responses and no serious side effects.
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series Dermatology Research and Practice
spelling doaj-art-61dc91c4ec3f416b9c467dbb9f20fbd62025-02-03T05:19:26ZengWileyDermatology Research and Practice1687-61132022-01-01202210.1155/2022/9838867The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic SyndromeHuynh Thi Xuan Tam0Luong Nguyen Dac Thuy1Ngo Minh Vinh2Tran Ngoc Anh3Bui Thi Van4Pham Ngoc Thach University of MedicineUniversity of Medicine and PharmacyPham Ngoc Thach University of MedicinePham Ngoc Thach University of MedicineScientific Institute of Clinical Medicine and Pharmacy 108Objective. To evaluate the efficacy and safety of the combination of metformin and methotrexate (MTX) versus MTX monotherapy in treating psoriasis in patients with metabolic syndrome. Materials and Methods. A prospective clinical trial was conducted using metformin and MTX to treat psoriasis patients with metabolic syndrome. A treatment group of 35 psoriasis patients with metabolic syndrome was treated with MTX and metformin. A control group of 31 psoriasis patients with metabolic syndrome was treated with MTX only. Results. Patients treated with the combined regimen showed measured improvement in disease status compared to those treated with MTX monotherapy. The Psoriasis Area and Severity Index (PASI) scores of psoriasis patients with metabolic syndrome using the metformin and MTX combination were significantly lower than those treated with MTX only p<0.05. The combination treatment group also showed a significant decrease in blood sugar and triglyceride levels after 3 months p<0.05. However, there were no significant differences in subclinical indexes between the treatment and control groups. Conclusion. In this treatment sample, a combination of metformin and MTX in psoriasis patients with metabolic syndrome showed positive responses and no serious side effects.http://dx.doi.org/10.1155/2022/9838867
spellingShingle Huynh Thi Xuan Tam
Luong Nguyen Dac Thuy
Ngo Minh Vinh
Tran Ngoc Anh
Bui Thi Van
The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
Dermatology Research and Practice
title The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
title_full The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
title_fullStr The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
title_full_unstemmed The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
title_short The Combined Use of Metformin and Methotrexate in Psoriasis Patients with Metabolic Syndrome
title_sort combined use of metformin and methotrexate in psoriasis patients with metabolic syndrome
url http://dx.doi.org/10.1155/2022/9838867
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