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The combination of **acitretin + etanercept** is used as a dual therapy for moderate to severe chronic plaque psoriasis. Acitretin is a retinoid and acts as a small molecule modulator of gene transcription involved in cell differentiation and proliferation. Etanercept is a biologic agent, specifically a fusion protein that blocks tumor necrosis factor-alpha (TNF-α), a cytokine involved in systemic inflammation. This combination aims to increase the efficacy of psoriasis treatment while allowing lower dosages of each drug, potentially reducing side effects of monotherapy. Clinical trials have shown that this regimen can be as effective as higher-dose etanercept monotherapy and more effective than acitretin alone, with a similar safety profile[1][2][3][4].
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