Recommendations according to patient characteristics and psoriasis type

Special conditionsStrong recommendation in favour (Will likely be beneficial)Weak recommendation in favour (Might be beneficial)No recommendation (Insufficient evidence)Weak recommendation against (Will likely not help but cause no harm)Strong recommendation against (Likely to cause harm)
ChildrenMTX, acitretinCyclosporin-Fumarates-
AdolescentsMTX, acitretin (male), fumaratesCyclosporin-Acitretin (female)-
ElderlyMTX, acitretin, cyclosporin, fumarates----
Pregnancy-Cyclosporin preferred conventional--Acitretin (3 years before), MTX (6 months before), fumaretes (6 months before)
Breastfeeding----MTX, acitretin, cyclosporin, fumarates
Males wishing to conceiveAcitretin, cyclosporinFumarates--MTX (3 months before)
Nail psoriasisMTX, acitretin, cyclosporin, fumarates----
Generalized pustular psoriasisMTX, acitretinCyclosporin--Fumarates
Erythrodermic psoriasisMTX, acitretin, cyclosporin---Fumarates
Intermittent treatmentMTX, acitretin, cyclosporin--Fumarates-

-: no available agent