Biologic Medications for Psoriasis and Atopic Dermatitis

Brownstone-Lebwohl

Quick Reference Chart

This table is not intended to replace medical judgment.

Brand Name
Generic Name
Ages
Loading Dose
Maintenance Dose
Mechanism of Action

Enbrel*

Etanercept

PsA 18 yrs +
PsO 4 yrs +

50 mg SQ Twice Weekly for 12 wks

50 mg SQ q wk

TNF-α blocker

PEDS:

0.8 mg/kg q wk (max-dose 50 mg q wk)

Humira*

Adalimumab

PsO / PsA 18 yrs +

80 mg SQ on Day 1 and then
40 mg SQ on Day 8

40 mg SQ q2 wks

TNF-α blocker

Remicade*

lnfliximab

PsO / PsA 18 yrs +

5 mg/kg IV wk 0, 2, and 6

5 mg/kg IV q8 wks

TNF-α blocker

Cimzia*

Certolizumab Pegol

PsO / PsA 18 yrs +

>90 kg: No Loading Dose

400 mg SQ q2 wks

TNF-α blocker

≤90 kg: 400 mg SQ at wk 0, 2 and 4

200 mg SQ q2 wks

Bimzelx*

Bimekizumab

PsO / PsA 18 yrs +

320 mg SQ at wk 0, 4, 8, 12, and 16

320 mg SQ q8 wks (for patients ≥ 120 kg, consider 320 mg q4 wks after wk 16)

IL-17A and F antagonist

Cosentyx*

Secukinumab

PsA 2 yrs +
PsO 6 yrs +

300 mg SQ at wk 0, 1, 2, 3, and 4

300 mg SQ q4 wks

IL-17A antagonist

PEDS:

Dosage based on body weight and administered by SQ at wks 0, 1, 2, 3, and 4 and q4 wks
Less than 50 kg = 75 mg | Greater than or equal to 50 kg = 150 mg

Taltz*

lxekizumab

PsA 18 yrs +
PsO 6 yrs +

160 mg at wk 0, then 80 mg at wk 2, 4, 6, 8, 10, and 12

80 mg SQ q4 wks

IL-17A antagonist

PEDS:

Greater than 50kg = 160 mg at wk 0 then 80 mg q4 wks | 25 to 50 kg = 80 mg at wk 0 then 40 mg q4 wks | Less than 25 kg = 40 mg at wk 0 then 20 mg q4 wks

Siliq

Brodalumab

PsO 18 yrs +

210 mg SQ at wk 0, 1, and 2

210 mg SQ q2 wks

IL-17A receptor antagonist

Stelara*

Ustekinumab

PsA 6 yrs +
PsO 6 yrs +

≤l00 kg: 45 mg SQ at wk 0 and 4

45 mg SQ q12 wks

IL-12 and IL-23 antagonist

>l00 kg: 90 mg SQ at wk 0 and 4

90 mg SQ q12 wks

PEDS:

Weight-based dosing recommended at initial dose, 4 weeks later, then q12 weeks.
Less than 60 kg = 0.75 mg/kg | 60 kg to 100 kg = 45 mg | Greater than 100 kg = 90 mg

Tremfya*

Guselkumab

PsO / PsA 18 yrs +

100 mg SQ at wk 0 and 4

100 mg SQ q8 wks

IL-23 antagonist

llumya

Tildrakizumab

PsO 18 yrs +

100 mg SQ at wk 0 and 4

100 mg SQ q12 wks

IL-23 antagonist

Skyrizi*

Risankizumab

PsO / PsA 18 yrs +

150 mg SQ at wk 0 and 4

150 mg SQ q12 wks

IL-23 antagonist

Spevigo (GPP)

Spesolimab

12 yrs + (weighing at least 40 kg)

For treatment of flare: 900 mg IV

Not experiencing a flare: 600 mg SQ

IL-36 receptor antagonist

Dupixent (Atopic Dermatitis)

Dupilumab

6 mos +

600 mg SQ (Adult Dosing)

300 mg SQ q2 wk (Adult Dosing)

IL-4 receptor-α antagonist (inhibits IL-4 and IL-13)

PEDS 6m–5y:

5 to less than 15 kg = 200 mg SQ q4 wks | 15 to less than 30 kg = 300 mg SQ q4 wks

PEDS 6y–17y:

15 to less than 30 kg = 600 mg SQ then 300 mg q4 wks | 30 to less than 60 kg = 400 mg SQ then
200 mg q2 wks | 60 kg + = 600 mg SQ then 300 mg q2 wks

Ebglyss (Atopic Dermatitis)

Lebrikizumab

12 yrs +

500 mg (two 250-mg injections) at wk 0 and 2, then 250 mg q2 wks until 16 wks or adequate response achieved

250 mg q4 wks

IL-13 antagonist

Adbry (Atopic Dermatitis)

Tralokinumab

12 yrs +

600 mg (2 autoinjectors or 4 prefilled syringes)

300 mg q2 wks (1 autoinjector or 2 prefilled syringes); after 16 wks, q4 wks may be considered for adults <220 lbs who achieve clear or almost clear skin

IL-13 antagonist

PEDS 12y-17y:

300 mg (2 prefilled syringes)

PEDS 12y-17y:

150 mg q2 wks (1 prefilled syringe)

Nemluvio (Atopic Dermatitis)

Nemolizumab

12 yrs +

60 mg SQ (two 30-mg injections)

30 mg SQ q4 wks; for patients achieving clear or almost clear skin at 16 wks, 30 mg q8 wks recommended

IL-31 receptor antagonist

SQ = subcutaneous, q = every, wk/W = weeks, 

PsO = psoriasis, PsA = psoriatic arthritis, PEDS = pediatric dosing, 

GPP = Generalized Pustular Psoriasis 

*FDA approved to treat both psoriasis and psoriatic arthritis.

DISCLAIMER: The dosages seen in this chart were obtained from the respective FDA approved package inserts for psoriasis and atopic dermatitis. This chart is for reference only and not to be substituted for clinical judgment. The authors are not responsible for treatment decisions or outcomes based on the information in this chart

This sheet is available for download at dermsquared.com/resources/toolkit/biologics-tool v6 - December 14, 2024 – Copyright 2024 Mark Lebwohl, MD and Nicholas Brownstone, MD.

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