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Napolitano (UniNa): “Jak inibitori hanno cambiato approccio a dermatite atopica”
adnkronos
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9/5/2024
(Adnkronos) - Velocità d’azione caratteristica predominante. 'Assunti per via orale, e con un buon profilo di sicurezza, sono efficaci già nelle prime 24-48 ore’.
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00:00
The inhibitor jacks have changed the approach to the management of atopic dermatitis
00:10
because the characteristic of the inhibitor jack is the speed.
00:14
They have an on-off mechanism, like a switch,
00:18
when the therapy is taken, it is a pill therapy,
00:22
compared to biopharmaceuticals that are injectable,
00:25
when it is taken, already in the first 24,
00:28
on average 48 hours, you can see the effect of the therapy.
00:32
In fact, patients refer in the first 48 hours
00:36
to the disappearance of pruritus,
00:38
which is the most important symptom of atopic dermatitis,
00:41
the most invalidating for the patient,
00:43
and already in the first month,
00:46
a partial and progressive disappearance of signs of dermatitis.
00:52
So it is the rapidity, the characteristic effect,
00:56
and a rapidity that is also a sign of effectiveness,
01:00
in the sense that we must not think that they are fast,
01:03
but then after a certain period of time they do not work,
01:07
because this rapidity has then been shown to be maintained even in the long term.
01:12
There are data of over 140 weeks for studies, two years,
01:17
that show how the rapidity of action on the sign and on the symptom
01:22
is then maintained over time.
01:24
So we can say that they are fast,
01:26
but they are also constant in the effect they produce for the patient.
01:31
The data that we have, the Italian experience,
01:34
shows us how, but this is a daily experience,
01:37
how in reality they are absolutely manageable drugs,
01:41
with a good safety profile,
01:44
that allow us to manage our patients,
01:47
who are sometimes also complex patients.
01:49
So all the alarmism that there was at first,
01:52
compared to inhibitors,
01:54
certainly did not affect the experience of Italian dermatologists,
01:58
who enthusiastically accepted this therapy,
02:01
and indeed this enthusiasm was then translated into a clinical practice
02:06
that confirmed what we saw a little bit from the trials,
02:10
and, let's say, removed some doubts on something,
02:13
on some topic that could generate some concern.
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