Can we use Anti TNF such as infleximab as first line in Psoriasis?

Though anti TNF can be miraculous, it is mainly used in extensive diseses and not as a first line therapy in psoriasis. 

Not as a first line therapy in psoriasis

NOT AS FIRST LINE BUT LATER IF RESISTANT PSORIASIS

As anti-TNF agents which are called biological agents are so serious and the patient will experience many side effects and it's cost it's not the first line of treatment .

we can start with topical steroid , add systemic steroids , nicotineamide with tetracycline is tried in europe and many researches suggest it's use