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rheumathoid Arth

chapter 94 Dipiro's drugs

QuestionAnswer
methotrexate (rheumatrex) oral or IM: 7.5-15 mg q WEEK CI in nursing preg liver or less than
leflunomide (arava) oral 100 mg dialy for 3 days then 10-20 mg daily or 10-20 mg daily without loading dose inhibit purine CI in liver disease contra nursing or pregers
hydroxychloroquine (plaquenil oral 200-300 mg bid, after 1-2 months may decrease to 200 mg bid or daily for pregers eye exam q 6 months
sulfasalazine (azulfadine) 500 mg bid, then increase to 1 gram bid max prodrug not for sulfa allergy, ADR limit use
etanercept (enbrel) 50 mg SC wekkly TNF inhibitors2 TNF receptors linked to an Fc fragment of human IgG1
inflixidmab (remicade) 3 mg/kg IV at 0, 2, 6 weeks then q 8 weeks TNF inhibitorchimeric anti-TNF antibody fused to a human constant region IgG1
adalimumab (Humira) 40 mg SC q 2 weeks TNF inhibitorHuman IgG1 antibody to TNF
anakinra (Kineret) 100 mg SC daily interleukin 1 inhibitor IL-1 receptor antagonist not to be used with TNF blocking agents
rituximab (Rituxan) 1000 mg twice 2 weeks apart depletes peripheral b cells
abatacept (Orencia < 60 kg 500 mg60-100 kg 750 mg>100 kg 1000 mg Prevent t-cell activationinhibits interaction between the anti presenting cells and T cells preventing T cells from activation to promote inflammatory process
cyclosporine oral 2.5 mg/kg/day reduces production of cytokines involved in T cell activation
azathioprine (imuran) 50-100 mg daily watch in renal dys fxn
Created by: lainylaina
 

 



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