Shared Flashcard Set

Details

RA DRUGS ONLY - Kimmel
smegma
39
Medical
Professional
08/12/2012

Additional Medical Flashcards

 


 

Cards

Term
Side effect of hydroxychloroquinine (Plaquenil)
Definition
macular damage , avoid if retinal disease / do regular checkups
Term
Hydroxychloroquinine (Plaquenil), Azulfidine, Gold (oral)
Definition
Potential toxicity: low
Term
Gold (IM), Leflunomide (Arava) , Methotrexate, Azathioprine (Imuran)
Definition
Potential toxicity: moderate
Term
Cyclosporine, D-Penicillamine
Definition
Potential toxicity: High
Term
Avoid if TNF inhibitors if this DMARD is used
Definition
Azathioprine (Imuran)
Term
In addition to myelosupression and GI side effects also has RASH, PROTEINURIA
Definition
Gold (IM), Gold (Oral)
Term
In addition to hepatotoxicity, myelosupression, and preg. problems this DMARD has unique property of PULMONARY side effects
Definition
Methotrexate
Term
This DMARD should be avoided w/ any sulfa allergies (I think maybe its sulfa drugs) either way avoid...sulfa something
Definition
Azulfidine
Term
hepatotoxicity, GI, pregnancy side effects
Definition
Leflunomide (Arava)
Term
Myelosupression, hepatic, LYMPHOPROLIFERATIVE
Definition
Azathioprine (Imuran)
Term
most toxic, probably dont use at all
Definition
D-penicillamine
Term
Infliximab what is it:
Definition
Ab to TNF
Term
Etanercept what is it
Definition
Soluble TNF receptor
Term
Humira (Adalimumab) what is it
Definition
Ab to TNF
Term
Simponi (Golimumab)what is it
Definition
Ab to TNF
Term
Cimiza (Certolizumab) what is it
Definition
Ab to TNF (pegylated)
Term
Which biological DMARD is prob safest for pregnancy
Definition
Cimzia (Certolizumab)
Term
Kineret (Anakinra) MOA
Definition
IL-1 receptor inhibition
Term
Actimra (Tocilizumab)
Definition
Ab to IL-6 receptor
Term
Kineret and Actimra function as
Definition
IL inhibitors
Term
Rituximab and Abatacept are
Definition
cell inhibitors
Term
Ritixumab (Rituxan) is a
Definition
B-cell inhibitor (anti-CD20)
Term
Abatacept (Orencia)
Definition
T-cell inhibitor (CTLA-41g Soluble fusion protein)
Term
Lymphoma is a contraindication to TNF antagonists except for
Definition
Rituxan (anti CD20 B cell inhibitor)
Term
Abatacept (Orencia) - T cell inhibitor CTLA-41g soluble fusion protein AND
Enteracept (enbrel) - souble TNF receptor

are probably best for
Definition
treating pt w/ latent TB infection
Term
Must be taken daily biological DMARD
Definition
Actimra (Tocilizumab) Ab to Il-6 receptor
Term
Can be taken every two weeks biological DMARD
Definition
Adalimumab (Humira) - IgG1 mAb to TNF
Term
Includes protein kinase inhibitors, JAK kinase inhibitors
Definition
Oral biologic DMARDs
Term
Hepatitis B is a contradindication although its unclear effect w/ many you DEFINATLEY AVOID
Definition
Ritiximab (Rituxan) B - cell inhibitor anti CD20
Term
multiple sclerosis, optic neuritis is a contraindication to what type of DMARD
Definition
TNF antagonists only
Term
If infection is a risk consider this biologic DMARD
Definition
Abatacept (Orencia) - T cell inhibitor CTLA41g soluble fusion protein
Term
As far as TNFis go for biological DMARDs there is best evidence of this one being effective
Definition
Infliximab
Term
If seropositive use ___1__ if rapid progression avoid ____2__
Definition
Rituximab - B cell inhibitor
Abatacept T cell inhibior
Term
This DMARD is associated w/ increased toxicity for Adult Onset Still's Disease pts
Definition
Azulfidine
Term
good treatments for Adult onset Still's
Definition
Plaquenil + Kineret (Anakira) (IL-1 receptor inhibition)
Term
If abnormal LFTs (liver function tests) then might not want to use these w/ Adult onset stills
Definition
NSAIDS (watch closely, Methotrexate
Term
G-CSF (granulocyte colony stimulating factor) is primary treatment if insufficent response try
lithium, pulse methylprednisone, splenectomy
Definition
Felty's syndrome treatment
Term
Req. contraception (prob 2 forms) during and 3-6 months after
Definition
Methotrexate
Term
Req. contraception (prob 2 forms) during and 2 years after
Definition
Leflunomide
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