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30 Cards in this Set

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  • Back
disease-modifying antirheumatic drugs
methotrexate
sulfasalazine
cyclosporine
infliximab
etanercept
gold salts
leflunomide
penicillamine
cyclophosphamide
azathioprine
mycophenolate mofetil
DOC for rheumatoid arthritis
methotrexate
this antirheumatic drug is cytotoxic to rapidly dividing immune cells due to inhibition of dihydrofolate reductase
methotrexate
this antirheumatic drug is metabolized to 6-mercaptopurine which suppresses de novo purine synthesis
azathioprine
adverse effects associated with methotrexate
mucosal ulcers
hepatotoxicity
Against rheumatoid arthritis, it operates by inhibiting lymphocyte proliferation, phospholipase A2, antigen presentation in dendritic cells, release of enzymes from lysosomes, release of reactive oxygen species from macrophages, and production of IL-1.
chloroquine
adverse effects associated with chloroquine
retinal damage
GI disturbances
nightmares
this antirheumatic drug alters the morphology and function of macrophages and inhibits IL-8
gold salts
adverse effects of this antirheumatic drug include gray-blue pigmentation of skin, renal damage, and thrombocytopenia
gold salts
this antirheumatic drug inhibits calcineurin
cyclosporine
this antirheumatic drug is a reversible inhibitor of inosine monophosphate dehydrogenase (IMPDH) in purine biosynthesis (specifically guanine synthesis) which is necessary for the growth of T cells and B cells.
mycophenolate mofetil
adverse effects associated with mycophenolate mofetil
bone marrow suppression
hepatotoxicity
adverse effects associate with cyclosporine
nephrotoxicity
hepatotoxicity
HTN
this antirheumatic drug is also a monoclonal antibody against TNF-a
infliximab
this antirheumatic drug is a recombinant human receptor of TNF-a
etanercept
this two antirheymatic drugs are associated with latent TB reactivation
infliximab
etanercept
this antirheumatic drug crosslinks DNA and prevents replication
cyclophosphamide
adverse effects associated with cyclophosphamide
hemorrhagic cystitis
bladder transitional cell carcinoma
this antirheumatic drug inhibits IgA/IgM rheumatic factor production and reduces rate of new joint damage
sulfasalazine
this gout drug binds and stabilizes tubulin and inhibits mitotic spindle formation and polymerization impairing leukocyte chemotaxis
colchicine
irreversible inhibitor of xanthine oxidase
allopurinol
inhibits reabsorption of uric acid in PCT of kidneys
probenecid
chelating agent used for rheumatoid arthritis
penicillamine
adverse effects associated with colchicine
diarrhea
severe liver and kidney damage in overdose
adverse effects associated with probenecid
exacerbation of acute gout
inhibits renal tubular secretion of weak acids such as penicillin
nonpurine reversible inhibitor of xanthine oxidase that doesn't inhibit other enzymes in purine and pyrimidine metabolism
febuxostate
adverse effects associated with allpurinol
hypersensitivity reaction
bone marrow suppression
antirheumatic drug that inhibits mitochondrial enzyme dihydroorotate dehydrogenase (an enzyme involved in de novo pyrimidine synthesis)
leflunomide
adverse effects of leflunomide
liver damage
myelosuprresion
don't get pregnant
binds to the CD11a subunit of lymphocyte function-associated antigen 1 and acts as an immunosuppressant by inhibiting lymphocyte activation and cell migration out of blood vessels into tissues
Efalizumab