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can take up to a year to see clinical effects, eye exams to check for retinal damage |
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inhibits dihydrofolate reductase, increasing adenosine which inhibits lymphocyte proliferation; supplement with folate |
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symptomatic relief, may be used intraarticularly |
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can be used with NSAID or ASA and low dose corticoids; inhibits Cox2 and some leukotrienes and blocks pyrimidine synthesis/ tyrkinase |
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leflunomide, methotrexate |
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human TNFalpha receptor Fc fusion protein,SQ, immunosupression and injection site reactions |
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chimaric mouse mAB specific for TNF, IV infusion, can develop antinuclear Abs |
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human mAB specific for TNF, SQ, think immunosuppression, black box TB infection relapse |
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pegylated fab fragment (prolonged circulation, protected against enzematic degradation, slower renal filtration and improved stability) warning; infection risk, cancer onset, get immunizations early and avoid live vaccines |
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human-derived mAB against TNF alpha, SQ, same contraindications, seek medical attention if there is any sign of infection |
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IL-1 receptor inhibitor, blocks inflammatory signaling (monocyte/macrophage activation, fibroblast proliferation, and chondrocyte activation) |
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recombinant humanized mAB binds IL6 receptor, increased risk of serious infections |
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costimulation modulator the blocks signal 2 of T cell activation, weight based dosing |
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anti-CD20 specific for B cells mAB, B cell apoptosis, infusion rxns and pancytopenia |
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