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Step 1 - Immunosuppressing Drugs
First Aid 2012 Pg. 240-241
21
Medical
Undergraduate 2
05/28/2012

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Cards

Term
Cyclosporine
mechanism
use
toxicity
Definition
binds to cyclophilins which allows it to inhibit calcineurin and prevent production of IL-2 and its receptor.

transplants, autoimmune disease

increased viral infections and lymphoma, NEPHROTOXIC (mannitol diuresis), gout
Term
Tacrolimus
mechanism
use
toxicity
Definition
Binds to FK-binding protein inhibiting secretion of IL-2 and other cytokines

Transplants

NEPHROTOXICITY, neuropathy, HTN, pleural effusions, hyperglycemia
Term
Sirolimus
mechanism
use
toxicity
Definition
Inhibits mTOR thus inhibiting T cell proliferation in response to IL-2

Transplants (kidney), drug-eluting stents

Hyperlipidemia, thrombocytopenia, leukopenia
Term
Daclizumab
mechanism
Definition
anti-IL2 receptor antibody
Term
Azathioprine
mechanism
use
toxicity
Definition
6-MP precursor that interferes with metabolism and synthesis of nucleic acids thus toxic to proliferating leukocytes

Transplants (kidney) autoimmunity

Bone marrow suppression, toxic with allopurinol
Term
OKT3
mechanism
use
toxicity
Definition
anti-CD3 antibody

transplants (kidney)

cytokine release syndrome, hypersensitivity
Term
Aldesleukin
mechanism
use
Definition
IL-2 analog
Renal cell carcinoma, metastatic melanoma
Term
Erythropoietin
mechanism
use
Definition
EPO analog
Anemia (renal failure)
Term
Filgrastim
mechanism
use
Definition
GCSF analog
bone marrow recovery
Term
Sargramostim
mechanism
use
Definition
GM-CSF analog
Bone marrow recovery
Term
IFN-a analog
use
Definition
HBV, HCV
Kaposi's
Leukemia
Malignant melanoma
Term
IFN-B analog
use
Definition
MS
Term
IFN-g analog
use
Definition
chronic granulomatous disease
Term
Oprelvekin
mechanism
use
Definition
IL-11 analog
Thrombocytopenia
Term
Thrombopoietin analog
use
Definition
Thrombocytopenia
Term
Infliximab
mechanism
use
Definition
anti-TNFa antibody
Crohn's, RA, psoriatic arthritis, ankylosing spondy
Term
Adalimumab
mechanism
use
Definition
anti-TNFa antibody
Crohn's, RA, psoriatic arthritis
Term
Abciximab
mechanism
use
Definition
Anti-glycoprotein 2b/3a antibody
prevent cardiac ischemia in unstable angina or post percutaneous cardiac intervention
Term
Trastuzumab
mechanism
use
Definition
anti erb-B2 antibody
HER-2 over expressing breast cancer
Term
Rituximab
mechanism
use
Definition
anti CD20 antibody
B cell non-Hodgkin's lymphoma
Term
Omalizumab
mechanism
use
Definition
anti IgE antibody
Severe asthma
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