DMARDs Flashcards
Inhibits AICAR (5-aminoimidazole-4-carboxamide ribonucleotide) transformylase and thymidylate synthase
Methotrexate
DMARD of choice for Rheumatoid arthritis
Methotrexate
Rescue agent of MTX
Leucovorin (Folinic acid)
Forms PHOSPHORAMIDE mustard which cross-links DNA to prevent cell replication
Cyclophosphamide
Rescue agent of Cyclophosphamide
MESNA
Suppression of T-lymphocyte responses to mitogen
Cinchona alkaloids:
Chloroquine
Hydroxychloroquine
Binds to TNF-a and prevents it from activating TNF-a receptor
TNF-alpha inhibitor
Infliximab
Adalimumab
Etanercept
Certolizumab
Golimumab
Forms 6-thioguanine, suppresing inosinic acid synthesis
Azathioprine
Inhibits interleukin-1 and interleukin-2 receptor production
Cyclosporine
Inhibits inosine monophosphate dehydrogenase
Mycophenolate mofetil
Least toxic for SLE nephritis
Mycophenolate mofetil
Inhibits the activation of T cells by binding to CD80 and CD86 on the APC
Abatacept
Inhibits dihydroorotate dehydrogenase > decreased synthesis of ribonucleotide and arrest of stimulated cels in the G1 phase of cell growth
Leflunomide
CD20 inhibitor
Rituximab
Binds to IL-6
Tocilizumab