DMARDS Flashcards
1
Q
Methotrexate
A
1sr line agent , rapid onset AE: nausea and mucosal ulcer leukopenia,anemia.stomatitis,GI ulceration , alopecia hepatotoxicity
2
Q
methotraxate mechanism
A
١- ⬆️ AMP ➡️ adenosine (inhib inflam)
٢- folate antagonist : ❌ purine synth ➡️ affect lymphocyte and macrophage
⬇️ proliferation + ⬆️ apoptosis
⬇️ proinflam cyrokines
3
Q
Leflunomide
A
Block pyrimidine synth ➡️ ⬇️ T cell prolif + production of autoantibodies by B cells
⬇️ TNF-a dependent
4
Q
Sulfasalazine
A
synthetic drug ( aminosalicylic acid+ Sulfapyrdine)
suppression of T cell response + ⬇️ B cell prolif
⬇️ lymphocyte function
synergistic effect with metho or antimalaria(hydroxy chloroquin)
5
Q
(hydroxy chloroquin)
A
antimalaria
AE : ocular toxicity