DMARDS Flashcards

1
Q

which proteins are used to measured monthyl to assess effectieness of DMARDS

A

serum acute phase proteins

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2
Q

how does methotrexate work

A

folate antagonists (binds dihydrofolate reductase)

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3
Q

side effects of methotrexate

A

pneumonitis - pulmonary fibrosis/ cough
hepatoxicity
leucopenia, thrombocytopenia, GI upset
teatrogenic (both males and females)

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4
Q

what type of drug is sulfasalazine

A

aminosalicylate

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5
Q

side effects of sulfalasaline

A
temporay oligospermia (sperm cells in semen) 
depression
hepatitis
GI upset 
ulcers / rash
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6
Q

how do hydroxycholoquine work

A

antimalarial

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7
Q

what are the side effects of hydrocycholoquine

A

adverse retinopathy
corneal depositis
hamatolytic anaemia
GI upset

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8
Q

how does leflunamide work

A

inhibts dihydroorolate dehydrogenase

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9
Q

side effect of SE

A

ILD

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10
Q

side effects of gold

A

proteinuria + peripheral neuropathy

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11
Q

how does penicillamine work

A

chelating agent (wilsons disease)

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12
Q

side effects of penicllamine

A
rash 
aggridation of mysathenia gravis 
goodpasture syndrome
proteinuria
glomerulonephritis 
anaemia 
GI upset
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13
Q

side effects of axathioprine

A
marrow suppression 
infection
nephrotoxcitiy
acute pancreatitis 
GI upset 
teatrogenic
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14
Q

how does ciclosporin work

A

blocks cytotoxic T cell activation

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15
Q

how does prednisolone work

A

binds glucocorticoid receptor (alpha / beta)

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16
Q

what does prednisolone do

A

salt / water retention
increased glucneogenesis
increased hepatic glycogen depostion
increased protein breakdown

17
Q

side effects of prednisolone

A
OP
DM 
hypertension
caracts
glaucoma
18
Q

risk of anti TNF drugs

A

reactivation of TB

skin cancer

19
Q

contraindications for anti-tnf drugs

A

HF

pulmonary fibrosis

20
Q

which drug casues demelination

A

entanercept