Pharm-Antirheumatic Flashcards
Methotrexate- Indications
Ra & psoriatic arthritis
Methotrexate- MOA
folate agonist- inhibits lymphocyte proliferation
Methotrexate- AE
stomach ulcers, nausea, cirrhosis of liver
Hydroxychloroquine- Indications
Mild RA, combined with methotrexate
Hydroxychloroquine- MOA
inhibits phospholipase A2, and platelet aggregation
Hydroxychloroquine- AE
ocular toxicity, retinal damage, CNS disturbances, GI upset, skin discoloration
Sulfasalazine- Indications
Early, mild RA in combination with hydroxychloroquine & methotrexate
Sulfasalazine- MOA
Unknown, COX & prostaglandin inhibition
Sulfasalazine- AE
Leukopenia, anorexia, HA/N/V, hypersensitivity
Azathioprine- Indications
RA, lupus, psoriatic arthritis
Azathioprine- MOA
T-lymphocyte inhibition
Azathioprine- AE
mutagenic in pregnancy, leukopenia, thrombocytopnea, anemia
Penicillamine- Indications
Slows progression of bone destruction and RA- in conjunction with NSAIDs/ glucocorticoids
Penicillamine- MOA
Unknown, prevents cycstine calculi, removes excess heavy metals
Penicillamine- AE
Severe! dermatologic nephritis, aplastic anemia,