RA/Migraine Agents Flashcards
Methotrexalate
Antimetabolite
MOA: inhibits AICAR transformylase -> ↑ extraceullar adenosine and ↓ T-cell activation
Rx: 1st line Tx for RA
SE: lymphocyte toxicity
Leflunomide
MOA: inhibits ribonucleotide synthesis -> cell cycle arrest
Rx: 1st line Tx for RA
Both symptomatic improvement and retardation of structural joint damage
Chlorquine
Antimalarial Agent
MOA: unclear (anti-inflammation)
Rx: RA
Hydroxychloroquine
Antimalarial Agent
MOA: unclear (anti-inflammation)
Rx: RA
Etanercept
Anti-TNF Agent
MOA: cytokine receptor fusion protein
Rx: RA
Infliximab
Anti-TNF Agent
MOA: anti-TNF chimeric monoclonal ab
Anakinra
IL-1 Inhibitor
MOA: IL-1 cytokine receptor decoy
Rx: RA
Propanolol
Beta Blocker
MOA: decreased vasodilation
Rx: Migraine prevention
SE: tiredness
Metoprolol
Beta Blocker
MOA: decreased vasodilation
Rx: Migraine prevention
SE: tiredness
Amitryptyline
TCA
Rx: Migraine prevention
SE: drowsiness
Valproic Acid
Anticonvulsant
Rx: Migraine prevention
SE: drowsiness, tetratogenicity
Topiramate
Anticonvulsant
Rx: Migraine prevention
SE: drowsiness, tetratogenicity
Metoclopramide
Antiemetic
MOA: D2 antagonist / 5-HT3 antagonist
Rx: N/V of acute migraine attack
Chlorpromazine
Antiemetic
MOA: D2 antagonist
Rx: N/V of acute migraine attack
Prochlorperazine
Antiemetic
MOA: D2 antagonist
Rx: N/V of acute migraine attack