SLE- Calcineurin Inhibitors DI Flashcards
Calcineurin inhibitors used in SLE
Tacrolimus, voclosporin
Tacrolimus is used where in SLE?
Proliferative LN alone or in combo with MMF
Voclosporin route of administration
PO
Voclosporin brand name
Lupkynis
Voclosporin MoA
Decreases cytokine production and lymphocyte proliferation
When to use voclosporin in SLE
Adjunct therapy in immunosuppressants in LN
Voclosporin BBW
Infection and malignancy
Voclosporin causes nephrotoxicity when?
eGFR <45ml/min/1.73m^2
What should you NOT use with voclosporin?
CYC
Voclosporin DDIs
3A4 interactions, including grapefruit juice
Voclosporin and strong 3A4 inducers
Make it less effective
Voclosporin and strong inhibitors
Increase concentrations
Advantage of voclosporin over Benlysta
PO
Advantage of Benlysta over voclosporin
No 3A4 interactions