Specialty Flashcards
Benlysta
Belimumab
Benlysta MOA
Inhibits B cell activation
Benlysta indication
Lupus
Benlysta typical dosing
Oral:
Self injection:
Twice daily
Once weekly SQ
How long for results with Benlysta?
7 months
Benlysta 5 common side effects
Nausea, diarrhea, fever, cough, sore throat, runny nose, insomnia, pain, depression, headache, itching.
Cetrotide
Cetrorelix
Cetrotide MOA
GNRH antagonist that delays ovulation for egg retrieval procedure
Cetrorelix route and frequency
SQ daily
Cetrorelix 2 common side effects
Headache, nausea
Avonex
Rebif
Avonex MOA
Interferon
Avonex indication
multiple sclerosis
Avonex admin route
IM
Rebif admin route
Sub Q every 48 hours
Tocilizumab
Actemra
Actemra
Tocilizumab
Actemra MOA
IL-6 antagonist
Actemra indication
Rheumatoid arthritis
Actemra SQ admin
Allow to reach room temp 30 min syringe, 45 min autoinjector
What should Actemra solution look like?
Clear to pale yellow
Cosentyx
Secukinumab
Cosentyx MOA and indication
IL-17 antagonist in psoriasis and psoriatic arthritis
Cosentyx admin
Sub Q Allow to reach room temp 15 minutes sensoready pen or 30 minutes unoready pen.
Where to inject Cosentyx?
Front thigh, Lower abdomen, outer upper arms
Cosentyx 2 common side effects
Infection and sinus infection
Fasenra
Benralizumab
Benralizumab
Fasenra
Benralizumab MOA and indication
IL-5 antagonist, reduces survival of eosinophils and basophils, asthma
Fasenra admin
Allow to come to room temp for 30 minutes
Fasenra route
Sub Q, upper arm, thigh, or abdomen.
Leukeran
Chlorambucil
Chlorambucil
Leukeran
Leukeran MOA and indication
DNA alkylator, cancer
Leukeran 3 common side effects
Rash, blood dyscrasia’s, hepatotoxicity, pneumonitis
Kevzara
Sarilumab
Sarilumab
Kevzara
Kevzara MOA and indication
IL-6 antagonist, rheumatoid arthritis and psoriatic arthritis
Kevzara route
Sub Q thigh, abdomen, upper arm. Pre filled syringe warm for 30 minutes, pre filled pen warm for 60 minutes.
Kevzara appearance
Clear to pale yellow
Common side effects kevzara
Elevated AST /ALT, respiratory infection, UTI
Enbrel
Etanercept
Etanercept
Enbrel
Enbrel MOA and indication
TNF blocker for rheumatoid and psoriatic arthritis
Enbrel common side effects
Infection, rash, headache
Enbrel admin
Let autoinjector come to room temp for 30 min, sub Q in thigh, upper arm, or abdomen
Mekinist
Trametinib
Trametinib
Mekinist
Mekinist MOA and indication
Kinase inhibitor (targeted at cancer specific kinases that slows or stops growth of cancer cells)
Mekinist common side effects
Rash, diarrhea, nausea, fatigue, lymphedema
Trametinib admin
With small meal
Pregnyl
Chorionic gonadotropin
Pregnyl MOA
Induce ovulation and increase sperm count in men
Chorionic gonadotropin
Pregnyl
Pregnyl common side effects
Bloating, stomach pain
Pregnyl admin
Reconstitute, give IM in buttocks upper right quadrant.
Crinone
Progesterone
Crinone route
IM
Crinone indication
Abnormal uterine bleeding, infertility
Crinone common side effects
Bloating, abd pain, cramps, sleepy, mood swings, breast pain
Tasigna
Nilotinib
Nilotinib
Tasigna
Nilotinib indication
Leukemia
Common Tasigna side effects
Swelling, balding, night sweats, itching, rash, electrolyte discrepancy, high cholesterol and triglycerides, abd pain, all GI, myalgia, cough, URTI, fatigue
Erleada
Apalutamide
Apalutamide
Erleada
Erleada MOA and indication
Androgen receptor antagonist, Prostate cancer
Erleada common side effects
HTN, swelling, rash, flushing, weight loss, nausea, diarrhea, joint pain, fatigue
Gleostine
Lomustine
Lomustin
Gleostine
Gleostine indication and MOA
Cancer, alkylating agent
Xeloda
Capecitabine
capecitabine
Xeloda
Cytoxan
Cyclophosphamide
Cyclophosphamide
Cytoxan
Cytoxan indication
Cancer
Casodex
Bicalutamide
Bicalutamide
Casodex
Casodex indication
Prostate cancer
Casodex MOA
Anti androgen for cancer
Evenity
Romosozumab
Romosozumab
Evenity
Evenity MOA
Sclerostin inhibitor, increases bone formation and slightly decreases bone resorption
Evenity common side effects
Joint pain, headache
Evenity admin
2 shots sub Q every month
Romosozumab boxed warnings
Increased risk of MI, stroke, and cardiovascular death
Evenity storage and handling
Refrigerate, may be at room temp for 30 days
What supplements needed while on Evenity?
Calcium and vitamin D
Myfembree
Relugolix-estradiol-norethindrone
Relugolix-estradiol-norethindrone
Myfembree
Myfembree MOA and indication
Relugolix: reduces FSH and LH to decrease bleeding from uterine fibroids and pain from endometriosis
Estradiol: reduces bone loss from relugolix
Norethindrone: protects from endometrial cancer from estradiol
Indication: heavy menstrual bleeding in premenopausal women from uterine fibroids and pain with endometriosis
Myfembree boxed warning
Clot risk, especially women over 35 who smoke or have uncontrolled HTN
Myfembree common side effects
Hot flashes, sweating, abnormal vaginal bleeding, alopecia, decreased sexual interest
Anagrelide
Agrylin
Agrylin
Anagrelide
Anagrelide moa
Reduces platelet count by reduced survival of megakaryocytes
Anagrelide indication
Thrombocytopenia secondary to neoplasms to reduce clot risk.
Anagrelide common side effects
Heart: chest pain, palpitations, edema
GI: abd pain, NVD
CNS: dizzy, headache, pain, weakness
Respiratory: dyspnea
Anagrelide max daily dose
10 mg or 2.5 mg qid
Inflectra
Infliximab
Why is zymfentra not interchangable with remicade or inflectra?
It is given sub q rather than IV