transplant drugs Flashcards

1
Q

ATGAM/ALG/OKT3 class

A

pan-t cell antibody

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2
Q

ATGAM/ALG/OKT3 mechanism

A

causes t cell reduction through ADCC and removal through opsinization in the spleen.

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3
Q

ATGAM/ALG/OKT3 therapeutics

A

induction immune suppression for the transplant of tissues

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4
Q

ATGAM/ALG/OKT3 se

A

Serum sickness reaction characterized by fevers, chills, tachycardia, hypertension or hypotension, myalgias, and rash. there is also the sensitivity to infections

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5
Q

decliuzimab class

A

IL-2 receptor antibody

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6
Q

decliuzimab mechanism

A

inhibits the IL-2 dependent proliferation of t cells.

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7
Q

decliuzimab therapeutics

A

induction of immune suppression for transplant.

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8
Q

basiliximab class

A

IL-2 receptor antibody

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9
Q

basiliximab mechanism

A

reduces the IL-2 dependent t cell proliferation

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10
Q

basiliximab therapeutics

A

transplant induction

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11
Q

alemtuzimab class

A

CD52 antibody

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12
Q

alemtuzimab mechanim

A

suppresses both b and t cells for a profound lymphopenia.

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13
Q

alemtuzimab therapeutics

A

immune suppression induction for transplant.

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14
Q

methylpredinisolone class

A

glucocorticoid

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15
Q

methylpredinisolone mechanims

A

non specific antiinflammatory agent

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16
Q

methylpredinisolone therapeutics f

A

induction of immune suppression

17
Q

methylpredinisolone SE

A

Diabetes mellitus, hyperlipidemia, hypertension, fluid retention, myopathy, osteoporosis, and a predisposition toward opportunistic infections

18
Q

cyclosporin class

A

calcineurin inhibitor

19
Q

cyclosporin mechanism

A

blocks Il-2 production

20
Q

cyclosporin therapeutics

A

maintenance of immune suppression

21
Q

cyclosporin SE

A

Renal insufficiency, hypertension, dyslipidemia, metabolic derangements. there are significant drug interactions with anything metabolized by CYP3A4

22
Q

tacrolimus class

A

calcineurin inhibitor (this is correct)

23
Q

tacrolimus mechanism

A

IL-2 production inhibitor

24
Q

tacrolimus therapeutics

A

maintenance of immune suppression

25
Q

tacrolimus SE

A

Renal insufficiency, hypertension, dyslipidemia, metabolic derangements, New onset DM; hemolytic-uremic syndrome, Significant drug interactions with any drug metabolized by CYP3A4

26
Q

azothiaprime class

A

antimetabolite.

27
Q

azothiaprime mechanism

A

inihibits de novo synthesis of purines.

28
Q

azothiaprime therapeutics

A

maintenance of immune suppression

29
Q

azothiaprime SE

A

Leukopenia; hepatotoxicity; pancreatic toxicity

30
Q

mycophenylate class

A

antimetabolite

31
Q

mycophenylate mechanism

A

inhibits de novo syn of purines

32
Q

mycophenylate therapeutics

A

maintenance of immune suppression

33
Q

mycophenylate SE

A

Leukopenia (less than azathioprine; GI toxicity

34
Q

sirolimus class

A

mtor inhibition

35
Q

sirolimus mechanism

A

inhibits the progression of cell cycle from g1 to s phase.

36
Q

sirolimus therapeutic

A

maintenance of immune suppression

37
Q

sirolimus SE

A

Hyperlipidemia, oral ulcerations, impaired wound healing, interstitial pneumonitis

38
Q

balatacept

A

antibody that blocks costimulation of t cells used in the maintenance of immunosuppression

39
Q

rituximab class

A

cd 20 inhibitor that causes b cell destruction