transplant drugs Flashcards
ATGAM/ALG/OKT3 class
pan-t cell antibody
ATGAM/ALG/OKT3 mechanism
causes t cell reduction through ADCC and removal through opsinization in the spleen.
ATGAM/ALG/OKT3 therapeutics
induction immune suppression for the transplant of tissues
ATGAM/ALG/OKT3 se
Serum sickness reaction characterized by fevers, chills, tachycardia, hypertension or hypotension, myalgias, and rash. there is also the sensitivity to infections
decliuzimab class
IL-2 receptor antibody
decliuzimab mechanism
inhibits the IL-2 dependent proliferation of t cells.
decliuzimab therapeutics
induction of immune suppression for transplant.
basiliximab class
IL-2 receptor antibody
basiliximab mechanism
reduces the IL-2 dependent t cell proliferation
basiliximab therapeutics
transplant induction
alemtuzimab class
CD52 antibody
alemtuzimab mechanim
suppresses both b and t cells for a profound lymphopenia.
alemtuzimab therapeutics
immune suppression induction for transplant.
methylpredinisolone class
glucocorticoid
methylpredinisolone mechanims
non specific antiinflammatory agent
methylpredinisolone therapeutics f
induction of immune suppression
methylpredinisolone SE
Diabetes mellitus, hyperlipidemia, hypertension, fluid retention, myopathy, osteoporosis, and a predisposition toward opportunistic infections
cyclosporin class
calcineurin inhibitor
cyclosporin mechanism
blocks Il-2 production
cyclosporin therapeutics
maintenance of immune suppression
cyclosporin SE
Renal insufficiency, hypertension, dyslipidemia, metabolic derangements. there are significant drug interactions with anything metabolized by CYP3A4
tacrolimus class
calcineurin inhibitor (this is correct)
tacrolimus mechanism
IL-2 production inhibitor
tacrolimus therapeutics
maintenance of immune suppression
tacrolimus SE
Renal insufficiency, hypertension, dyslipidemia, metabolic derangements, New onset DM; hemolytic-uremic syndrome, Significant drug interactions with any drug metabolized by CYP3A4
azothiaprime class
antimetabolite.
azothiaprime mechanism
inihibits de novo synthesis of purines.
azothiaprime therapeutics
maintenance of immune suppression
azothiaprime SE
Leukopenia; hepatotoxicity; pancreatic toxicity
mycophenylate class
antimetabolite
mycophenylate mechanism
inhibits de novo syn of purines
mycophenylate therapeutics
maintenance of immune suppression
mycophenylate SE
Leukopenia (less than azathioprine; GI toxicity
sirolimus class
mtor inhibition
sirolimus mechanism
inhibits the progression of cell cycle from g1 to s phase.
sirolimus therapeutic
maintenance of immune suppression
sirolimus SE
Hyperlipidemia, oral ulcerations, impaired wound healing, interstitial pneumonitis
balatacept
antibody that blocks costimulation of t cells used in the maintenance of immunosuppression
rituximab class
cd 20 inhibitor that causes b cell destruction