Immunomodulators and Anti-inflammatory Drugs

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Questions and Answers

Which drug directly inhibits the action of IL-5?

  • Mepolizumab (correct)
  • Ustekinumab
  • Tocilizumab
  • Adalimumab

A patient with severe plaque psoriasis and psoriatic arthritis may benefit from a medication targeting which of the following?

  • IL-4 receptor
  • IL-12/IL-23 (correct)
  • TNFα
  • H1 and H2 receptors

Which of the following drugs is classified as a selective COX-2 inhibitor?

  • Naproxen
  • Ibuprofen
  • Celecoxib (correct)
  • Aspirin

A patient experiencing allergic rhinitis might be prescribed a medication that targets?

<p>LTRAs (C)</p> Signup and view all the answers

Which drug is known to inhibit IgE, and is primarily used for allergy-related asthma?

<p>Omalizumab (C)</p> Signup and view all the answers

Which of the following medications is used to treat both ulcerative colitis and Crohn's disease by targeting the immune cell adhesion/trafficking?

<p>Vedolizumab (B)</p> Signup and view all the answers

Which of the following targets is associated with the use of corticosteroids?

<p>NFκB and PLA-2 (A)</p> Signup and view all the answers

Which of the following drugs is known to target the IL-6 receptor?

<p>Tocilizumab (B)</p> Signup and view all the answers

A patient diagnosed with rheumatoid arthritis (RA) and is prescribed Tofacitinib. What is the target of this medication?

<p>pan-JAK inhibitor (B)</p> Signup and view all the answers

Which of the following drugs is used to treat myelofibrosis, graft vs. host disease, and other conditions by targeting JAK1 & JAK2?

<p>Ruxolitinib (C)</p> Signup and view all the answers

Flashcards

Arachidonic Acid Cascade drugs

Drugs that target the arachidonic acid cascade.

Antihistamines

Block H1 and H2 receptors.

NSAIDs

Block COX-1 and COX-2 enzymes to reduce inflammation, pain, and fever; examples include Aspirin, Ibuprofen, and Naproxen.

Selective NSAIDs

Specifically inhibit COX-2 to reduce inflammation and pain.

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montelukast (Singulair)

Block leukotriene receptors to reduce asthma symptoms.

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Anakinra (Keneret)

Targets IL-1 receptor, used for Rheumatoid Arthritis (RA).

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Adalimumab (Humira)

Targets TNFα, used for Rheumatoid Arthritis (RA) and psoriasis.

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Tocilizumab (Actemra)

Targets IL-6 receptors, used for Rheumatoid Arthritis (RA) and Systemic Juvenile Idiopathic Arthritis (sJIA)

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Ustekinumab (Stelara)

Targets IL-12 and IL-23, used for Crohn's disease and psoriasis

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Omalizumab (Xolair)

Targets IgE to treat allergy-related asthma.

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Study Notes

  • Corticosteroids target NFκB and PLA-2 and are used for numerous diseases.
  • Antihistamines target H1 and H2 receptors and are used for numerous diseases.
  • NSAIDs like Aspirin, Ibuprofen, Naproxen, and Diclofenac target COX-1 and COX-2 for broad inflammation, pain, and fever relief.
  • Selective NSAIDs such as Celecoxib (Celebrex) and Etoricoxib target COX-2 for COX-2-specific inflammation and pain.
  • Zileuton (Zyflo) targets 5-LOX for asthma treatment.
  • Montelukast (Singulair) targets LTRAs for asthma and allergic rhinitis treatment.
  • Zafirlukast (Accolate) targets LTRAs for asthma treatment.

Cytokine/cytokine receptor/cytokine pathway drugs

  • Anakinra (Keneret) targets the IL-1 receptor for rheumatoid arthritis (RA) treatment.
  • Adalimumab (Humira) targets TNFα for RA and psoriasis treatment.
  • Tocilizumab (Actemra) targets the IL-6 receptor for RA and systemic juvenile idiopathic arthritis (sJIA) treatment.
  • Ustekinumab (Stelara) targets IL-12/IL-23 for Crohn's disease and psoriasis.
  • Risankizumab (Skyrizi) targets IL-23A for plaque psoriasis, psoriatic arthritis, Crohn's disease, and ulcerative colitis.
  • Mepolizumab (Nucala) targets IL-5 for eosinophilic asthma.
  • Dupilumab (Dupixent) targets the IL-4 receptor for eczema.
  • Tofacitinib (Xeljanz) targets pan-JAK inhibitor for RA and ulcerative colitis.
  • Upadacitinib (Rinvoq) targets Jak1 for RA and ulcerative colitis, and ankylosing spondylitis.
  • Ruxolitinib (Opzelura) targets Jak1 & Jak2 for myelofibrosis, graft vs. host disease, atopic dermatitis, and vitiligo.

Immune cell adhesion/trafficking drugs

  • Vedolizumab (Entyvio) targets LPAM-1 (α4β7 integrin) for ulcerative colitis and Crohn's disease.
  • Natalizumab (Tysabri) targets VLA-1 (α4β1 integrin) for multiple sclerosis and Crohn's disease.

Specific Antibody Isotype inhibitor

  • Omalizumab (Xolair) targets IgE for allergy-related asthma.

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