Crohns/Ulcerative Colitis Drugs

  1. Mesalamine (5-aminosalicylic acid) (Asacol, Pentasa, Rowasa)-First line agents-Aminocalicylates
    indication: chronic inflammatory bowel diseases like ulcerative colitis
  2. Osalazine Na (Dipentum)-First line agents-Aminosalicylates
    indication: maintenance of remission of ulcerative colitis in patients intolerant of sulfasalazine
  3. Sulfasalazine (Azulfidine)-First line Agents-Aminosalicylates
    Indications: ulcerative colitis, rheumatoid arthritis, juvenile RA

    very selective, only some gets circulated
  4. Balsalazide disodium (Colazal)-First line Agents-Aminosalicylates
    Indication: mild to moderate ulcerative colitis

    MOA: 5-ASA inhibits leukotriene production reduces interleukin-1 and TNFalpha signaling & has antiproliferative effects
  5. Budesonide (Entocort EC)

    Glucorticoids (relieve inflammation)
    Indication: Treatment of Crohn's disease

    80-90% first-pass effect metabolism which limits systemic availability
  6. Infliximab (Remicade)-TNF alpha inhibitor

    Others:  Certolizumab (Cimzia), Adaliumab (Humira)
    MOA: inhibits TNF alpha; prevent cascade release of a large number of pro-inflammatory cytokines that lead to severe inflammation
  7. Natalizumab (Tysabri)- Integrin receptor antagonist
    MOA: monoclonal antibody that targets integrin receptors on leukocytes, preventing binding to gut vascular receptors and prevent leukocyte migration inhibiting the inflammatory cascade
  8. Vedolizumab (Entyvio)- Integrin receptor antagonist
    MOA:an integrin receptor antagonist is humanized IgG1 monoclonal antibody produced in Chinese hamster ovary cells that binds to the human alpha 4 beta integrin

    very expensive

    intravenous administration
Author
Brook
ID
356462
Card Set
Crohns/Ulcerative Colitis Drugs
Description
Updated