Immune modulator
Fingolimod (Gilenya)
Fingolimod (Gilenya) MOA
Traps lymphocytes in lymph nodes, which suppresses immune-mediated inflammation
Fingolimod (Gilenya) Indications
-Relapsing MS, Autoimmune diseases (psoriasis & transplant rejections)
Fingolimod (Gilenya) AE
-Bradycardia
-Increase risk of infection
-Macular Edema
-Elevated liver enzymes
T & B Cell suppressors prototypes (three)
Azathioprine (imuran), Cyclosporine (sandimmune), & Methyleprednisone
Azathioprine (imuran) & Cyclosporine (sandimmune) Indications
Prevention of specific transplant rejections & some autoimmune conditions
Methylprednisone MOA & Indication
Inhibits all stages of T-cell activation
* Induction/maintenance of immunosuppression
* Used for acute rejection
Interleukin receptor Antagonist
Anakinra Kineret
Anakinra Kineret Action
Decrease inflammation, swelling, and joint pain associated with auto immune conditions
Monoclonal Antibodies Prototype
Bavacizumab (avastin)
Bavacizumab (avastin) TE
Reduce tumor vascularization (Angiogenesis)
Bavacizumab (avastin) Route of adminstration
Most are injected medication because they are rapidly broken down in the GI tract