Etanercept

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image:anecbubble.pngAlzheimer?
Very early reports of its use intrathecally against Alzheimer's disease have appeared recently. Evaluation is required.


Contents

Introduction

A TNF inhibitor used as a treatment for inflammatory arthritis.

Clinical Use

Indications

see manufacturers literature

Administration

IV

Clinical Issues

Contra-indications

  • Pregnancy
  • Active infection

Cautions and Interactions

Side effects

  • Hypersensivity
  • Fever
  • Nausea
  • Abdominal pain
  • Heart failure
  • Headache
  • Pruritis
  • Depression
  • SLE like syndrome
  • Blood dyscrasias
  • Infections, including severe sepsis (odds ratio for serious infection 2.0 (95% CI, 1.3-3.1), number needed to harm 59 (95% CI, 39-125) within a treatment period of 3 to 12 months).[1]
  • Malignancy (odds ratio for malignancy 3.3 (95% CI, 1.2-9.1) number needed to harm 154 (95% CI, 91-500) for 1 additional malignancy within period of 6 to 12 months)[2], including an association with hepatosplenic T-cell lymphoma in patients also on mercaptopurines.[3]

Special advice

Pharmacology

[edit]

References

This article is a work in progress. Please feel free to contribute to it.

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