Therapeutic drug monitoring in inflammatory bowel disease

被引:6
作者
Kopylov, Uri [1 ,2 ,3 ]
Ben-Horin, Shomron [2 ,3 ]
Seidman, Ernest [1 ]
机构
[1] McGill Univ, Hlth Ctr, Div Gastroenterol, 1650 Cedar Ave, Montreal, PQ H3G 1A4, Canada
[2] Tel Aviv Univ, Sheba Med Ctr, Tel Aviv, Israel
[3] Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel
来源
ANNALS OF GASTROENTEROLOGY | 2014年 / 27卷 / 04期
关键词
Inflammatory bowel disease; Crohn's disease; ulcerative colitis; biologics; thiopurines;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Tumor necrosis factor (TNF)-alpha inhibitors and thiopurines are among the most important classes of medications utilized in the clinical management of Crohn's disease and ulcerative colitis. A significant proportion of patients loses response to these agents or develops adverse effects during the course of the treatment. Monitoring of drug levels and anti-drug antibodies (for TNF-alpha inhibitors) and metabolite levels (for thiopurines) can provide valuable insight into the possible etiology of unfavorable outcomes and allow for an appropriate management strategy for these patients. This review summarizes the current knowledge on the clinical implications of therapeutic drug monitoring in inflammatory bowel disease patients treated with TNF-alpha inhibitors and thiopurines.
引用
收藏
页码:304 / 312
页数:9
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