Review article: monitoring of immunomodulators in inflammatory bowel disease

被引:53
作者
Aberra, FN [1 ]
Lichtenstein, GR [1 ]
机构
[1] Univ Penn, Hosp Univ Penn, Sch Med,Div Gastroenterol, Dept Med,Ctr Inflammatory Bowel Dis, Philadelphia, PA 19104 USA
关键词
D O I
10.1111/j.1365-2036.2005.02343.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The armamentarium of medications for the treatment of inflammatory bowel disease is growing and becoming more complicated to use. Immunomodulators are a class of medications that have found a niche for the treatment of Crohn's disease and ulcerative colitis. Because of the mounting supporting evidence for efficacy, the most commonly-used immunomodulators are azathioprine, mercaptopurine, methotrexate and ciclosporin. These medications are being used more often due to their steroid-sparing and potentially surgery-sparing effects. Immunomodulators are also known for a significant side-effect profile and require careful monitoring. This review provides the latest information for clinicians on efficacy, side-effects, dosing and monitoring of these medications for treatment of inflammatory bowel disease.
引用
收藏
页码:307 / 319
页数:13
相关论文
共 125 条
[1]   Review article: the risk of lymphoma associated with inflammatory bowel disease and immunosuppressive treatment [J].
Aithal, GP ;
Mansfield, JC .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2001, 15 (08) :1101-1108
[2]  
Alves S, 2000, HUM MUTAT, V15, P246, DOI 10.1002/(SICI)1098-1004(200003)15:3<246::AID-HUMU5>3.0.CO
[3]  
2-#
[4]   Drug interactions with grapefruit juice [J].
Ameer, B ;
Weintraub, RA .
CLINICAL PHARMACOKINETICS, 1997, 33 (02) :103-121
[5]  
[Anonymous], COCHRANE DATABASE SY, DOI 10.1002/14651858.CD000545
[6]   Azathioprine and mesalamine for prevention of relapse after conservative surgery for Crohn's disease [J].
Ardizzone, S ;
Maconi, G ;
Sampietro, GM ;
Russo, A ;
Radice, E ;
Colombo, E ;
Imbesi, V ;
Molteni, M ;
Danelli, PG ;
Taschieri, AM ;
Porro, GB .
GASTROENTEROLOGY, 2004, 127 (03) :730-740
[7]   Analytic aspects of monitoring therapy with thiopurine medications [J].
Armstrong, VW ;
Shipkova, M ;
von Ahsen, N ;
Oellerich, M .
THERAPEUTIC DRUG MONITORING, 2004, 26 (02) :220-226
[8]  
Arora S, 1999, HEPATO-GASTROENTEROL, V46, P1724
[9]   Spontaneous remission of low-grade B-cell non-Hodgkin's lymphoma following withdrawal of methotrexate in a patient with rheumatoid arthritis: case report and review of the literature [J].
Baird, RD ;
van Zyl-Smit, RN ;
Dilke, T ;
Scott, SE ;
Rassam, SMB .
BRITISH JOURNAL OF HAEMATOLOGY, 2002, 118 (02) :567-568
[10]   LOW-DOSE ORAL METHOTREXATE IN REFRACTORY INFLAMMATORY BOWEL-DISEASE [J].
BARON, TH ;
TRUSS, CD ;
ELSON, CO .
DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (10) :1851-1856