Disease-modifying Antirheumatic Drug - Members

Members

Drug Mechanism
adalimumab TNF inhibitor
azathioprine Purine synthesis inhibitor
chloroquine and hydroxychloroquine (antimalarials) Suppression of IL-1 & TNF-alpha, induce apoptosis of inflammatory cells and decrease chemotaxis
ciclosporin (Cyclosporin A) calcineurin inhibitor
D-penicillamine Reducing numbers of T-lymphocytes etc.
etanercept TNF inhibitor
golimumab TNF inhibitor
gold salts (sodium aurothiomalate, auranofin) unknown - proposed mechanism: inhibits macrophage activation
infliximab TNF inhibitor
leflunomide Pyrimidine synthesis inhibitor
methotrexate (MTX) Purine metabolism inhibitor
minocycline 5-LO inhibitor
rituximab chimeric monoclonal antibody against CD20 on B-cell surface
sulfasalazine (SSZ) Suppression of IL-1 & TNF-alpha, induce apoptosis of inflammatory cells and increase chemotactic factors

Although these agents operate by different mechanisms, many of them can have similar impact upon the course of a condition.

Some of the drugs can be used in combination.

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