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Abatacept
Brand name: Orenica
Use: RA, Juvenile Idiopathic Arthritis, Prophylaxis of acute Graft-versus-host disease(GVHD)
MOA: inhibits T-cell activation by interrupting the costimulatory interaction between CD28 on the T cell and CD80/CD86 on the antigen-presenting cell
Adalimumab
Brand Name: Humaria
Use:
Ankylosing spondylitis, psoriatic arthritis, rheumatoid arthritis
Crohns disease & Ulcerative colitis
Plaque psoriasis
Hidradenitis suppurativa
Juvenile idiopathic arthritis:
MOA: blocks tumor necrosis factor-alpha (TNF-alpha)
BBW: Malignancy, serious infections
Adenosine
Brand: Adenocard
Use: Paroxysmal supraventricular tachycardia
MOA: Decelerates conduction time through AV node, interrupts re-entry pathways through AV node, and restores normal sinus rhythm.
CI: 2nd- or 3rd-degree AV block, sinus node disease
Ado-Trastuzumab
Brand name: Kadcyla
MOA: anti-HER2 antibody
Use:
HER2-positive, metastatic breast cancer (as single agent) in patients who previously received trastuzumab and a taxane, separately or in combination
Adjuvant treatment for HER2-positive early breast cancer who have residual invasive disease after neoadjuvant taxane and trastuzumab-based therapy
BBW: Hepatotoxicity, cardiotoxicity, embryo-fetal toxicity
Alemtuzumab
Lemtrada
Use:
B-cell chronic lymphoid leukemia
Relapsing remitting multiple sclerosis(RRMS):
MOA: Depletion of T and B lymphocytes by binding cell surface CD-52
Alteplase
Brand name: Activase
MOA: Initiates fibrinolysis by binding to fibrin in a thrombus and converts entrapped plasminogen to plasmin.
Use: Acute ischemic stroke within 3 h of symptom onset, Acute pulmonary embolism, STEMI in a facility without PCI capability, central venous catheter clearence
CI:
Active internal bleeding
recent intracranial or intraspinal surgery or trauma within 2 mo
Any prior intracranial hemorrhage
ischemic stroke within 3 mos
severe uncontrolled hypertension
current use of anticoagulants with elevated laboratory tests (eg, INR >1.7, etc)
thrombocytopenia
acute bacterial endocarditis
AMIVANTAMAB-vmjw
Brand name: Rybrevant
MOA: Bispecific antibody that targets both EGFR and mesenchymal-epithelial transition (MET).
Use: Non–small-cell lung cancer(with GFR mutation)
Amphorectin B
MOA: Alteration of cell membrane permeability through binding to ergosterol; fungicidal.
Use:
Aspergillus species, Candida species, or Cryptococcus species
Prefer liposomal formulation in renal impairment
AMPICILLIN/SULBACTAM
Brand name: Unasyn
MOA: beta lactam
Covers:
Beta-hemolytic Strep (pyogenes, agalactiae
Susceptible Enterococcus
MSSA Coverage
Gram - Anerobes( B. fragilis )
Acinetobacter
ADRs: GI upset, hypersensitivity, and seizures
Does not cover MRSA or Pseudo
ANGIOTENSIN II
Brand name: Giapreza
Use: Septic or distributive shock
MOA: Synthetic version of the angiotensin —>Causes vasoconstriction and increases aldosterone release, which raises blood pressure.
ARGATROBAN
MOA: Direct Thrombin Inhibitor
Use: HIT, Percutaneous coronary intervention
CI: Major, active bleeding
ARSENIC TRIOXIDE
Brand name: Trisenox
Use: Acute promyelocytic leukemia(newly diagnosed or refractory) in presence of a t (15:19) translocation
MOA: Damages or degrades the fusion protein promyelocytic leukemia (PML)-retinoic acid receptor (RAR) alpha.
ATEZOLIZUMAB
Brand Name: Tecentriq
Use:
Non–small-cell lung cancer and small cell lung cancer
BRAF V600 mutation
combination with bevacizumab
MOA: PD-L1 on the surface of tumor cells and blocks the interaction of T cells and antigen-presenting cells which releases the inhibition of the immune response and activates the antitumor response.
Atropine
Brand name: Atropen
MOA: Blocks acetylcholine at parasympathetic sites in smooth muscle, secretory glands, and the CNS; increases cardiac output, dries secretions.
Use:
bradycardia
cholinergic OD
CI: Asthma, glaucoma, tachycardia
AXICABTAGENE CILOLEUCEL
Brand Name: Yescarta
MOA: modified autologous T cell that is directed toward the CD19 antigen on B-lymphocytes.
Use: B-cell lymphoma after failing two lines of therapy
BBW: Cytokine release syndrome, neurological toxicity, REMs, T-cell malignancies
AZACITIDINE
Brand Name: Vidaza
MOA: a pyrimidine nucleoside analog of cytidine
Use: Anemia, leukemia
CI: malignant hepatic tumors
AZTREONAM:
Azactam
MOA: monobactam that binds to penicillin binding proteins (PBP) and interferes with cell wall synthesis for sensitive bacteria
Has activity against Gram negative bacteria ONLY, like Pseudomonas aeruginosa
BENDAMUSTINE:
Brand name: Belrapzo, Bendeka, Treanda,
MOA: bifunctional nitrogen mustard derivative containing a purine-like benzimidazole ring. It covalently bonds to DNA, leading to DNA crosslinking and cell death.
Use: leukemia, lymphoma
CI: History of hypersensitivity to bendamustine, polyethylene glycol 400, propylene glycol, monothioglycerol
BEVACIZUMAB
Brand name: Avastin, Mvasi, Vegzelma, Zirabev
MOA: Binds to and neutralizes soluble VEGF, preventing its binding to endothelial receptors Flt-1 and KDR. Inhibition of VEGF binding prevents angiogenesis, thereby slowing tumor growth.
BEZLOTOXUMAB
Brand name: Zinplava
Use: Secondary prevention of C. difficile infection:
MOA: Monoclonal antibody binds to C. difficile toxin B which prevents toxic effects. How this prevents recurrent infections is unknown.