Иммуносупрессанты. Классификация. Применение. Нежелательные эффекты и контроль иммуносупрессивной терапии


Химия и фармакология

Ферментные препараты аспарагиназа производные 4 аминохинолина хлорохин салазопиридазин гепарин кислота аминокапроновая препараты золота пеницилламин и др.



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Иммуносупрессанты. Классификация. Применение. Нежелательные эффекты и контроль иммуносупрессивной терапии.

2. ИММУНОСУПРЕССАНТЫ. Классификация:

  1.  антиметаболиты — меркаптопурин2, азатиоприн*, метотрексат*, бреквинар, аллопуринол* и др. ;
  2.  алкилирующие вещества* — циклофосфамид, хлорбутин и др. ;
  3.  антибиотики — такролимус (FK 506), рапамицин, хлорамфеникол, циклоспорин А*, противоопухолевые* (дактиномицин, даунорубицин, митомицин, блеомицин и др. );
  4.  алкалоиды* — винкристин, винбластин;
  5.  глюкокортикоиды — гидрокортизон, преднизолон, дексаметазон и др. ;
  6.  антитела — антилимфоцитарный глобулин (АЛГ), антитимоцитарный глобулин (АТГ), моноклональные антитела (ОКТ-3, зенапакс) и др. ;
  7.  производные разных химических групп — НПВС (кислота ацетилсалициловая, парацетамол, вольтарен, напроксен и др. ), ферментные препараты (аспарагиназа*), производные 4-аминохинолина (хлорохин), салазопиридазин*, гепарин, кислота аминокапроновая, препараты золота, пеницилламин и др.

применение – в трансплантологии, аутоиммунные заболевания

нежел. эффекты – ранние: нарушение функции костного мозга, ЖКТ, склонность в инфекциям, аллер. реакции, поздние – канцерогенность, нарушение репродукции, задержка роста у детей

2 Используются и как противоопухолевые (тема №  32).  


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