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Medications Affecting Immune System
Medications Affecting Immune System
N203
ATI (Unit 3)
Immune System -
Present at birth
Protection provided by physical barriers:
Skin, mucus membranes
Phagocytic cells
NK cells
N203
ATI (Unit 3)
Immune System -
B cells
Produce antibodies
Phagocytosis
Activate B cells
hypersensitivity reaction
Cytotoxic T cells (CD8)
Directly destroy target cells
MMR Vaccine
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
Education:
DTaP Vaccine
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
Education:
Hepatitis Vaccine
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
Local reaction
Anaphylaxis
Contraindications/Precautions:
Hx of anaphylaxis
Allergy to Bakers yeast
Education:
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
Varicella-like rash
Contraindications/Precautions:
Pregnancy
Cancer
Hx of allergy to neomycin or gelatin
Immunocompromised patients
Education:
Slight risk of virus being transmitted. If child develops rash after vaccination
they should be presumed to be infected and appropriate precautions taken.
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
None
Education:
Influenza Vaccine
N203
ATI (Unit 3)
Immune System -
Therapeutic Uses:
Immune Globulin
N203
ATI (Unit 3)
Immune System -
Expected Action:
Passive immunity
Therapeutic Uses:
Immunodeficiency syndrome
Bone marrow transplantation
Measles, rubella, varicella exposure
Adverse Effects:
Interactions:
Live viruses can lead to disease avoid live viruses for 3 months following IgG
Education:
Immunostimulants
N203
ATI (Unit 3)
Immune System -
Expected Action:
Theophylline (toxicity)
Zidovudine or retrovir ( neutropenia)
Antihypertensives ( hypotensive effect)
Education:
Immunosuppressants
(General)
N203
ATI (Unit 3)
Immune System -
cytotoxic T cells
For treatment of autoimmune disorders and to prevent organ rejection
Rheumatoid arthritis
Lupus
Myasthenia gravis
Adverse Effects
risk of infection
Teratogenesis
Medications:
Tacrolimus
Glucocorticoids (prednisone)
Methotrexate
Cytotoxics (azathioprine)
Cyclosporine
N203
ATI (Unit 3)
Immune System -
Adverse Effects:
Hepatotoxicity
Contraindications/Precautions:
Glucocorticoids
N203
ATI (Unit 3)
Immune System -
Adverse Effects:
Contraindications/Precautions:
Interactions:
Azathioprine
N203
ATI (Unit 3)
Immune System -
Adverse Effects:
Antihistamines
(General)
N203
ATI (Unit 3)
Immune System -
1st Generation:
Diphenhydramine (Benadryl)
Promethazine (Phenergan)
Dimenhydrinate (Dramamine)
2nd Generation:
Loratadine (Claritin)
Cetirizine (Zyrtec)
Fexofenadine (Allegra)
Desloratadine (Clarinex)
Therapeutic Uses:
Anaphylaxis
Motion sickness
Insomnia
Antihistamines
(1st Generation)
N203
ATI (Unit 3)
Immune System -
Chemotherapy Agents
(Medications)
N203
ATI (Unit 3)
Immune System -
Nitrogen mustards.....................................................cyclophosphamide
Platinum compounds.................................................................cisplatin
Folic acid analog................................................................methotrexate
Pyrimidine analog...................................................................cytarabine
Purine analogs................................................................mercaptopurine
Antitumor antibiotics...........................................................doxorubicin
Mitotic inhibitors..................................................vincristine, paclitaxel
Topoisomerase inhibitors.......................................topotecan, irinotecan
Breast cancer....................................................tamoxifen (antiestrogen)
Prostate cancer........................................................................leuprolide
Progestins....................................................................megestrol acetate
Cytotoxic medications
Asparaginase
Hydroxyurea
Procarbazine
Chemotherapy Agents
(Side Effects)
N203
ATI (Unit 3)
Immune System -
Reproductive toxicity
fluids, I&O
Give allopurinol if uric acid