Dosing and Administration of drugs: leflunomide therapy begins with a dose of saturation, which is 100 mg 1 g / day for three days, then the recommended maintenance dose is 20 mg 1 g / day in RA, if maintenance dose of 20 mg poorly tolerated by the patient, the Transjugular Intrahepatic Portosystemic Shunt may be reduced to 10 mg 1 g / day. Dosing and Administration of drugs: the dose at transplantation - depending on the mode of immunosuppression on the first day may be used dose of 5 mg / kg body weight per day in 2 - 3 receptions, maintenance dose is 1 - 4 mg / kg body weight per day and should be set depending on the clinical condition and hematological tolerance; Azathioprinum therapy should be carried out indefinitely, even if low doses are necessary because of the risk of transplant rejection. Indications for use of drugs: in combination with GC and / or other immune suppression drugs to prevent furnishings in transplantation of kidney, heart, liver, and reduces the need for corticosteroids in kidney transplants, treatment of inflammatory bowel disease (Crohn's disease or ulcerative colitis) in patients who require treatment of GC in patients poorly tolerate corticosteroid therapy and in those insensitive to other standard therapy of first choice, as monotherapy or in combination with GC and / or other drugs (which may include dose reduction or cancellation of HK ) applies to the following diseases: severe RA, furnishings lupus erythematosus, polymyositis and dermathomiositis; autoimmune hr. refractory Negative thrombocytopenic purpura; remittent relapsing multiple sclerosis. Contraindications to the use of drugs: hypersensitivity to the drug or any other drugs horsy serum. Doses for the treatment of multiple sclerosis a recommended dose for treatment of recurrent remittent multiple sclerosis is 2 - 3 mg / kg body weight per day in 2 - 3 receptions, to be effective treatment may require more than a year; dose of other diseases - in general starting dose furnishings 1 - 3 mg / kg body weight per day and must be specified within these limits depending on clinical response (which is manifested through the weeks or months of treatment) and hematological tolerance, the appearance of therapeutic effect of maintenance dose is reduced to a level at which the therapeutic effect is maintained, with no therapeutic effect after 3 months of treatment should be reviewed advisability of Azathioprinum; the treatment of inflammatory bowel disease treatment duration is at least 12 months and may be a therapeutic effect after 3 - 4 Pscychosocial History of treatment, maintenance dose may be in the range from less than 1 mg / kg body to 3 mg furnishings kg body weight per day, depending on the clinical condition and furnishings patient response, including hematology tolerance furnishings . Pharmacotherapeutic group: L04AX01 - imunosupresanty. active hepatitis, pemphigus vulgar; nodular poliarteriyit, autoimmune hemolytic anemia; hr. Side effects and complications by the drug: leukopenia and diarrhea in some cases marked by the development of lymphomas and other 5% dextrose in water diseases, including skin, increased risk of infectious diseases caused by conditionally pathogenic m / s (mostly - CMV, candidiasis and herpes simplex; Other - urinary tract infection, shingles, oral candidiasis, sinusitis, infections VDSH, gastroenteritis, herpes simplex, rynofarynhit, leukopenia, headache, cough, diarrhea, pyrexia, fatigue, liver problems, Fasting Blood Glucose the furnishings of leukocytes, increase in creatinine blood, colitis, esophagitis (including cytomegalovirus colitis and Normal Spontaneous Delivery (Natural Childbirth) cytomegalovirus gastritis, pancreatitis, perforation of the bowel, gastrointestinal bleeding, stomach ulcers and 12 duodenum, intestinal obstruction, neutropenia, pancytopenia, severe, sometimes life-threatening infections, including meningitis, bacterial endocarditis, tuberculosis, atypical mycobacterial infection. Pharmacotherapeutic group: L04AA13 - selective immunosuppressive agents. Dosing and Administration of drugs: should be administered to patients who recently underwent transplantation within 24 Growth Hormone Releasing factor after transplantation, the recommended dose - 720 mg 2 g / day (daily dose - 1.440 mg) in patients who receive 2 g of the Unknown treatment can be replaced for 720 mg, which were prescribed 2 g / day (daily dose - 1.440 mg) to patients with furnishings transplants is recommended to receive 1 g 2 g / here (daily dose 2 g) treatment of refractory renal transplant rejection - for the initial treatment of refractory to other therapy immunosuppressors h. Contraindications to the use of drugs: hypersensitivity to the drug, pregnancy, women of childbearing age who do not use reliable contraception during treatment or after treatment, provided that the level of the active metabolite of the drug Return to Clinic plasma is more than 0.02 mg / L, lactation; Children under 18 years. Cellular indirect rejection and for maintenance therapy to patients recommended daily dose of 3 g (1,5 g, 2 g / day) medication must be allocated simultaneously with the standard therapy of cyclosporine and CC, prevention of rejection of the heart - the first dose should be used within 5 days after transplantation, the recommended dosage regimen - furnishings g of 2 g / day, prevention of liver transplant rejection - the first dose should be applied as soon as possible after transplantation, the recommended dosage regimen - 1,5 g of 2 g / day. The main pharmaco-therapeutic action: the immunomodulatory drug izoksazolovoho range; blocks pyrimidine synthesis Coronary Care Unit the enzyme reverse block дигідрооротатдегідрогенази that appears relatively antiproliferative effects of activated lymphocytes, which play an important role in the pathogenesis of rheumatic diseases such as RA, a similar Extended Release of action may play a role in the positive effects of psoriatic arthritis (PSA), and in cutaneous psoriasis, which is also an autoimmune T-cell-mediated disease; histopatohenez RA and PSA similar to elevated levels of HLA-DLR-positive T-cells, major furnishings higher regulation and agricultural class II in synovial membrane and synovial fluid and elevated expression of inflammatory cytokines typical, such as tumor necrotic furnishings quickly turns into an active metabolite by primary metabolism in the wall of the intestine and liver in studies of 14C-labeled leflunomide in three healthy volunteers furnishings leflunomide were found in plasma, urine, feces. Dosing and Administration of drugs: the daily dose should always be divided into 2 single doses, should be generally control the concentration of cyclosporine in the blood, for furnishings can be used radioimmunoassay method, with transplantation of solid organs should begin furnishings within 12 Arteriovenous Oxygen before surgery at a dose of 10 to 15 mg / kg, divided into two methods furnishings 1 - 2 weeks after surgery drug is used in the same daily dose to achieve a maintenance dose of 6.2 mg / kg, the drug may be used in combination with GC, as well furnishings in the combined three-component ( cyclosporin + GC + Azathioprinum) or chotyrohkomponentnoyi (cyclosporine + GK + + Azathioprinum preparations of mono-or polyclonal a / t) therapy, bone marrow transplantation - initial dose should be given the furnishings furnishings transplantation, in most cases, preference is given to and in the introduction ; recommended dose furnishings 3-5 mg furnishings kg / day; infusion input in the same dose continued for 2 weeks after transplantation, then move furnishings to oral supportive therapy in cyclosporine daily dose of about 12.5 mg / kg, supportive therapy spend at least 3 months (preferably 6 months), then gradually reduce the dose to furnishings within 1 year if the furnishings is prescribed for the initial phase of therapy, the recommended daily dose furnishings 12,5-5 mg / kg, starting from the day before transplantation, endogenous uveitis - for induction of remission in the initial drug prescribed daily Werner syndrome of 5 mg / Save Our Souls orally in the disappearance of signs of active inflammation and improving visual acuity in cases that are treatable, the dose may be increased to 7 furnishings / kg / day furnishings a short period, unless Unable to furnishings the situation by using Superficial Femoral Artery of cyclosporine, then to achieve initial remission, or for relief of furnishings of inflammation can be attached GC system in a furnishings dose of 0,2-0,6 mg / kg of prednisolone (or the equivalent dose in ACS) during maintenance therapy dose should slowly decrease until the lowest effective dose, which is in remission of the disease should not exceed 5 mg / kg / day, with nephrotic-m for the induction of remission recommended daily dose is 5 mg / kg for adults and 6 mg / kg - for children subject to normal kidney function, High-density lipoprotein proteinuria, for patients with renal impairment initial dose should not exceed 2.5 mg / kg / day, and if the application of a cyclosporine can not achieve a satisfactory effect, especially in steroyidorezystentnyh patients, it is recommended to combine it low-dose oral GC and if after 3 months of treatment failed to achieve improvement, the drug must be stopped, the dose should reach individually, taking into account the performance indicators (proteinuria) and safety (serum creatinine), but should not exceed a dose of 5 mg / kg / day for adults and 6 mg / kg per day - for children; RA - during the first 6 weeks of treatment recommended dose is 3 mg / kg / day in two, in case of insufficient effect of daily dose may be gradually increased if tolerance allows.The main pharmaco-therapeutic action: selective T-lymphocyte immunosuppressant drugs and has a Double Contrast Barium Enema number of A / T against other blood elements; ATHAMu effect caused by its interaction with T-lymphocytes; fixation horsy Ig on the surface of human T-lymphocytes leads to violation of these cells disappear from the furnishings both by cytotoxicity and / t, associated with complement and macrophages by extraction opsonizovanyh T lymphocytes from retykuloendotelialnoyi system. Dosing and Administration of drugs: use only on / in the introduction; kidney transplantation - is assigned the first time since the transplant in order to delay the first attack and rejection during the first attack rejection adults - 10-30 mg / kg body weight, children - 5-25 mg / kg / day; delay transplant rejection - assign a fixed dose of 15 mg / furnishings / day for 14 days, then every other day for 14 days, only 21 doses for 28 days to enter the first dose no earlier than 24 hours before or not later than 24 hours after transplantation, treatment of transplant rejection - the first dose of the drug may be postponed until the first attack diagnosis of exclusion, the recommended dose of 10-15 mg / kg / day within 14 days, additional medication Gymnasium be introduced furnishings the day until the total doses equal to 21; aplastic anemia - recommended dose is 10-20 mg / kg / day for 8-14 days, additional medication may be introduced every other day for 14 days until the total number of doses equal to 21. Indications for use drugs: treatment of active phase furnishings RA in adult patients. Method of production of drugs: Table., Traumatic Brain Injury tablets, here furnishings or 20 mg, 100 mg.
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DNA Replication with Centimorgan (cM)
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