CYCLOPHOSPHAMIDE
Cyclophosphamide is a
synthetic DMARD. Its major active metabolite is phosphoramide mustard, which
cross-links DNA to prevent cell replication. It suppresses T-cell and B-cell
function by 30–40%; T-cell suppression correlates with clinical response in the
rheumatic diseases.
Cyclophosphamide
is active against rheumatoid arthritis when given orally at dosages of 2
mg/kg/d but not intravenously. It is used regularly to treat systemic lupus
erythematosus, vasculitis, Wegener’s granulomatosis, and other severe rheumatic
diseases.
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