Etanercept



Etanercept





(ee tan er’ sept)

Enbrel

PREGNANCY CATEGORY B


Drug Classes

Antiarthritic

Disease-modifying antirheumatic drug

Immunomodulator

Tumor necrosis factor blocker


Therapeutic Actions

Genetically engineered tumor necrosis factor receptors from Chinese hamster ovary cells; keep inflammatory response to autoimmune disease in check by reacting with and deactivating free-floating tumor necrosis factor released by active leukocytes.


Indications



  • Reduction of the signs and symptoms, inducing major clinical response, inhibiting the progression of structural damage, and improving physical function in patients with moderately to severely active rheumatoid arthritis; to delay the structural damage associated with rheumatoid arthritis; or may be used in combination with methotrexate when patients do not respond to methotrexate alone


  • Reduction of signs and symptoms of moderately to severely active polyarticular juvenile idiopathic arthritis in patients 2 yr and older


  • Reduction of signs and symptoms and to improve function in patients with psoriatic arthritis; may be used alone or in combination with methotrexate


  • Treatment of ankylosing spondylitis


  • Treatment of adult patients with chronic moderate to severe plaque psoriasis who are candidates for systemic therapy or phototherapy


  • Unlabeled uses: Heart failure, Crohn disease, graft-versus-host disease, hidradenitis suppurativa, nephrotic syndrome, pyoderma gangrenosum



Available Forms

Powder for injection—25 mg; prefilled single-use syringe—25, 50 mg/mL.


Dosages

Adults



  • Plaque psoriasis: 50 mg/dose subcutaneously twice weekly 3 or 4 days apart for 3 mo; then maintenance dose of 50 mg/wk subcutaneously.


  • Ankylosing spondylitis, rheumatoid arthritis, psoriatic arthritis: 50 mg/wk subcutaneously.

Pediatric patients 2–17 yr

Jul 20, 2016 | Posted by in NURSING | Comments Off on Etanercept

Full access? Get Clinical Tree

Get Clinical Tree app for offline access