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Related Concept Videos

Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
Myasthenia Gravis: Overview and Treatment01:20

Myasthenia Gravis: Overview and Treatment

Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which leads...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel Disease...
Drug Accumulation During Multiple Dosing: Intermittent IV Infusions01:24

Drug Accumulation During Multiple Dosing: Intermittent IV Infusions

Intermittent intravenous (IV) infusion is a method of drug administration where medications are delivered over short infusion periods followed by intervals of no drug delivery. This approach helps to prevent sustained high drug concentrations in the bloodstream, reducing the risk of adverse effects associated with prolonged exposure. Unlike continuous infusion, steady-state concentrations may not be achieved during a single dosing cycle but can be reached through repeated...
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
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Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
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Assessment of Antibody-based Drugs Effects on Murine Bone Marrow and Peritoneal Macrophage Activation
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[Intravenous immunoglobulins in multiple sclerosis. An update].

S Schwarz1, H-M Meinck, B Storch-Hagenlocher

  • 1Zentralinstitut für Seelische Gesundheit, Klinikum Mannheim, Neurologische Universitätsklinik, Universität Heidelberg, Quadrat J 5, 68159 Mannheim. st_schwarz@hotmail.com

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Summary

Intravenous immunoglobulins (IVIG) show potential as a safe second-line treatment for relapsing-remitting MS. However, conclusive evidence on IVIG efficacy and optimal dosage remains limited.

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Area of Science:

  • Neurology
  • Immunology
  • Pharmacology

Context:

  • Multiple Sclerosis (MS) management often requires alternative therapies when standard treatments fail or are contraindicated.
  • Intravenous immunoglobulins (IVIG) are increasingly considered for MS patients, particularly those with relapsing-remitting MS (RRMS).
  • Existing immunomodulatory drugs may not be suitable for all MS patients, especially during pregnancy and postpartum.

Purpose:

  • To evaluate the safety and efficacy of intravenous immunoglobulins (IVIG) as a treatment option for Multiple Sclerosis (MS).
  • To review current clinical evidence supporting IVIG use in various MS patient populations.
  • To identify gaps in knowledge regarding IVIG's long-term effects and optimal dosing in MS.

Summary:

  • Clinical studies suggest IVIG is generally safe and well-tolerated in MS patients, with rare serious side effects.
  • While some research indicates potential benefits of IVIG for relapsing-remitting MS (RRMS), recent studies like PRIVIG have not demonstrated clinical efficacy.
  • Limited data exists for IVIG use in MS during pregnancy and postpartum, and efficacy for other MS indications is largely unproven or negative.

Impact:

  • IVIG may serve as a viable second-line treatment for RRMS patients unresponsive to other therapies.
  • Further research is crucial to establish definitive efficacy, long-term outcomes, and appropriate dosing strategies for IVIG in MS.
  • The findings highlight the need for more robust clinical trials to support IVIG's role in comprehensive MS care.