Table 3.
Examples of steroid-sparing systemic immunosuppressive agents that may be used for the treatment of ocular sarcoidosis
| Medication | Dose | Expected onset of action |
|---|---|---|
| Antimetabolites | ||
| - Methotrexate | 7.5-25 mg/week PO, SQ or IM | 2-12 weeks |
| - Mycophenolate mofetil | 500-1500 mg PO twice daily | 2-12 weeks |
| - Azathioprine | 1-4 mg/kg/day PO daily | 4-12 weeks |
| Calcineurin inhibitors | ||
| - Cyclosporine | 2.5-10 mg/kg/day PO twice daily | 2-6 weeks |
| - Tacrolimus | 0.15-0.30 mg/kg/day PO | 2-6 weeks |
IM = intramuscularly; PO = orally; SQ = subcutaneously
Adapted from Jabs DA, Rosenbaum JT, Foster CS, Holland GN, Jaffe GJ, Louie JS, Nussenblatt RB, Stiehm ER, Tessler H, Van Gelder RN, Whitcup SM, Yocum D. Guidelines for the use of immunosuppressive drugs in patients with ocular inflammatory disorders: recommendations of an expert panel. Am J Ophthalmol. 2000;130(4):492-513; with permission.