Table 1.
Drugs | Rheumatological Indications | Laboratory Parameters | Contraindications |
---|---|---|---|
Chloroquine and hydroxychloroquine | RA, SLE, SS | Cytopenia, long QT | Maculopathy, retinal changes, hypersensitivity, G6PD deficiency |
IVIG | Off-label | Decrease in Hb levels, positive Coombs test, increase in blood lactate dehydrogenase and liver enzyme levels | Hypersensitivity, type I or II hyperprolinemia |
Anti-TNF drugs | RA, JIA, SpA, PsA, BD | Cytopenia, increase in ALT levels, prolongation of activated partial thromboplastin time, auto-antibody test positivity (including double stranded DNA antibodies), | Hypersensitivity, active tuberculosis or other severe infections, NYHA III IV |
Anti- IL 6 drugs | RA, JIA, cytokine release syndrome, GCA | Increase in liver enzyme levels, decrease in neutrophil and platelet counts | Hypersensitivity, active severe infections |
Anti- IL 1 drugs | RA, CAPS | Decrease in neutrophil and platelets counts, increase in eosinophil differential percentage | Hypersensitivity |
Baricitinib | RA | Decrease in neutrophil and lymphocyte counts, decrease in Hb levels, alterations in lipid parameters, increase in liver enzyme and creatine phosphokinase levels | Hypersensitivity, pregnancy |
Colchicine | Gout, Familial Mediterranean Fever, BD | Decrease in neutrophil and lymphocytes, hepatic/renal function alteration | Hypersensitivity |
RA: rheumatoid arthritis; JIA: juvenile rheumatoid arthritis; SpA: spondyloarthritis; PsA: psoriatic arthritis; SLE: systemic lupus erythematosus; SS: Sjögren syndrome; CAPS: cryopyrin-associated periodic syndrome; G6PD: glucose-6-phosphate dehydrogenase; BD: Behçet disease; GCA: giant cell arteritis.