A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects. It has been reintroduced and used for a number of inflammatory disorders and cancers. Thalidomide displays immunosuppressive and anti-angiogenic activity through modulating the release of inflammatory mediators like tumor necrosis factor-alpha (TNF-a) and other cytokine action. Due to severe teratogenicity, pregnancy must be excluded before the start of treatment and patients must enrol in the THALIDOMID Risk Evaluation and Mitigation Strategy (REMS) program to ensure contraception adherence.
Thalidomide is primarily used for the acute treatment and maintenance therapy to prevent and suppress the cutaneous manifestations of moderate to severe erythema nodosum leprosum (ENL).
The Children's Hospital & Institute of Child Health, Multan, Punjab, Pakistan
Beijing Gobroad Boren Hospital, Beijing, China
Institute of Hematology and Blood Diseases Hospital Chinese Academy of Medical Sciences, Tianjin, China
Institute of Liver & Biliary Sciences (ILBS), New Delhi, Delhi, India
Institute of Hematology & Blood Diseases Hospital, Tianjin, Tianjin, China
National Institute of blood disease and bone marrow transplant, Karachi, Sindh, Pakistan
National Institute of blood disease and bone marrow transplant, Karachi, Sindh, Pakistan
Shandong Cancer Hospital and Institute, Jinan, Shandong, China
Lin Wang, Shanghai, Shanghai, China
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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