A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
William Beaumont Hospital, Royal Oak, Michigan, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States
Washington University Pain Management Center, St. Louis, Missouri, United States
University of Minnesota Cancer Center, Minneapolis, Minnesota, United States
Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center, Robbinsdale, Minnesota, United States
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, United States
Birmingham Children's Hospital, Birmingham, England, United Kingdom
Royal London Hospital, London, England, United Kingdom
Institute of Child Health at University of Bristol, Bristol, England, United Kingdom
Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center, Cleveland, Ohio, United States
Christian Medical College, Vellore, Tamil Nadu, India
Tata Memorial Hospital, Mumbai, India
Chonnam National University Hwasun Hospital, Kwangju, Korea, Republic of
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, United States
Saint Joseph, Gilly, Belgium
Stadtdpital Triemli, Zurich, Switzerland
Medizinische Universitaet Wien, Vienna, Austria
University of New Mexico, Albuquerque, New Mexico, United States
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