A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
Dartmouth Hichcock Medical Center, Lebanon, New Hampshire, United States
Good Samaritan Regional Health Center, Mount Vernon, Illinois, United States
Providence Cancer Institute at Providence Hospital - Southfield Campus, Southfield, Michigan, United States
St. James Healthcare Cancer Care, Butte, Montana, United States
Medical Clinic & Policlinic III, University of Bonn, Bonn, Germany
University of Virginia Cancer Center, Charlottesville, Virginia, United States
Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, United States
CCOP - Atlanta Regional, Atlanta, Georgia, United States
CCOP - Central Illinois, Decatur, Illinois, United States
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center, Columbus, Ohio, United States
CCOP - Upstate Carolina, Spartanburg, South Carolina, United States
U.T. Cancer Institute at University of Tennessee Medical Center, Knoxville, Tennessee, United States
Cottonwood Hospital Medical Center, Murray, Utah, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
OSF Saint Anthony's Health Center, Alton, Illinois, United States
University of Alabama at Birmingham Cancer Center, Birmingham, Alabama, United States
Huntsville Hospital, Huntsville, Alabama, United States
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