A piperidinyl isoindole originally introduced as a non-barbiturate hypnotic, thalidomide was withdrawn from the market due to teratogenic effects.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).
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Simmons Cancer Center - Dallas, Dallas, Texas, United States
University of Texas - MD Anderson Cancer Center, Houston, Texas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
University of Arkansas for Medical Sciences/MIRT, Little Rock, Arkansas, United States
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