New drugs (Mumab)😍

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PIK3CA Mutation Testing

  • Predicts response to Alpelisib (PI3K inhibitor) in HR+/HER2– advanced breast cancer
  • Pick me from ER with Alpenlibe
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Mitotane

  • Used for adrenocortical carcinoma
  • D/t it adrenolytic properties
  • Rarely used
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Suzetrigine
  • Non opioid drug for moderate to severe pain
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  • Teprotumumab
    • FDA recently approved
    • Insulin-like growth factor-1 receptor (IGF-1R) inhibitor
    • first drug approved for treatment of adults with thyroid eye disease.
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Drug
Target
Use
Rituximab
CD20
Relapsed indolent lymphoma, DLBCL
Ipilimumab
CTLA-4 ⛔
[cytotoxic T lymphocyte-Associated Protein-4]
Late-stage melanoma
Trastuzumab
HER2
HER2+ breast & gastric cancer
Pembrolizumab
PD-1
(Programmed cell death protein 1)
Advanced melanoma,
MSI-H / MMR-deficient cancers
  • Loperamide
    • DOC in IBS - Diarrhea
    • u Agonist:
    • Don't cross BBB → Efflux by P-glycoprotein (MDR1 transporter)No dependence
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Drug
Indication
Plecanatide
Chronic Idiopathic Constipation (CIC) in adult
Pling → when constipated
Naldemedine
Opioid-induced constipation
Naltrexone → Opioid
Similarly →
Naldemedine
Tenapanor
Irritable bowel syndrome with constipation
Thampanoor poyapo IBS vannu
Telotristat
Severe diarrhea due to Carcinoid tumors
Tell to start the car
(Telotristat → Carcinoid)

4. Omalizumab

  • Monoclonal antibody against IgE
  • Used for
    • Urticaria
    • prophylaxis of severe persistent Bronchial asthma
  • Not effective in atopic dermatitis
  • Given subcutaneously
  • Kochinu asthma (asthma) vannapo maran Om Kreem (Om) kuttichathaennu prnj ammumma

5. Anti Interleukins

  • In severe eosinophilic BA
  • Anti-IL-5:
    • Reslizumab
    • Mepolizumab
    • Mnemonic: Me poli Rasam → 5 benz rally (benralizumab) cheyyum
  • Anti-IL-5 Receptor (IL-5R):
    • Benralizumab
  • Anti-IL-4 Receptor (IL-4R):
    • Dupilumab
    • out of 5 infront of reception, 4 are duplicate
  • IL-13 inhibitor:
    • Tralokinumab,
    • Lebrikizumab

New drugs COPD :

  • Roflumilast : PDE4 ⛔
  • Ensifentrine : Both PDE3 ⛔ and PDE4 ⛔
  • Rough (Roflumilast) Siphon (Ensifen)
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  • Phosphodiesterase-5 inhibitors (PDE-5 inhibitors)
    • Nitric oxide enhancers.
    • Facilitates blood flow into the penis, enhances erection.
    • Drugs: Sildenafil, Tadalafil, Vardenafil, Avanafil.
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