| Term 
 | Definition 
 
        | can take up to a year to see clinical effects, eye exams to check for retinal damage |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhibits dihydrofolate reductase, increasing adenosine which inhibits lymphocyte proliferation; supplement with folate |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | symptomatic relief, may be used intraarticularly |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | can be used with NSAID or ASA and low dose corticoids; inhibits Cox2 and some leukotrienes and blocks pyrimidine synthesis/ tyrkinase |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | leflunomide, methotrexate |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | human TNFalpha receptor Fc fusion protein,SQ, immunosupression and injection site reactions |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | chimaric mouse mAB specific for TNF, IV infusion, can develop antinuclear Abs |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | human mAB specific for TNF, SQ, think immunosuppression, black box TB infection relapse |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | pegylated fab fragment (prolonged circulation, protected against enzematic degradation, slower renal filtration and improved stability) warning; infection risk, cancer onset, get immunizations early and avoid live vaccines |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | human-derived mAB against TNF alpha, SQ, same contraindications, seek medical attention if there is any sign of infection |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | IL-1 receptor inhibitor, blocks inflammatory signaling (monocyte/macrophage activation, fibroblast proliferation, and chondrocyte activation) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | recombinant humanized mAB binds IL6 receptor, increased risk of serious infections |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | costimulation modulator the blocks signal 2 of T cell activation, weight based dosing |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | anti-CD20 specific for B cells mAB, B cell apoptosis, infusion rxns and pancytopenia |  | 
        |  |