About
Rituximab is a chimeric monoclonal antibody that specifically targets the CD20 antigen, a transmembrane protein found on the surface of pre-B and mature B-lymphocytes, but not on hematopoietic stem cells or plasma cells. By binding to CD20, rituximab initiates a cascade of immune responses, including antibody-dependent cell-mediated cytotoxicity (ADCC), complement-dependent cytotoxicity (CDC), and direct induction of apoptosis, ultimately leading to the selective depletion of CD20-positive B-cells. This targeted B-cell depletion is a crucial therapeutic strategy in treating various B-cell non-Hodgkin lymphomas, chronic lymphocytic leukemia, and a range of autoimmune diseases such as rheumatoid arthritis and granulomatosis with polyangiitis, where B-cells play a significant pathogenic role. Its mechanism helps to effectively control disease progression, reduce inflammatory activity, and restore immune balance by removing the disease-driving B-cell population.
Uses
- Non-Hodgkin Lymphoma
- Chronic Lymphocytic Leukemia
- Rheumatoid Arthritis
- Granulomatosis with Polyangiitis
Directions For Use
Administer via intravenous infusion under strict medical supervision. Dosage and infusion rate depend on the specific condition and patient response.
Benefits
- Induces remission in certain lymphomas
- Reduces disease activity in autoimmune conditions
- Improves symptoms of rheumatoid arthritis
- Targets specific disease-causing B-cells
- Can be used in combination therapies
- Offers long-term disease control for some patients
Side Effects
- Infusion-related reactions (fever, chills, nausea)
- Fatigue
- Headache
- Nausea
- Diarrhea
- Increased risk of infections
- Peripheral edema
- Hypotension
- Pruritus
- Rash
- Neutropenia
- Progressive multifocal leukoencephalopathy (PML)
Safety Measures
- Alcohol - No specific contraindication, but avoid excessive alcohol, especially if liver function is compromised or other medications are taken.
- Pregnancy - Not recommended during pregnancy due to potential B-cell depletion in the fetus. Effective contraception is advised during and after treatment.
- Breastfeeding - Avoid breastfeeding during treatment and for several months after the last dose, as it may be excreted in breast milk.
- Liver - Use with caution in patients with impaired liver function. Regular monitoring of liver enzymes may be necessary.
- Kidney - No specific dose adjustment is typically required for renal impairment, but monitor kidney function, especially with concomitant nephrotoxic drugs.
- Lung - Use with caution in patients with pre-existing pulmonary conditions, as infusion reactions can affect respiratory function.
Disclaimer
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Always consult your doctor for any medical concerns, and discuss your questions about health conditions or medications with a qualified healthcare professional. Do not ignore or delay seeking professional medical advice based on information found on Med E Hub.
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