Biologics

What are they?

Biologic medicines are targeted medicines that block specific molecules in your immune system from doing their job.


How do they work?

Biologics work by blocking the communication between different cells in your immune system. By blocking communication, the immune system cannot work as effectively as a team to tcause inflammation.

More specifically, the communication molecules called cytokines are either blocked from being made or from communicating with other cells of your immune system.


Anti-TNF blockers

All medicines in this family work by blocking the inflammatory cytokine called TNF from promoting further inflammation via different cells of your immune system, as well as bone cells.

  • Etanercept (Enbrel)
  • Rilonacept (Regeneron)
  • Infliximab (Remicade)
  • Golimumab (Simponi)
  • Adalimumab (Humira)
  • Certolizumab (Cimzia)

T- Cell Blocker

Abatacept specifically blocks T cells (a type of lymphocyte, which is a subtype of white blood cell) from becoming active. These cells communicate with other cells and produce cytokines leading to inflammation.


B- cell Blocker

Rituximab sticks to B cells (a type of lymphocyte, which is a subtype of white blood cell) and removes them from the body. This keeps B cells from making antibodies and cytokines that cause inflammation.


IL-6 Blockers

Tocilizumab blocks the inflammatory cytokine called interleukin-6 (IL-6). IL-6 acts on B cells, T cells and bone cells leading to joint inflammation/damage.


Other Treatments
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NSAIDS

NSAIDS

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DMARDS

DMARDS

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Steroids

Steroids