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office_hours:inflammation:start [2026/02/15 17:48] – [High-Yield Framework] andrew2393cnsoffice_hours:inflammation:start [2026/02/15 17:52] (current) – [High-Yield Framework — How Immune Drugs Differ] andrew2393cns
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 <WRAP center round box 95%> <WRAP center round box 95%>
-If you understand the pathwayyou stop memorizing drug lists.+You will be a better clinician if you understand the pathwaysnot just memorize some drugs
 </WRAP> </WRAP>
  
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-===== High-Yield Framework =====+===== High-Yield Framework — How Immune Drugs Differ =====
  
-<WRAP center 90%> +<WRAP center 95%> 
-Target Level ^ Examples ^ What It Usually Does +Depth of Action ^ What The Drug Is Really Doing ^ Drug Classes ^ Typical Clinical Use 
-Mast cells / histamine | [[allergy:drug_classes:first_generation_h1|Antihistamines]], [[immunology:biologics:anti_ige|Omalizumab (IgE)]] | helps allergy symptoms; not great for deep autoimmune disease +Surface (symptom relief) | Blocks mediators already released | [[allergy:drug_classes:first_generation_h1|Antihistamines]], [[immunology:biologics:anti_ige|Omalizumab]] | Seasonal allergies, urticaria 
-Arachidonic acid (COX/LOX) | [[eicosanoids:nsaids:start|NSAIDs]], [[cardio:antiplatelet:aspirin|Aspirin]], [[respiratory:leukotriene_modifiers:5lo|Zileuton]], [[respiratory:drugs:montelukast|Montelukast]] | pain/fever/inflammation; leukotrienes = airway + allergy +Local chemical inflammation | Blocks inflammatory chemicals (prostaglandins leukotrienes) | [[eicosanoids:nsaids:start|NSAIDs]], [[cardio:antiplatelet:aspirin|Aspirin]], [[respiratory:drugs:zileuton|Zileuton]], [[respiratory:drugs:montelukast|Montelukast]] | Pain, fever, mild asthma 
-Gene transcription | [[immunology:corticosteroids:start|Corticosteroids]] | broad suppression; powerful but lots of systemic adverse effects +Broad immune suppression | Turns off inflammatory gene production | [[endocrine:drug_classes:corticosteroids|Corticosteroids]] | Severe inflammation, flares 
-Cytokines / signaling | [[immunology:biologics:anti_tnf_agents|TNF inhibitors]], [[immunology:biologics:start|IL inhibitors]], [[immunology:jak_inhibitors:start|JAK inhibitors]] | “upstream” control; high impact in autoimmune disease |+Targeted immune modulation | Blocks specific immune communication pathways | [[immunology:biologics:anti_tnf_agents|TNF inhibitors]], [[immunology:biologics:start|IL inhibitors]], [[immunology:jak_inhibitors:start|JAK inhibitors]] | Autoimmune disease, severe asthma, IBD |
 </WRAP> </WRAP>
  
-----+<WRAP center round tip 90%> 
 +The deeper the drug acts → the stronger the disease control → the greater the infection risk. 
 +</WRAP>
  
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 ===== Related ===== ===== Related =====
  
office_hours/inflammation/start.1771177721.txt.gz · Last modified: by andrew2393cns