[The combination of cyclosporin A and fluocortolone in the treatment of autoimmune diseases]

Clin Ter. 1989 Oct 15;131(1):3-21.
[Article in Italian]

Abstract

The authors report the results obtained in treatment of various autoimmune diseases using cyclosporin A (CyA) in association with fluocortolone and/or methotrexate and cyclophosphamide. In all patients treated, complete long-lasting remission of the disease both from a clinical point of view and regarding laboratory tests was obtained. In some cases, this remission has lasted for several years since onset of therapy. The results obtained demonstrate the efficacy of CyA in treatment of autoimmune diseases and show that association with fluocortolone and/or methotrexate and cyclophosphamide by exploiting the combined action of these drugs, has enabled relatively low doses to be used. These however are still sufficient to induce satisfactory immunosuppression and avoid side effects. In this context, the importance of monitoring drug blood levels is underlined, also in view of the fact that each patient has a different capacity for intestinal CyA absorption.

Publication types

  • Case Reports
  • Clinical Trial
  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Adult
  • Arthritis, Rheumatoid / drug therapy
  • Arthritis, Rheumatoid / immunology
  • Autoimmune Diseases / drug therapy*
  • Autoimmune Diseases / immunology
  • Clinical Trials as Topic
  • Cyclophosphamide / therapeutic use
  • Cyclosporins / therapeutic use*
  • Drug Evaluation
  • Drug Therapy, Combination
  • Female
  • Fluocortolone / therapeutic use*
  • Humans
  • Lupus Erythematosus, Systemic / drug therapy
  • Lupus Erythematosus, Systemic / immunology
  • Male
  • Methotrexate / therapeutic use
  • Middle Aged
  • Peptic Ulcer / drug therapy
  • Peptic Ulcer / immunology

Substances

  • Cyclosporins
  • Fluocortolone
  • Cyclophosphamide
  • Methotrexate