2014
DOI: 10.3109/00365521.2014.968864
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Conventional drug therapy for inflammatory bowel disease

Abstract: Most patients with inflammatory bowel diseases (IBD) are offered conventional medical therapy, because emerging therapies for IBD are regulated by health-care jurisdiction and often limited to academic centres. This review distils current evidence to provide a pragmatic approach to conventional IBD therapy, including aminosalicylates, corticosteroids, thiopurines, methotrexate, calcineurin inhibitors, infliximab and adalimumab. It addresses drug efficacy, safety and salient practice points for optimal and appr… Show more

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Cited by 63 publications
(61 citation statements)
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References 216 publications
(310 reference statements)
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“…2 During IBDs, the integrity of the intestinal layer is damaged and ingested materials and pathogens can cause inflammation by activating the epithelial cells, polymorphonuclear neutrophils, and macrophages to produce inflammatory cytokines and other mediators that further contribute to oxidative stress and perpetuate the inflammatory response in the gut. 8,9 Thus, there is great interest to find new therapeutic strategies for the treatment of IBDs. 4,5 In particular, IBDs are associated with a disequilibrium between ROS and the antioxidant response, giving rise to oxidative stress 6 which is presently considered as potentially critical in the pathogenesis, progression, and severity of IBDs.…”
Section: Introductionmentioning
confidence: 99%
“…2 During IBDs, the integrity of the intestinal layer is damaged and ingested materials and pathogens can cause inflammation by activating the epithelial cells, polymorphonuclear neutrophils, and macrophages to produce inflammatory cytokines and other mediators that further contribute to oxidative stress and perpetuate the inflammatory response in the gut. 8,9 Thus, there is great interest to find new therapeutic strategies for the treatment of IBDs. 4,5 In particular, IBDs are associated with a disequilibrium between ROS and the antioxidant response, giving rise to oxidative stress 6 which is presently considered as potentially critical in the pathogenesis, progression, and severity of IBDs.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 While the clinical features of Crohn's disease include pain, diarrhea, narrowing of the intestine's lumen leading to structural and bowel obstruction, abscess formation, and fistulization of the skin and internal organs; the clinical features of UC include severe diarrhea, blood loss, and progressive loss of the peristaltic function. However, due to the high risks of adverse effects such as sleep and mood disturbances, dyspepsia, or glucose intolerance, cortico-steroids are not suitable as long term therapies, 5 and new strategies for adjunct therapies are needed. 4 UC can be treated with a number of medications including 5-ASA drugs such as sulfasalazine and mesalazine.…”
Section: Introductionmentioning
confidence: 99%
“…Intestinal mucosal inflammation can lead to sustained and irreversible damage to the digestive tract and produce serious clinical consequences (6). A variety of inflammatory mediators such as interleukin (IL)-4, IL-1, tumor necrosis factor and transforming growth factor (TGF)-β, as well as several signal pathways such as the nuclear factor-κB signaling pathway, participate in the damage of the digestive tract (79).…”
Section: Introductionmentioning
confidence: 99%