thalidomide (Rx)
Dosage Forms & Strengths
capsule
Erythema Nodosum Leprosum (ENL)
Indicated for acute treatment of cutaneous manifestations of moderate-to-severe erythema nodosum leprosum (ENL); also indicated as maintenance therapy for prevention and suppression of cutaneous recurrence
Also indicated as maintenance therapy for prevention and suppression of the cutaneous manifestations of ENL recurrence
Note: Not indicated as monotherapy for ENL in the presence of moderate-to-severe neuritis
Initial: 100-300 mg PO qDay with water, preferably at bedtime at least 1 hr after evening meal
Weight <50 kg: Initiate at low end of dose range
Severe cutaneous ENL or patient previously requiring higher doses: May start at 400 mg/day (qHS or in divided doses at least 1 hr pc)
Consider concomitant use of corticosteroids in patients with moderate-to-severe neuritis associated with a severe ENL reaction; taper steroid and discontinued when neuritis has ameliorated
https://reference.medscape.com/drug/thalomid-thalidomide-343211
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