Xeljanz Xr

From WikiMD's Food, Medicine & Wellness Encyclopedia

Xeljanz XR (extended release) is a medication used in the treatment of certain autoimmune conditions, such as rheumatoid arthritis, psoriatic arthritis, and ulcerative colitis. It belongs to a class of drugs known as Janus kinase (JAK) inhibitors, which work by blocking the activity of enzymes involved in the inflammatory processes that contribute to these diseases.

Overview[edit | edit source]

Xeljanz XR contains the active ingredient tofacitinib, which is specifically designed to inhibit the Janus kinase enzymes. By doing so, it helps reduce the inflammation and other symptoms associated with autoimmune disorders. The XR formulation allows for once-daily dosing, offering convenience and improved adherence compared to medications that require multiple doses throughout the day.

Indications[edit | edit source]

Xeljanz XR is approved for use in adults with moderate to severe rheumatoid arthritis who have had an inadequate response or intolerance to methotrexate. It is also indicated for the treatment of adults with active psoriatic arthritis and for those with moderately to severely active ulcerative colitis.

Mechanism of Action[edit | edit source]

The mechanism of action of Xeljanz XR involves the inhibition of the Janus kinase (JAK) pathways, which are critical in the process of immune cell activation. By blocking these pathways, tofacitinib reduces the production of inflammatory cytokines and modulates the immune response, thereby decreasing inflammation and providing relief from symptoms.

Dosage and Administration[edit | edit source]

Xeljanz XR is administered orally, once daily. The dosage may vary based on the specific condition being treated, the severity of the disease, and the patient's response to the medication. It is important for patients to follow their healthcare provider's instructions regarding dosage and administration.

Side Effects[edit | edit source]

Like all medications, Xeljanz XR can cause side effects. Common side effects include but are not limited to headaches, diarrhea, and upper respiratory tract infections. More serious side effects may include increased risk of infections, cancer, blood clots, and liver enzyme elevations. Patients should be monitored closely for signs of serious side effects and report any concerning symptoms to their healthcare provider.

Precautions[edit | edit source]

Before starting Xeljanz XR, patients should inform their healthcare provider about any existing health conditions, including if they have any infections, liver or kidney problems, or if they are pregnant or planning to become pregnant. It is also important to discuss all medications being taken, as Xeljanz XR can interact with other drugs.

Conclusion[edit | edit source]

Xeljanz XR represents a significant advancement in the treatment of certain autoimmune diseases, offering an effective option for patients who have not responded to traditional therapies. However, like all medications, it comes with potential risks and side effects. Patients should work closely with their healthcare provider to determine if Xeljanz XR is the right treatment for their condition.

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Contributors: Prab R. Tumpati, MD