Literature DB >> 769707

Synthetic D(-)penicillamine in rheumatoid arthritis. Double-blind controlled study of a high and low dosage regimen.

A J Dixon, J Davies, T L Dormandy, E B Hamilton, P J Holt, R M Mason, M Thompson, J C Weber, D W Zutshi.   

Abstract

Doses of 600 mg and 1200 mg of D(-)penicillamine daily were superior to a standard regimen of therapy in rheumatoid arthritis. The higher dose did not produce significantly greater therapeutic benefit in the group of patients so treated, although individual patients sometimes improved more. The frequency of rashes, blood dyscrasias, and withdrawals from the trial increased withe dosage. It is concluded that D(-)penicillamine is a useful treatment that the daily dose should be as low as possible, and that it should be increased at infrequent intervals only, with due regard to the likelihood of further improvement in relation to an increased risk of adverse reactions.

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Year:  1975        PMID: 769707      PMCID: PMC1006442          DOI: 10.1136/ard.34.5.416

Source DB:  PubMed          Journal:  Ann Rheum Dis        ISSN: 0003-4967            Impact factor:   19.103


  3 in total

1.  Intra-articular dissociation of the rheumatoid factor.

Authors:  I A JAFFE
Journal:  J Lab Clin Med       Date:  1962-09

2.  Observations on the treatment of rheumatoid disease with penicillamine.

Authors:  J R Golding; J V Wilson; A T Day
Journal:  Postgrad Med J       Date:  1970-10       Impact factor: 2.401

3.  Penicillamine in rheumatoid disease: a long-term study.

Authors:  A T Day; J R Golding; P N Lee; A D Butterworth
Journal:  Br Med J       Date:  1974-02-02
  3 in total
  30 in total

1.  Penicillamine treatment of rheumatoid arthritis with a single daily dose of 250 mg.

Authors:  I A Jaffe
Journal:  Proc R Soc Med       Date:  1977

2.  Failure of D-penicillamine to affect peripheral joint involvement in ankylosing spondylitis or HLA B27-associated arthropathy.

Authors:  H A Bird; A S Dixon
Journal:  Ann Rheum Dis       Date:  1977-06       Impact factor: 19.103

3.  Inhibition of human endothelial cell proliferation in vitro and neovascularization in vivo by D-penicillamine.

Authors:  T Matsubara; R Saura; K Hirohata; M Ziff
Journal:  J Clin Invest       Date:  1989-01       Impact factor: 14.808

4.  Controlled trial of synthetic D-penicillamine and prednisone in maintenance therapy for active chronic hepatitis.

Authors:  R B Stern; S P Wilkinson; P J Howorth; R Williams
Journal:  Gut       Date:  1977-01       Impact factor: 23.059

Review 5.  Joint damage in rheumatoid arthritis: radiological assessments and the effects of anti-rheumatic drugs.

Authors:  D L Scott; P A Bacon
Journal:  Rheumatol Int       Date:  1985       Impact factor: 2.631

Review 6.  Do drugs change the course of rheumatoid arthritis?

Authors:  V Wright; R Amos
Journal:  Br Med J       Date:  1980-04-05

Review 7.  What happens to patients with rheumatoid arthritis? The long-term outcome of treatment.

Authors:  T D Spector; D L Scott
Journal:  Clin Rheumatol       Date:  1988-09       Impact factor: 2.980

Review 8.  Assessing the progression of joint damage in rheumatoid arthritis.

Authors:  D L Scott; M Farr
Journal:  Drugs       Date:  1986       Impact factor: 9.546

9.  Progressive joint damage during penicillamine therapy for rheumatoid arthritis.

Authors:  D L Scott; A Greenwood; R Bryans; E C Huskisson
Journal:  Rheumatol Int       Date:  1988       Impact factor: 2.631

Review 10.  Penicillamine in rheumatoid arthritis. A problem of toxicity.

Authors:  H G Taylor; A Samanta
Journal:  Drug Saf       Date:  1992 Jan-Feb       Impact factor: 5.606

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