Which of the following statements is NOT TRUE about Xeljanz?

a. It is a Janus kinase (JAK) inhibitor.
b. It is indicated for the treatment of ulcerative colitis.
c. The active ingredient found in Xeljanz is Tofacitinib.
d. It should always prescribe with Cyclosporine to increase its efficiency.
e. If a serious infection develops, interrupt Xeljanz/Xeljanz XR until the infection is controlled.

Answer: (d) Use of Xeljanz/Xeljanz XR in combination with biologic DMARDs or with potent immunosuppressants such as azathioprine and cyclosporine is not recommended.

The active ingredient found in Xeljanz is Tofacitinib. It is a Janus kinase (JAK) inhibitor. It is indicated for treatments of:
1. Rheumatoid Arthritis
2. Psoriatic Arthritis
3. Ulcerative Colitis

The recommended dose is 5 mg twice daily or 11 mg once daily. It can be taken with or without food. It is available in tablet and extended release tablet forms.

Do not initiate Xeljanz/Xeljanz XR in patients with an absolute lymphocyte count less than 500 cells/mm3, an absolute neutrophil count (ANC) less than 1000 cells/mm3 or who have hemoglobin levels less than 9 g/dL.

Patients treated with Xeljanz/Xeljanz XR are at increased risk for developing serious infections that may lead to hospitalization or death. Most patients who developed these infections were taking concomitant immunosuppressants such as methotrexate or corticosteroids. If a serious infection develops, interrupt Xeljanz/Xeljanz XR until the infection is controlled.

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