Metaxalone

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Metaxalone

Muscle relaxant medication


Engineered Monoclonal Antibodies[edit source]

Diagram of engineered monoclonal antibodies

Engineered monoclonal antibodies are a class of biological therapies that are designed to target specific antigens on the surface of cells. These antibodies are produced using recombinant DNA technologies and are used in the treatment of various diseases, including cancer, autoimmune disorders, and infectious diseases.

Structure and Function[edit source]

Monoclonal antibodies are composed of two identical heavy chains and two identical light chains, forming a Y-shaped molecule. The tips of the "Y" contain the antigen-binding sites, which are highly specific to the target antigen. This specificity allows monoclonal antibodies to bind to their target with high affinity, blocking or modulating the function of the antigen.

Types of Engineered Monoclonal Antibodies[edit source]

There are several types of engineered monoclonal antibodies, each designed for specific therapeutic purposes:

  • Chimeric antibodies: These antibodies are composed of murine (mouse) variable regions and human constant regions. They are less immunogenic than fully murine antibodies.
  • Humanized antibodies: These antibodies are mostly human, with only the antigen-binding sites derived from murine sources. This reduces the risk of immune reactions.
  • Fully human antibodies: These are entirely human in origin, produced using transgenic mice or phage display technologies.
  • Bispecific antibodies: These antibodies are engineered to bind two different antigens simultaneously, offering unique therapeutic mechanisms.

Applications in Medicine[edit source]

Engineered monoclonal antibodies have revolutionized the treatment of many diseases:

  • Cancer therapy: Monoclonal antibodies can target specific tumor antigens, leading to direct tumor cell killing or recruitment of immune cells to attack the tumor.
  • Autoimmune diseases: By targeting specific components of the immune system, monoclonal antibodies can reduce inflammation and tissue damage in diseases such as rheumatoid arthritis and multiple sclerosis.
  • Infectious diseases: Monoclonal antibodies can neutralize pathogens or their toxins, providing passive immunity or enhancing the host's immune response.

Production[edit source]

The production of engineered monoclonal antibodies involves several steps:

1. Antigen identification: The target antigen is identified and characterized. 2. Hybridoma technology: B cells from immunized animals are fused with myeloma cells to create hybridomas that produce the desired antibody. 3. Recombinant DNA technology: Genes encoding the antibody are cloned and expressed in suitable host cells, such as Chinese hamster ovary cells. 4. Purification and formulation: The antibodies are purified and formulated for clinical use.

Challenges and Future Directions[edit source]

While engineered monoclonal antibodies have shown great promise, there are challenges such as high production costs, potential for immune reactions, and the development of resistance. Ongoing research aims to improve antibody design, reduce immunogenicity, and enhance therapeutic efficacy.

Related Pages[edit source]

Metaxalone is a muscle relaxant medication used to treat muscle pain and muscle spasms. It is marketed under the brand name Skelaxin. Metaxalone is typically prescribed as part of a comprehensive treatment plan that includes physical therapy and rest.

Medical uses[edit | edit source]

Metaxalone is indicated for the relief of discomfort associated with acute, painful musculoskeletal conditions. It is often used in conjunction with other treatments such as physical therapy and rest to enhance its effectiveness.

Mechanism of action[edit | edit source]

The exact mechanism of action of metaxalone is not fully understood. However, it is believed to work by depressing the central nervous system (CNS), leading to a reduction in muscle spasms and pain. Unlike some other muscle relaxants, metaxalone does not directly relax tense skeletal muscles.

Pharmacokinetics[edit | edit source]

Metaxalone is administered orally and is absorbed through the gastrointestinal tract. It is metabolized in the liver and has an elimination half-life of approximately 9 hours. The drug is excreted primarily through the kidneys.

Side effects[edit | edit source]

Common side effects of metaxalone include:

Serious side effects, although rare, may include:

Contraindications[edit | edit source]

Metaxalone should not be used in individuals with known hypersensitivity to the drug or any of its components. It is also contraindicated in patients with significant liver or kidney impairment.

Interactions[edit | edit source]

Metaxalone may interact with other CNS depressants, including:

These interactions can enhance the sedative effects of metaxalone and increase the risk of respiratory depression.

Dosage[edit | edit source]

The typical dosage of metaxalone for adults and children over 12 years of age is 800 mg taken three to four times a day. The dosage may be adjusted based on the patient's response and tolerance to the medication.

See also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD