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Infliximab + prednisone is a combination of two immunosuppressive drugs used primarily in the management of moderate to severe autoimmune and inflammatory disorders. Infliximab is a chimeric monoclonal IgG1 antibody that targets tumor necrosis factor-alpha (TNF-alpha), a key pro-inflammatory cytokine involved in chronic inflammatory diseases. By binding to both soluble and membrane-bound TNF-alpha, it disrupts its interaction with receptors, leading to reduced inflammation and downregulation of other pro-inflammatory mediators[5][6][8]. Prednisone is a synthetic glucocorticoid corticosteroid that suppresses inflammation by modulating gene expression through the glucocorticoid receptor, resulting in decreased production of inflammatory cytokines and immune cell activity. The combination may be used for conditions such as rheumatoid arthritis, Crohn's disease, ulcerative colitis, ankylosing spondylitis, plaque psoriasis, and psoriatic arthritis when monotherapy is insufficient or rapid control of inflammation is needed[4][8]. However, combining these agents increases the risk for serious infections due to additive immunosuppression[1][3].
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