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Purified Cortrophin Gel is a prescription pharmaceutical formulation containing purified porcine-derived adrenocorticotropic hormone (ACTH 1-39) in gelatin for prolonged activity, supplied as a sterile, injectable gel[1][5][12]. **Mechanism of Action:** It stimulates the adrenal cortex via the melanocortin 2 receptor (MC2R), leading to increased production and secretion of endogenous adrenocortical hormones, including glucocorticoids and mineralocorticoids, which modulate inflammation and immune responses[1][5][12][2][7]. **Indications:** - Management of acute exacerbations/flairs in multiple sclerosis - Infantile spasms (seizures in children under age 2) - Adjunctive treatment for rheumatic disorders: psoriatic arthritis, rheumatoid arthritis (including juvenile), ankylosing spondylitis, acute gouty arthritis - Collagen diseases like systemic lupus erythematosus and systemic dermatomyositis (polymyositis) - Severe skin diseases (e.g., Stevens-Johnson syndrome, severe psoriasis), atopic dermatitis (eczema), and serum sickness - Severe allergic and inflammatory ophthalmic diseases (e.g., allergic conjunctivitis, keratitis, uveitis, optic neuritis) - Symptomatic sarcoidosis - Reduction of proteinuria in nephrotic syndrome (idiopathic or lupus origin, without uremia)[3][8][10][12][5][13] **It is not indicated for: scleroderma, osteoporosis, fungal infections, ocular herpes simplex, recent surgery, stomach ulcers, congestive heart failure, uncontrolled hypertension, primary adrenocortical insufficiency, adrenocortical hyperfunction, or hypersensitivity to porcine proteins.
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