Table 10

Characteristics of steroid-sparing agents

DrugBenefitsDrawbacks
AZARelatively rapid onset (3–6 months)
Safe in pregnancy
Can assess patient concordance with metabolites and neutrophil count
Greater tendency for nephrotoxicity and hepatotoxicity
MMFLess hepatotoxic
Can uptitrate more quickly
Better gastrointestinal tolerance
MTXOnce-weekly dosingPossible association with fibrosis
  • AZA, azathioprine; MMF, mycophenolate mofetil; MTX, methotrexate.