- Dose: - maximum dose for RA patients is 750 mg to 1 g per day; - low doses (125-250 mg) of the drug are used initially with slow-dose titration to reduce the potential for side effects. - D-penicillamine exhibits similar toxicity profile to IM
gold, which includes mucocutaneous reactions, proteinuria, nephrotic syndrome, leukopenia, thrombocytopenia, and rarely, aplastic anemia. - may cause autoimmune reactions, SLE, myasthenia gravis, polymyositis, & Goodpasture's syndrome.
