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Anti-neoplastic Drugs (Side effect - Drug list)
Creighton University School of Medicine
22
Medical
Professional
09/26/2013

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Term
Teratogens
Definition
mechlorethamine (alk. Agent)
carmustine/lomustine (nitrosureas)
dacarbazine/temozolomide/bendamustine (non-classical alk. Agents)
tretinoin (ATRA)
thalidomide/lenalidomide (anti-angiogen)
tositumomab (anti-CD20 + iodone)
erlotinib/gefitinb (internal TKIs)
Term
Pulmonary toxicity
Definition
carmustine/lomustine (nitrosureas)
BLEOMYCIN
cetuximab/pantumumab
erlotinib/gefitinb
trastuzumab
Term
Cardiotoxicity
Definition
DOXORUBICIN
arsenic (prolongs QT)
cetuximab/panitumumab
erlotinib/gefitinb
nilotonib/dasatinib
sunitinb
TRASTUZUMAB
Term
Bone marrow
Definition
Causes Suppression
-carboplatin
-vinblastine
-METHOTREXATE
-etoposide (often used with bleomycin and cisplatin)
-5-FLUOROURACIL
-6-MERCAPTOPURINE
-6-TG
-bortezomib
-anti-CD20 Abs (rituximab, ibritumomab tiuxetan, tositumomab)
-anti-CD52 Ab (alemtuzumab)

No significant suppression (can be coupled with other drugs, i.e. etoposide)
-cisplatin
-bleomycin
Term
Crosses blood brain barries (thus good for brain cancers)
Definition
carmustine
tenozolomide
Term
neurotoxic
Definition
cisplatin
oxaloplatin
VINCRISTINE (PERIPHERAL NEUROPATHY)
Term
ototoxic/renal toxicity
Definition
CISPLATIN
CARBOPLATIN
Term
Radiation recall
Definition
etoposide
hydroxyurea
gemcitabine
5-FU
anthracyclines
Term
Radiation sensitizer
Definition
hydroxyurea
Term
Renal toxicity
Definition
methotrexate
Term
GI toxicity
Definition
irinotecan (severe/fatal diarrhea)
bevacizumab (perforation)
Term
Red urine
Definition
anthracyclines
Term
Liver/kidney/pancreas
Definition
L-asparaginase (due to increased ammonia)
Term
Cushing syndrome
Definition
Glucocorticoids (prednisone, dexamethasone)
Term
Hypothyroidism
Definition
tositumomab (anti-CD20 Ab + iodine)
Term
thrombosis
Definition
bevacizumab (anti-angiogenesis)
thalidomide/lealidomide (anti-angiogenesis)
tamoxifen (SERM)
fulvestrant (SERM)
toemifine (SERM)
raloxifene (SERM)
Term
Estrogen antagonist side effects (hot flashes, decreased bone density, nausea --> symptoms similar to menopause, i.e. loss of estrogen)
Definition
tamoxifen (except increased bone density
fulvestrant
toremifene
raloxifene (except increased bone density)
aromatase inhibitors
Term
Estrogen agonist side effects
Definition
-tamoxifen (increased risk of endometrial cancer, increased bone density, thrombophlebitis)
-NOT fulvestrant (except thrombophlebitis --> pure anti-estrogen)
-toremifene (increased risk of endometrial cancer, thrombophlebitis)
-raloxifen (NO ENDOMETRIAL CANCER, increased bone density, thrombophlebitis)
-NOT aromatase inhibitors
Term
gynecomastia
Definition
bicalutamide
flutamide
degarelix
Term
hot flashes (besides SERMs, aromatase inhibitors)
Definition
prostate cancer drugs
-androgen receptor antagonists
-GnRH/LH agonists
-GnRH/LH antagonists
Term
Hemorrhagic cystitis
Definition
CYCLOPHOSPHAMIDE
ifosfamide
Term
AML risk
Definition
Chlorambucil
Melphalan
Cyclophosphamide
Ifosfamide
etoposide (topo II inhibitor)
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