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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) |
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carmustine/lomustine (nitrosureas) BLEOMYCIN cetuximab/pantumumab erlotinib/gefitinb trastuzumab |
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DOXORUBICIN arsenic (prolongs QT) cetuximab/panitumumab erlotinib/gefitinb nilotonib/dasatinib sunitinb TRASTUZUMAB |
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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 |
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Crosses blood brain barries (thus good for brain cancers) |
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cisplatin oxaloplatin VINCRISTINE (PERIPHERAL NEUROPATHY) |
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etoposide hydroxyurea gemcitabine 5-FU anthracyclines |
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irinotecan (severe/fatal diarrhea) bevacizumab (perforation) |
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L-asparaginase (due to increased ammonia) |
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Glucocorticoids (prednisone, dexamethasone) |
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tositumomab (anti-CD20 Ab + iodine) |
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bevacizumab (anti-angiogenesis) thalidomide/lealidomide (anti-angiogenesis) tamoxifen (SERM) fulvestrant (SERM) toemifine (SERM) raloxifene (SERM) |
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Estrogen antagonist side effects (hot flashes, decreased bone density, nausea --> symptoms similar to menopause, i.e. loss of estrogen) |
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tamoxifen (except increased bone density fulvestrant toremifene raloxifene (except increased bone density) aromatase inhibitors |
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Estrogen agonist side effects |
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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 |
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bicalutamide flutamide degarelix |
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hot flashes (besides SERMs, aromatase inhibitors) |
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prostate cancer drugs -androgen receptor antagonists -GnRH/LH agonists -GnRH/LH antagonists |
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CYCLOPHOSPHAMIDE ifosfamide |
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Chlorambucil Melphalan Cyclophosphamide Ifosfamide etoposide (topo II inhibitor) |
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