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5-HT3 receptor antagonist Emesis control to reduce host toxicity in chemotherapy |
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Antimetabolite Folic acid analog, may be poly(glutamylated) Inhibitor of dihydrofolate reductase (FH4 & purine) & thymidylate synthase (FH2 & thymidine) |
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Antimetabolite Pyrimidine analogue Used to treat colon cancer & solid tumours of the stomach, breast, liver esophagus, head, neck & anus Requires bioactivation in the cell Incorporated into RNA/DNA and interferes with RNA & DNA synthesis & function Inhibits thymidylate synthase |
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Antimetabolite Pyrimidine analogue |
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Cytosine arabinoside (AraC) |
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Antimetabolite Pyrimidine analog, S-phase-specific Inhibits RNA and DNA synthesis after conversion to active drug Used to treat haematologic malignancies (acute myelogenous leukemia, Non-Hodgkin's lymphoma) |
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Antimetabolite Purine analogue Pro-drug converted to drug forms via HGPRT Administered with allopurinol to inhibit metabolism |
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Xanthine oxidase inhibitor Blocks conversion of 6-mercaptopurine (purine analogue) to inactive 6-thiouric acid Prevents gout & nephrotoxicity caused by excessive uric acid |
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Aantimetabolite Purine analogue Specific to lymphoid cells |
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Antimetabolite Purine analogue Used to treat low grade Non-Hodgkin's lymphoma & chronic lymphocytic leukemia (CLL) |
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Antimicrotubule agent Inhibits polymerization Mitotic arrest at M-phase leading to cell death Used to treat Hodgkins & Non-Hodgkins lymphoma, multiple myeloma, paediactric tumours Toxicity: syndrome of inappropriate ADH secretion |
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Antimicrotubule agent Inhibits polymerization Mitotic arrest at M-phase leading to cell death Used to treat Hodgkins & Non-Hodgkins lymphoma, breast & germ cell cancer Toxicity: vesicant (blistering), nausea, vomiting |
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Antimicrotubule agent Prevents depolymerization Mitotic spindle poison via enhanced polymerisation without MAP & GTP Used to treat ovarian cancer, breast cancer, small cell and non-small cell cancer etc. Administered with dexamethasone and diphenylhydramine to reduce hypersensitivity reactions |
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Antimicrotubule agent Prevents depolymerization |
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Administered with paclitaxil to reduce the incidence of hypersensitivity reactions |
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Administered with paclitaxil to reduce the incidence of hypersensitivity reactions |
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Alkylating agent Cross-linking DNA, depurination, cleavage of ringed bases, abnormal base pairing P450 activation is required Used by Lance Armstrong to treat testicular cancer |
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Alkylating agent Cures testicular cancer but renal toxicity is a major limitation Used to treat solid tumours |
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Alkylating agent Cures testicular cancer but renal toxicity is a major limitation Used to treat solid tumours |
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Topoisomerase I inhibitor Stabilizes DNA/Topo I complexes DNA breaks accumulates & replication is impaired |
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Topoisomerase II inhibitor Anthracycline Cardiotoxicity, myocardial damage may lead to CHF |
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Topoisomerase II inhibitor Causes DNA damage that increases risk of secondary malignancies later in adulthood |
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Topoisomerase II inhibitor Anthracycline |
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Targeted non-cytotoxic agent Inhibits EGF receptor Used to treat lung cancer |
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Targeted non-cytotoxic agent Inhibits Ras/Raf kinases & other Tyr kinases Used to treat renal cell cancer, melanoma |
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Targeted non-cytotoxic agent Inhibits human epidermal growth factor receptor (HER2) Used to treat breast, gastric, & esophageal cancer |
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