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Cancer Drugs
Cancer Drugs
36
Pharmacology
Post-Graduate
10/31/2016

Additional Pharmacology Flashcards

 


 

Cards

Term
Anti-Metabolites target where?
Definition
S phase
Term
List Anti-Metabolites
Definition
Anti-Folate
- Methotrexate

Pyramidine Analog
- 5-flurouracil
- Cytarabine

Purine Analog
- Mercaptopurine
Term
Methotrexate
Definition
Anti-Folate

MOA = inhibit DHF reductase

causes...
- N+V, Mucositis, Diarrhea, BMS

NSAIDS + Penacillins increase toxicity by decreasing renal excretion

Leucovorin Rescue can decrease side effects
Term
5-flurouracil
Definition
Pyramidine Analog

MOA = inhibit thymidylate synthase

causes...
- N+V, Mucositis, Diarrhea, BMS
- Hand-foot syndrome
- give B6
- Neurotoxicity
- give B6
Term
Mercaptopurine
Definition
Purine Analog

MOA = inhibit PRPP Amidotransferase

causes...
- N+V, Mucositis, Diarrhea, BMS
- Hyperpigmentation of skin
- Immunosuppresion
Term
Cytarabine
Definition
Pyramidine Analog

MOA = inhibit DNA polymerase after phos. + incorporation into DNA

causes...
- N+V, Mucositis, Diarrhea, BMS
- Hepatotoxicity + Neurotoxicity (cerabellar ataxia)
Term
Alkylating Agents target where?
Definition
Non-cell cycle specific

MOA = Cross-linking and intrastrand linking
Term
List Alkylating Agents
Definition
Nitrogen Mustards
- Cyclophosphamide
- Ifosfamide

Platinum Analog
- Cisplatin
- Oxyplatin

Methylhydrazines
- Procarbazine

Nitrosourea
- Carmustine
- Loumustine
Term
Cyclophosphamide
Definition
Nitrogen Mustards

causes...
- BMS, N+V
- Hemorrhagic Cystitis

MESNA is protective
Term
Ifosfamide
Definition
Nitrogen Mustards

causes...
- BMS, N+V
- Hemorrhagic Cystitis

MESNA is protective
Term
Cisplatin
Definition
Platinum Analog

causes...
- Nephrotoxicity
- Give Amifostine
- dont give Ampheteracin B
- Severe N+V
- Give Ondansteron
- Ototoxicity
- dont give AG or loops
- BMS + Peripheral Neuropathy
- HS to platinum
Term
Oxyplatin
Definition
Platinum Analog

causes...
- No Nephrotoxicity or Ototoxicity like Cisplatin
- Severe N+V
- Give Ondansteron
- BMS + Peripheral Neuropathy
- HS to platinum
Term
Procarbazine
Definition
Methyl Hydrazine

causes...
- BMS
- Disulfaram Effect (avoid alcohol)

MAO inhibitor
- cation w/ Tyramin foods, TCA's
Term
Carmustine
Definition
Nitrosourea

causes...
- BMS, N+V
- interstial Pneumonitis


CROSS BBB
Term
Lomustine
Definition
Nitrosourea

causes...
- BMS, N+V
- interstial Pneumonitis


CROSS BBB
Term
List Plant Alkyloids
Definition
Vinca Alkyloids
- Vinblastine
- Vincristine

Taxanes
- Paclitaxel

Camptothecin Analogs
- Irinotecan
- Toatecan

Epipodophyllotoxin
- Etoposide
Term
Vinca Alkyloids target where?
Definition
M phase
Term
Vinblastine
Definition
Vinca Alkyloid

MOA = inhibit Microtubule polymerization
- Arrest in Metaphase

causes...
- BMS
- Peripheral Neuropathy
- Constipation + SIADH
Term
Vincristine
Definition
Vinca Alkyloid

MOA = inhibit Microtubule polymerization
- Arrest in Metaphase

causes...
- No BMS
- Peripheral Neuropathy
- Constipation + SIADH
Term
Paclitaxel
Definition
Taxane

MOA = inhibit Microtubule depolymerization
- Arrest in Prophase

causes...
- BMS, N+V, Diarrhea
- Peripheral Neuropathy
- HS Rxn
Term
Irinotecan
Definition
Camptothecin Analog

MOA = inhibit Topoisomerase 1

causes...
- BMS, N+V
Term
Topatecan
Definition
Camptothecin Analog

MOA = inhibit Topoisomerase 1

causes...
- BMS, N+V
Term
Etoposide
Definition
Camptothecin Analog

MOA = inhibit Topoisomerase 2

causes...
- BMS, N+V
- HS Rxn
- Hypotension
Term
List Anti-tumor Antibiotics
Definition
Actinomycin D (aka Dactinomycin)

Bleomycin

Daunorubicin
Doxorubicin
Term
Actinomycin D
Definition
AKA Dactinomycin

MOA = inhibit RNA polymerase

causes...
- BMS, N+V, Mucosititus, Diarrhea
- Hepatotoxicity
- Hyperpigmentation of Skin
Term
Bleomycin
Definition
G2 phase specific

MOA = Binds to iron to form free radicals

causes...
- Pulmonary Fibrosis!!!!
- skin pigmentation
Term
Daunorubicin
Definition
MOA = inhibits Topoisomerase 2

causes...
- BMS, N+V, mucositis, Diarrhea
- Red-orange urine
- Cardiomyopathy + CHF
Term
Doxorubicin
Definition
MOA = inhibits Topoisomerase 2

causes...
- BMS, N+V, mucositis, Diarrhea
- Red-orange urine
- Cardiomyopathy + CHF
Term
List Monoclonal Antibodies
Definition
Rituximab and Trastuzamab
Term
Rituximab
Definition
CD20 (B cell)

Focused on Bone with slight aid in Breast Cancer

Good for Autoimmune Disorders + Rheumatoid Arthritis
Term
Trastuzumab
Definition
Erb B2 AKA Her2/neu

Good for Breast!!! and Gastric Cancer
(GIST Tumors)
Term
Imatanib
Definition
Tyrosine Kinase Inhibitor
Term
Palifermin
Definition
Treat sores of the mouth
Term
Loperamide
Definition
Treat severe diarrhea
Term
Amifostine
Definition
Treat Nephrotoxicity
Term
Ondansteron
Definition
Treat severe N+V
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