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Naplex
Cancer
38
Pharmacology
Graduate
07/18/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
Fulvestrant
Definition
(Faslodex)
Antiestrogen/SERM
Menopaussal sx, hot flashes, NV, weight gain
BB: risk of thromboembolic events
Term
Raloxifene
Definition
(Evista)
Antiestrogen/SERM
Menopaussal sx, hot flashes, NV, weight gain
BB: risk of thromboembolic events
Used for OP in wemen at risk of breast CA
Term
Tamoxifen
Definition
(Novaldex)
Antiestrogen/SERM
Menopaussal sx, hot flashes, NV, weight gain
BB: risk of thromboembolic events
Increased risk of endometrial CA
Shorter survival with 2D6 polymorphisms 4 and 5
Term
Flutamide
Definition
(Eulexin)
PO antiandrogens,
deprive prostate of testosterone
NVD, gumecomastia, hepatotoxicity, hot flashes, dec libido
Term
Bicalutamide
Definition
(Casodex)
PO antiandrogens,
deprive prostate of testosterone
NVD, gumecomastia, hepatotoxicity, hot flashes, dec libido
Term
Anastrozole
Definition
(Arimidex)Aromatase inhibitor
Lethargy, rash meopause sx, NV
Decreased bone density and increased risk of OP
Term
Exmestane
Definition
(Aromasin)Aromatase inhibitor
Lethargy, rash meopause sx, NV
Decreased bone density and increased risk of OP
Term
Letrozole
Definition
(Femara)Aromatase inhibitor
Lethargy, rash meopause sx, NV
Decreased bone density and increased risk of OP
Term
Goseerelin
Definition
(Zoladex)
LHR agonist, prostate CA
Uses the negative feedback loop for a chemical castration/oophorectomy
Lethargy, rash meopause sx, NV
Decreased bone density and increased risk of OP
Term
Cyclophosphamide
Definition
(Cytoxan) Alkylators crosslink DNA preventing replication
Bladder toxicity with high-doses
Mylosupression, NV, alopecia
Term
Ifosfamide
Definition
(Ifex) alkylator
Myelosuppression, NV, alopecia
Must give MESNA to protect against hemorrhagic cystitis and ensure adequate hydration
Neurological toxicities
Term
Temozolomide
Definition
(Temodar) Alkylator
Neuro toxicities
Myelosuppression NV, alopecia
Term
Bevacizumab
Definition
(Avastin) Angiogenesis inhibitor MAB
Binds to VEGF
Risk of GI perforation
Stop 28 days before elective surgery
Term
Doxorubicin
Definition
(Adriamycin) Anthracyclines
Red urine
Limited by cardiac toxicity and NV
Liposomal products have hand-foot syndrome.
Max lifetime dose 400-500mg/m2
Zinecard should be used when doses exceed 300
Term
Epirubicin
Definition
(Ellence) Anthracycline
Cardiac toxicity, red urine, NV
max lifetime dose=900
hand-foot synxrome
etravastatiion antidote totec
Term
Methotrexate
Definition
(Trexall) Folate Antimetabolites
Myelosuppression, hepatic/renal toxicity
Pulmonary toxicity
Hand-foot synd
Leucovorin rescue
Elimination decreased by asa, pen, probenecid, and nsaids
maintain hydration
Term
Tretinoin
Definition
(All-trans Retinoic Acid)
Decreases cell proliferation and promotes apoptosis
Pregnancy category X
Term
Aldesleukin
Definition
(IL-2) ustimulates immune system to target cancer cells
use restricted with normal cardiac and pulmonary
only given in hospital and icu
Term
Cetuximab
Definition
(Erbitux) Inhibits growth factor required for cell growth and decreases cell survival
Severe infusion rxns, cardiopulmonary arrest, rash associated with higher survival rates
must test for K-ras bc if have mutation will not respond
Term
Trastuzumab
Definition
(Herceptin) Binds and reverses overactive HER-2
Cardiomyopathy
Term
Thalidomide
Definition
(Thalomid) decreases angiogenisis
pre x
enroll in STEPS
Term
Lenalidomide
Definition
(Revlimid)
Preg x, register under RevAssist
Neutropenia and throbocytopenia
Term
Rituximab
Definition
(Rituxan) CD-20 target on lymphocytes kills the cancer and releases cytokines
infusions must be given in hospital or clinic
Pretreat with diphen and APAP
Term
Cisplatin

Carboplatin
Definition
(Platinol) highly emetogenic
(Paraplatin-AQ)
Nephrotoxic
vigorous hydration
Term
Vincristine
Definition
(Vincasar)
Alopecia
Dose-dependent nerve damage
IV only
Term
Vinblastine
Definition
(Velban)
Term
Vinorelbine
Definition
(navelbine)
Term
Fluorouracil
Definition
(5-FU) Leucovorin increases efficacy
DPD deficiency increases toxicity
Term
Capecitabine
Definition
(Xeloda) prodrug of 5-FU
DPD deficiency
Term
Gemcitabine
Definition
(Gemzar)
hepatotoxicity, pulmonary toxicity, encephalopathy
pretreat with APAP flu like sx
Term
Paclitaxel
Definition
(Taxol)
Pretreat with benadryl, h2, and dex
cardiotoxic, hepatotoxic
Term
Docetaxel
Definition
(Taxotere)
Anaphylaxis
cardio-pulmonary fluid retention
Term
Etoposide
Definition
(Vepesid)
Topoisomerase 2 inhibitor
nerotoxicity/neuropathy, hepatotoxic
Term
Ironotecan
Definition
(Camptosar)
Topo 1 inhibitor
Diarrhea tx with atropine and loperamide
Term
Erlotinib
Definition
(Tarceva) TKI
Epidermal Growth Factor Receptor TKI
Nephro and hepatotoxic
Term
Imatinib
Definition
(Gleevec)
No grapefruit
philidelphia cromosome positive or cKIT
Term
Hydroxyurea
Definition
(Hydrea)
Inhibits ribonucleoside diphosphate reductase
Term
Arsenic Trioxide
Definition
(Trisenox)
QT-prolongation
monitor k and mg
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