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15 Cards in this Set

  • Front
  • Back
Two types of Drugs
1.Act on a dividing cell
2.Act on a cell in any stage.
Cell cycle
1. G0 phase
Non specific phase
-Alkylating agents
-Antitumor antibodies
-Nitrosurea
-Dacarbazine
-Ciplastin
2. G1 phase:
Synthesis of cell components needed for DNA synthesis.

-L-asparginase
-Mitomycin
3.S phase
Cell cycle specific
-Period of DNA synthesis

-Cytarabine
-Methotrexate
-Hydroxyurea
-Etoposide
-6-Mercaptopurine
-6-Thioguanine
4.G2 Phase
Preparation for Mitosis

-Bleomycin
5.M Phase
Mitosis
-Vinblastine
-Vincristine
-Paclitaxel
1. Alkylating Agents

side effect
wat do u give to prevent it?
A. Nitrogen Mustard
Cyclophosphamide
Ifosfamide

-MOA--affect Guanine N7-non-functional DNA
-side effect-Hemorrhagic Cysteine
-to prevent it we give Mesna
B. Nitrosurea
Lomustine: crosses BBB
C. Platinum agents

Side effect?
wat do u give to prevent it?
Cisplastin

-Renal toxicity
-Give Amifostine (cytoprotectant)
2. Antimetabolites
A. Purine analogs
6-Mercaptopurine
-Inhibited by xanthine oxidase.
reduced dose when given with Allopurinol.

6-Thioguanine
B. Pyrimidine Antagonist
Inhibits thymidine synthetase.
5-Fluorouracil
Flucytosine--Fungal cells
Fluorouracil--cancer cells
C. Folate antagonist

-MOA
-Antidote
Methotrexate

-inhibits Dihydrofolate reductase

-Levocurin in methotrexate toxicity
D. Hydroxurea
Inhibits Ribonucleotide reductase.
-In low dose for treatment of Sickle Cell Anemia

-Also for CML
3. Antibiotics
A. Doxorubicin
B. Daunorubicin

-Inhibits topoisomerase
-risk of cytotoxicity--prevent with Dexrazoxane
C. Bleomycin
MOA
side effects
-Causes DNA strand excision.

-Pulmonary toxicity