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21 Cards in this Set

  • Front
  • Back
antimetabolites
1. S phase specific
2. methotrexate and 5 fluoruracil
MT inhibitors
1. M phase specific
2. vincristine/vinblastine
3. taxanes: paclitaxel, docetaxel
4. neuropathy
Topoisomerase Inhibitors
1. S phase specific
2. etoposide, teniposide, topotecan, irinotecam
3. MDR1 resistance
DNA intercalating
1. non specific
2. abx DNA strand breaks
3. dactinomycin, doxorubicin, bleomycin
methotrexate
1. folic acid analog
2. decrease dihydrofolate reductase
3. C/I with probenacid
5-fluorouracil
1. inhibit thymidilate synthase
2. inhibit uracil converted to thymidine
3. potent radiosensitizer
vincristine/vinblastine
1. alkaloid blocks tubule polymerization
2. mitotic spindle cant form
3. MDR1 resistance
taxanes
1. paclitaxel, docetaxel
2. block tubule depolymerization
3. MDR1 resistance
Dactinomycin
1. intercalating
2. lymphatic atrophy
3. pediatric chemotherapeutic
4. vesicant that may cause tissue blistering and bleeding
doxorubicin
1. intercalating
2. free radical cardiotoxicity, red urine
3. MDR1
bleomycin
1. intercalating
2. pulmonary fibrosis and rare fulminant liver fx
3. overall low SA
MDR1
1. vincristine/vinblastine
2. taxanes
3. topoisomerase inhibitors
4. doxorubicin
alkylating agents
1. Nitrogen mustard
2. nitrosureas
3. hydrazines
4. platinum
Nitrogen mustard
1. cyclophosphamide
2. melphalan
Nitrosureas
1. carmustine
2. lomustine
3. streptozotocin
Hydrazines
1. procarbazine
2. decarbazine
Platinum
1. cisplatin
2. carboplatin
3. ototoxicity, nausea, vomiting, peripheral neuropathy, nephrotoxicity
small molecule inhibitors
1. vemurofenib: inhibit mutant B-raf kinase, double survival time
2. imatinib: inhibit bcr-abl kinase, CML and ALL
rationally designed chemo
1. target causative: panitumumab (EGFr) and trastuzumab (HER2 and LT with doxorubicin)
2. target non-causative: rituximab (CD20 and tumor lysis syndrome=renal)
anti androgens
1. cyproterone: steriodal block receptor binding
2. bicalutamide: non steriodal block AR translocatin
anti angiogenesis
1. bevacizumab: Ab VEGF, prevent receptor binding
2. pazopanib: small molecule inhibitor of VEGF receptor