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35 Cards in this Set

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Mechlorethamine

Alkylating nitrogen mustard


-lacks ring structure

Cyclophosphamide*

Alkylating nitrogen mustard


*most widely used alkylating agent


-activated by CYP2B


-acute myelosuppression

Ifosfamide

Alkylating nitrogen mustard


-similar to cyclophosphamide


-activated by CYP3A4


-activated more slowly therefore requires higher dose --> increased risk of cytotoxicity


-acute myelosuppression

Melphalan

Alkylating nitrogen mustard

Chlorambucil

-Alkylating nitrogen mustard.


-More stable and orally available than Mechlorethamine .


-acute myelosuppression

Hexamethylamine

Alyklating ethlinimine

Thiotepa

Alyklating Methilinimine

Busulfan

Alkylating sulfonate

Carmustine

Alkylating nitosource

Lomustine

Alkylating nitosource

Streptozotocin

Alkylating nitosource


-antibiotic

Dacarbazine

Alkylating triazine


-adds methyl group to DNA


-activated by CYP


-prototype

Temozolomide

Alkylating triazine

Methotrexate

Antimetabolite: folic acid analog


Treats: RA


MOA: 1)inhibits DHFR --> S phase in B and T cells


2) block thymidylate and purine synthesis



Adverse: hepatotoxicity, myelosuppression, GI effects

5-FU

Anti metabolite pyramidine analog


Inhibit thymidylate synthesis

5-flurouridine

Floxuridine

Anti metabolite pyramidine analog

Cytarabine

Anti metabolite pyramidine analog

6-Mercaptopurine

Anti metabolite purine analog


MOA: inhibit purine synthesis

Thioguanine

Anti metabolite purine analog

Cladribine

Anti metabolite purine analog

Fludarabine

Anti metabolite purine analog

Vinca alkaloids

Vincristine, vinblastine, vinorelbine



Anti-mitotic agents

Paclitaxel

Anti-mitotic taxane. Stabilizes microtubule--> tubulin polymerization. Inhibits M phase


Myelosuppression dose limiting

Docetaxel

Anti-mitotic taxane. Stabilizes microtubule--> tubulin polymerization. Inhibits M phase


Myelosuppression dose limiting

Topotecan

Binds topoisomerase I

Irinotecan

Binds topoisomerase I

Etoposide

Epipodophyllotoxin


MOA: binds Topoisomerase II

Teniposide

Epipodophyllotoxin


MOA: binds Topoisomerase II

Doxorubicin

Anthracycline/tumor antibody


MOA: binds Topoisomerase II

Epirubicin

Anthracycline/tumor antibody


MOA: binds Topoisomerase II

Danunorubicin

Anthracycline/tumor antibody


MOA: binds Topoisomerase II

Idarubicin

Anthracycline/tumor antibody


MOA: binds Topoisomerase II

Mitomycin

Tumor antibody

Bleomycin

Tumor antibody

Dactinomycin

Tumor antibody