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23 Cards in this Set

  • Front
  • Back
Cyclophosphamide
M-niitrogen mustard crosslinking to N7 position via N moietes

T-BM Leukpenia, thrombocytopenia

P-Non-spec.
MESNA
Inhibits cyclophosamide
Cisplatin
platinum analog to cyclophosphamide

Renal toxicity

Non-spec.
Bleomycin
cleaves DNA strands by free radicals

pulmonary toxicity

M, G2
Doxorubicin
Freezes topoisomerase II

BMS(leukopenia and thrombocytopenia), cardiac toxicity

non-spec
Methotrexate
BMS(leukopenia and

thrombocytopenia),

S
Leucovorin
rescue for thymidylate synthase
Fluoruracil
pyrimidine analog: inhibits thymidylate synthase

non-spec
Levamisole
drug formly used in combination with fluorouracil to treat colon cancer. No known mechanism for this action...antibiotic
Mercaptopurine
purine analog. Feedback inhibition of 1st step.

BMS

S
Paclitaxel
Mitosis inhibitor:prevents spindles segregation?
Neutropenia
M..G2?
Tamoxifen
estrogen receptor binder

anti-estrogen breast, estrogenic bone/endometrium

pre-menopause
Raloxifene
estrogen receptor binder

anti-estrogen breast/endometrium, estrogenic bone

pre-menopause
Fulvestrant
estrogen receptor binder and induces downregulation

post-menopause
Herceptin(Her2geneproduct)
transmembrane receptor w/ tyrosine

CHF and decreased left ventricular ejection
Letrozole
estrogen receptor binder

All anti-effects(breast, endometrium, bone)

post-menopause
Aminoglutethimide
antiadrenal andro. Inhibits cholesterol to pregnenolone

lethargy, skin rashes and ataxia
Diethylstibestrol
Feedback inhibition of LH and FSH

Gynecomastia and impotence
Leuprolide
GnRH superagonist (desensitized) causing feedback inhibition

bone pain, hot flashes, gynecomastia
Flutamide
anti-androgen

osteoporosis, gnecomastic decreased libido/sperm
Prednisone
synthetic glucocorticoid inducing apoptosis voa g;icpcprtocpod receptor

Hyperadrenocorticism. Acute tumor lysis syndrome: hyperuricemia, hyperkalemia, hyperphosphatemia, hypocalcemia, and acute renal failure

NO BMD so good for combinations.
Gleevec
spec. inhibits bcr-Abl, kit and PDGF tyrosine kinases

mild malaise. Possible teratogen
TYKERB
EGFR-1/2 inhibitor

Hepatoxicity, fetal harm.