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5 Cards in this Set

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  • Back
  • 3rd side (hint)
Hydroxyurea mechanism
Inhibits ribonucleotide reductase (down deoxyribunleotides)
Sickle cell (increase HbF), melanoma, CML (bone marrow suppression)
6-MP mechanism
Blocks de novo purine synthesis (down dAMP and dGMP)
Leukemia, lymphomas (non-CLL or Hodgkins), bone marrow, GI liver tox

Metab by xanthine oxidase (increase tox w/ allopurinol)
5-FU mechanism
Blocks thymidylate synthase (down dTMP)
Colon cancer, solid tumors, basal cell carcinoma (topical), used w/ MTX

Rescue w/ thymidine
Methotrexate
Blocks DHF reductase (down dTMP)

Folic acid analogue
Leukemia, lymphoma, sarcoma, abortion, ectopic pregnancy, RA, psoriasis

Myelosupresssion, reversible w/ leucovorin (folinic acid) rescue
Trimethoprim mechanism
Blocks Bacterial DHF reductase (down dTMP)
UTIs, Enterics (Shigella, salmonella, pneumosystis jirovei pneumonia)

Megaloblastic anemia, leukopenia, granulocytopenia, can rescue w/ folinic acid (leukovorin)