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14 Cards in this Set

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  • Back
How many misc anti-neoplastic agents are there to know?
only 2!
What are the 2 misc anti-neoplastic drugs?
-Cisplatin
-Procarbazine
What IS Cisplatin (important in its mechanism)?
A platinum coordination complex
How does Cisplatin work?
Hydrolysis of the platinum coordination complex yields activated species that cause DNA crosslinks
What is the antitumor spectrum of Cisplatin?
WIDE spectrum!
What are 4 side effects of Cisplatin in addition to the normal BADs?
NOPE
-Nephrotoxicity
-Ototoxicity
-Peripheral neuropathy
-Electrolyte disturbances
What % of patients on Cisplatin get
-Ototoxicity
-Electrolyte disturbances
Ototoxic - 30%

Electrolyte disturb - 60%
Just as a reminder what antinausea drug is good for chemo-induced nausea?
Ondansetron - cholinergic antagonist
What is the best way to prevent nephrotoxicity from Cisplatin?
HYDRATE and DIURESE to flush it on through asap before renal dmg occurs
What is the other misc antineoplastic drug?
Procarbazine
What is Procarbazine?
A nonclassical alkylating agent
How does Procarbazine work?
-Activated by liver P450s to a methylating agent that causes chromosomal damage
What is the main cancer indication of Procarbazine?
Hodgkin's lymphoma
Side effects of Procarbazine?
The typicals - bad