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14 Cards in this Set
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- Back
antiviral therapy
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prevention is better than treatment
species specificity toxic to host if systemic primary use in vet med = topical (herpes virus, opthalmic) |
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mechanisms of action of antiviral drugs
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1. decrease entry of virus and/or affect uncoating
2,3. alter transcription/translation (most common mech.) 4. inhibit protease 5,6. interfere w/viral assembly, maturation, and/or release 7. improve host resistance |
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nucleoside analogs as antiviral drugs
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serve as false substrates for DNA polymerase keeping virus from replicating
topical (opthalmic) for herpes virus serious systemic infections |
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goals of cancer therapy
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cure
remission reduction (slow progression) palliation |
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factors contributing to realization of treatment goal
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diagnosis important
treatment modalities client (compliance/cost) patient (quality of life) DVM (success/failure; safety resistance |
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cancer chemotherapy: major manifestations of toxicity
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marrow cells - immunosuppression, anemia
gi cells - nausea, vomiting, ulceration, diarrhea kidney -nephrotoxicity reproductive cells - loss of fxn other effects - alopecia |
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cancer chemotheraphy: mechanisms of resistance
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decreased uptake
increased clearance increased efflux inactivation change in targer increased repair of DNA damage |
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agents that damage existing DNA
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nitrogen mustards
platinum compounds DNA intercalating drugs (certain antibiotics) |
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platinum compounds
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used to treat solid tumors
expensive pulse dose - IV or intradermal prehydrate to make sure platinum is diluted in kidneys |
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fatal pulmonary toxicosis
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only cats get it
-cisplatin; maybe not carboplatin |
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antimetabolites (DNA synthesis inhibitors)
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most are very specific for the S phase of cell cycle
act as false substrate- look like purine/pyrimidines severe GI toxicity |
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mitotic inhibitors
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act on M phase (bind tubulin)
from periwinkle plant for hematopoietic cancers pulse dose stable in glass excreted in bile |
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kinase inhibitors
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considered targeted anticancer drugs
have a vet labeled drug: tyrosine kinase inhibit antiangiogenic dose PO |
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hormone/antihormone examples: cancer therapy
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usu. only palliative
goal is to change environment for tumor growth |