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Pharmacology Exam 3
Test 3 Taylor
182
Medical
Graduate
12/03/2012

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Term
Name 4 characteristics of NSAIDs
Definition
-Decrease Inflammation
-Analgesia
-Decrease Fever (antipyresis)
-Decrease Blood Clotting (anticoagulation)
Term
Useful in treating pain and inflammation associated with acute or chronic musculoskeletal disorders
Definition
NSAIDs
Term
The best known NSAID. Inhibits the synthesis of prostaglandins
Definition
Aspirin
Term
Prostaglandins, thromboxanes, and leukotrienes are collectiely known as what?
Definition
Eicosanoids
Term
Help to regulate cell function under normal or pathological conditions.
Definition
Prostaglandins
Term
Formed by arachidonic acid which is a fatty acid stored in cell membranes
Definition
Prostaglandins
Term
Influence cardiovascular, respiratory, renal, GI, nervous, and reproductive systems
Definition
Prostaglandins
Term
What is the role of prostaglandins (6)
Definition
-Inflammation (erythema, edema, increase blood flow, increase capillary permeability, increase histamine and bradykinin)
-Pain
-Fever
-Dysmenorrhea
-Thrombus Formation (increase platelet aggregation)
-Others (HTN, asthma, MS, DM, colon cancer)
Term
(3) Mechanisms of action for NSAIDS
Definition
-Inhibit cycloxygenase (COX) enzyme
-COX enzyme participates in the synthesis of prostaglandins
-Inhibition of the COX enzyme is the key to NSAID benefit
Term
COX enzyme exists in 2 forms. What does COX1 do?
Definition
Mediates normal cell activity
Term
COX enzyme exists in 2 forms. What does COX2 do?
Definition
Produces prostaglandins in pathological cells which mediate pain and inflammation
Term
Aspirin and most NSAIDS inhibit what?
Definition
COX1 and COX2
Term
If NSAIDs inhibit COX enzymes, then what benefit is lost?
Definition
The good prostaglandins
Term
Selective COX2 inhibitors should do what?
Definition
Reduce the effects of COX2 enzyme while not effecting the COX1 enzyme
Term
Name 5 uses of Aspirin and other NSAIDS
Definition
1. Treat pain and inflammation
2. Avoid side-effects of opioids
3. Treat fever except in children (aspirin has been associated with Reye Syndrome)
4. Treat vascular disorders (blood clots, HA, TIAs)
5. Cancer prevention
Term
Name some NSAID side effects
Definition
GI problems
Liver dz
Renal dz
Reye Syndrome in children
Delays tissue healing by inhibiting connective tissue formation
Term
Is there any evidence that an NSAID has a better therapeutic effect than aspirin?
Definition
No but some may have fewer side effects
Term
Name 2 common COX2 inibitors
Definition
Celebrex
Vioxx (removed from market)
Term
Decrease in GI problems and do not inhibit platelet function. Decrease in side effects due to lack of COX1 inhibition.
Definition
COX2 inhibitors
Term
Is acetominophen an NSAID?
Definition
Not really
Term
-Has some analgesic and antipyretic effects but does not reduce inflammation.
-Used in non-inflammatory disorders to treat pain
-Also used as a substitute for aspirin in children to avoid Reye Syndrome
Definition
Acetominophen
Term
How are most NSAIDs administered?
Definition
Orally
Term
NSAIDs:
-Dose
-Absorption
-Distribution
Definition
Dose varies
Absorbs in stomach and small intestine
Distribution: plasma proteins and throughout the body
Term
How are NSAIDs metabolized and excreted?
Definition
Metabolized via biotransformation in bloodstream and liver.
Excreted via kidneys
Term
Can be toxic to the liver in high doses
Definition
NSAIDs
Term
The most common medication administered to the PT population
Definition
NSAIDs
Term
2 primary conditions that affect joints
Definition
RA
OA
Term
A chronic, systemic disorder that affects various tissues but mainly synovium and articular tissue
Definition
RA
Term
RA diagnostic criteria include: (7)
Definition
Morning Stiffness
Arthritis in 3+ joints
Hand joint arthritis
Symmetric arthritis
Rheumatoid nodules
Serum rheumatoid factor
Radiograph change
Term
Caused by an autoimmune response in genetically susceptible patients. Formation of antibodies that initiate phagocytes and lymphocytes. Phagocytes and lymphocytes cause production of cytokines, eicosanoids, and destructive enzymes (proteases, collagenases)
Definition
RA
Term
Drugs have 2 goals in treating RA
Definition
Decrease Inflammation
Slow/stop disease progression
Term
Name the 3 categories of RA drugs
Definition
NSAIDs
Glucocorticoids (corticosteroids)
Disease-modigying antirheumatic drugs
Term
Name the 2 most common medications for RA
Definition
Aspirin
NSAIDs
Term
Adverse effects of NSAIDs
Definition
Primarily gastric ulcer or hemorrhage
Term
Extremely effective in treating inflammation. Does not slow disease progression. Increases anti-inflammatory protein production and inhibits pro-inflammatory substances production.
Definition
Glucocorticoids
Term
Blocks pro-inflammatory prostaglandin production. Also inhibits macrophages and T lymphocytes
Definition
Glucocorticoids
Term
Name some adverse effects of Glucocorticoids
Definition
-Breaks down muscle, tendon, and bone
-Osteoporosis
-Can cause ms weakness, atrophy, HTN, DM, glaucoma, and cataracts
Term
Do DMARDS (Disease-Modifying antirheumatic drugs)alter RA progression?
Definition
Yes
Term
Most of these inhibit the function of monocytes and lymphocytes that are responsible for joint inflammation and destruction.
Definition
DMARDs
Term
Name 7 DMARDS
Definition
Antimalarial Drugs
Azathioprine (Imuran)
Etanercept (Enbrel)
Gold Therapy
Leflunominde (Arava)
Methotrexate
Penicillamine
Term
Which form of arthritis is more common?
Definition
OA
Term
Virtually everyone over 75 has this to some degree. Only mild inflammation in most cases. Articular/cartilage damage is the primary concern
Definition
OA
Term
Common treatment for OA
Definition
Acetaminophen
NSAIDs
Term
Hyaluronan is injected into the joint to restore synovial fluid viscosity.
Definition
Viscosupplementation
Term
Used to produce GAGs, proteoglycans, and hyaluronic acid
Definition
Glucosamine and Chondroitin
Term
A sustained, reproducible increase in BP. Can lead to CVA, HF, Renal dz and blindness
Definition
Antihypertensive Drugs
Term
Short-term control of BP is by the what?
Definition
Baroreceptor reflex
Term
Long term control of BP is by what?
Definition
kidney control of fluid balance
Term
Cardiac Output X Total Peripheral Resistance =
Definition
BP
Term
What are common causes of HTN?
Definition
Exact cause unknown. Maybe a combo of internal and external factors such as diet, stress, predisposition, smoking, and alcohol abuse
Term
Once HTN is diagnosed it seems to progress: (3)
Definition
-Decrease baroreceptor refex sensitivity
-Increased kidney discharge
-Increased vascular resistance
Term
Increases the formation/excretion of urine, thus decreases vascular fluid volume to serve as an antihypertensive
Definition
Diuretic
Term
Inhibits Na reabsorption thus increasing fluid excretion
Definition
Thiazide Diuretics
Term
Inhibits Na and Cl reabsorption thus increasing fluid excretion
Definition
Loop diuretics
Term
Prevents K from being excreted from kidneys; prevents Na reabsorption; increases fluid excretion
Definition
Potassium-Sparing
Term
Diuretic Adverse Effects
Definition
Hypnatremia and hypokalemia can result in cardiac and metabolic problems, weakness, and fatigue
Term
Decreases HR thus reduces CO
Definition
Beta Blockers
Term
What are some side effects of beta blockers
Definition
Bronchoconstriction (asthma) and depressed HR
Term
Blocks vascular smooth muscle receptors thus decreases vascular resistance
Definition
Alpha blockers
Term
What are some side effects of alpha blockers?
Definition
Reflex tachycardia and orthostatic HTN
Term
Inhibits the release of norepinephrine thus decreases excitation of heart and vascular smooth muscle
Definition
Presynaptic Adrenergic Inhibitors
Term
Causes vasodilation thus decreasing peripheral resistance. Side effects include reflex tachycardia, dizziness, weakness, nausea, HAs, and fluid retention
Definition
Vasodilators
Term
Blocks the conversion of angiotensin I and II thus preventing vasoconstriction
Definition
ACE inhibitors
Term
Inhibits vascular smooth muscle by preventing Ca influx, decreases vascular resistance, and decreases HR
Definition
Calcium Channel Blockers
Term
Beta Blockers have been shown to reduce what?
Definition
Exercise capacity
Term
A pain that results from ischemic heart dz. Causes chest compression/tightness and sometimes pain radiating to the jaw, left arm, or back. Caused by physical exertion but can occur at rest or sleep
Definition
Angina Pectoris
Term
Dilate vascular smooth muscle; vasodilation causes decreased cardiac work; decreasing cardiac work decreases myocardial oxygen demand.
Definition
Organic Nitrates
Term
The best known antianginal drug. Can be administered sublingually or transdermally.
Definition
Nitroglycerin
Term
Block beta-1 receptors which decrease myocardial contraction; decreases HR and cardiac force output; decreases myocardial oxygen demand
Definition
Beta-Adrenergic Blockers
Term
Blocks Ca entry into smooth vascular muscle. Decreases ms contraction, decreases cardiac work due to vasodilation, decreases myocardial oxygen demand, increases coronary artery blood flow, and increases myocardial oxygen supply.
Definition
Angina Pectoris
Term
Name the 2 most common anticoagulants
Definition
aspirin
heparin
Term
Any significant deviation from normal cardiac rhythm. If untreated, impaired cardiac pumping, CVA and/or heart failure may occur
Definition
Cardiac arrhythmia
Term
During cardiac ms contraction and relaxation, an exchange of K, Na, and Ca ions occurs. Why is this important for pharm?
Definition
Some drugs affect the movement of these ions to normalize arrhythmias
Term
Abnormal pulse generation - injury or dz may render the SA and AV nodes incapable. Abnormal pulse conduction - dz or damage may result in action potential delay or action. Simultaneous abnormalities of impulse generation and conduction - combination of both.
Definition
Cardiac Arrhythmias
Term
Bind to Na channels that are open (activated) or closed (inactivated). Normalizes the rate of Na entry into cardiac tissue and normalizes rhythm.
Definition
Sodium Channel Blockers
Term
Decrease excitatory effects of the SNS (norepi and epi) on the heart. Results in deceased HR. Also slows down myocardium conduction. Side effects include poor cardiac pumping resulting in heart failure (rare)
Definition
Beta Blockers
Term
Delay repolarization of cardiac cells which lengthens the time between action potentials. Results in slowing/stabilizing the HR. Side effects include an initial increase in arrhythmia.
Definition
Drugs that prolong repolarization
Term
Controls arrhythmias by altering excitability and conduction of cardiac tissues. Blocks Ca entry into myocardial and vascular smooth muscle.
Definition
Ca Channel BLockers
Term
What is the primary concern for people taking medications for cardiac arrhythmias?c
Definition
Common to increase arrhythmia. Must monitor closely
Term
A condition where the heart is unable to pump sufficient blood to peripheral tissues. Caused by some form of cadiac disease or dysfunction. Causes accumulation of fluid int he lungs and peripheral tissues.
Definition
CHF
Term
Symptoms include peripheral edema and decreased physical capacity. Caused by various mechanisms - cardiac cell disturbances, altered genetic myocardial proteins, changes in neurohormonal factors.
Definition
CHF
Term
Name the 2 basic goals in the pharmacology treatment of CHF>
Definition
1. Improve pumping ability of heart
2. Decrease cardiac workload
Term
Name a common drug that works to increase myocardial contraction
Definition
Digitalis
Term
Improves cardiac pumping ability; increases CO; often used in combo with other drugs as well. Increases intracellular Ca thus increasing contractibility. Inhibits SNS thus decreasing heart stress/deman and relaxes vasculature smooth muscle.
Definition
Digitalis
Term
Side effects of digitalis
Definition
Toxicity. Signs include N&V and CNS disturbances (fatigue, confusion)
Term
Drug that works to decrease cardiac workload (4)
Definition
1. Angiotensin-Converting Enzyme Inhibitors (ACE Inhibitors)
2. Beta Blockers
3. Diuretics
4. Vasodilators
Term
Inhibits vasoconstriction
Definition
ACE Inhibitors
Term
Reduce excessive sympathetic stimulation of the heart
Definition
Beta Blockers
Term
Decrease congestion in lungs and periphery by eliminating fluid; also decrease cardiac workload by decreasing fluid
Definition
Diuretics
Term
Decrease peripheral resistance; decreases the amount of blood returning to the heart resulting in decrease in workload
Definition
Vasodilators
Term
Prevents excessive hemorrhage from damaged vessels. Inadequate blood clotting can lead to excessive blood loss and overactive clotting can cause thrombogenesis
Definition
Blood coagulation/hemostasis
Term
Influenced by hyperlipidemia which is a chronic increase in plasma lipids.
Definition
Hemostasis
Term
Can cause cholesterol to be deposited on arterial walls (artherosclerosis) which can lead to thrombosis formation and infarction
Definition
Hyperlipidemia
Term
Involves the activation of various clotting factors; ultimately leads to conversion of prothrombin to thrombin; thrombin enzyme converts fibrinogen to fibrin which forms a mesh-like structure (clot)
Definition
Clot Formation
Term
Tissue plasminogen activator converts plasminogen to plasmin; plasmin enzyme breaks down fibrin mesh; destroys clot.
Definition
Clot breakdown
Term
Primarily includes heparin and warfarin (Coumadin)
Definition
Anticoagulants
Term
Promoes the role of antithrombin III which binds to clotting factors and makes them inactive.
Definition
Heparin
Term
Impairs hepatic synthesis of several clotting factors. Side effects include hemorrhage; joint/back pain may indicate hemorrhage; GI distress
Definition
Warfarin (Coumadin)
Term
Inhibits synthesis of prostaglandins; prevents platelet-induced thrombus formation. Use to treat and prevent MI; prescrived to those who have risk factors for MI such as CAD.
Definition
Aspirin
Term
Breakdown and dissolve clots that have already formed. Converts plasminogen to plasmin. Very useful in treating acute MI; can re-establish blood flow caused by coronary occlusion; prevents or reverses damage.
Definition
Thrombolytic Drugs
Term
Is aspirin a thrombolytic drug or antithrombolytic drug?
Definition
Antithrombolytic
Term
A hyperlipidemia drug that inhibits HMG-CoA reductase which is an enzyme that assists in the synthesis of cholesterol
Definition
HMG-CoA Reductase Inhibitor (Statins)
Term
The mechanisms of action is unclear for this hyperlipidemia drug. But may increase lipoprotein lipase enzyme activity; thus decreases triglyceride levels.
Definition
Fibric Acids
Term
Responsible for mediating gas exchange between the air and our bloodstream.
Definition
Respiratory System
Term
These drugs treat symptomatic coughing and irritation from cold, allergies, and respiratory tract infections.
Definition
Respiratory tract irritation and secretion drugs
Term
Suppress coughing associated with cold and minor irritations. Recommended for short-term use only. Coughing is a defense mechanism that can help expel mucous and foreign material.
Definition
Antitussives
Term
Inhibits the cough reflex through a central mechanisms or inhibits the effects of histamine. Sedation is a common side effect.
Definition
Antitussives (Codeine, hydrocodone, hydromorphone)
Term
A decongestant that binds to alpha 1 receptors in blood vessels of the mucosa causing vasoconstriction; dries up the mucosal vasculature and decreases congestion.
Definition
Alpha 1 Adrenergic Agonists
Term
The side effects for Alpha 1 Adrenergic Agonists inlude headache, dizziness, nausea, HTN, and palpitations. What is a common one?
Definition
Ephedrine
Term
Used to treat respiratory allergic response to allergies.
Definition
Antihistamines
Term
Involved in normal regulation of physiological functions including allergic reactions.
Definition
Histamine
Term
Binds to H1 receptors in the vascular and respiratory tissues
Definition
Antihistamines
Term
Blocks histamine from binding to the H1 receptors; decrease the allergic response. Side effects can include sedation, fatigue, incoordination, N&V.
Definition
Antihistamines such as Tavist, Dramamine, Benadryl, Claritin, and Actifed
Term
Decrease viscosity of respiratory secretions
Definition
Mucolytic drugs
Term
Facilitate production and ejection of mucus
Definition
Expectorant Drugs
Term
What is the primary mucolytic drug?
Definition
Acetylcysteine
Term
What is the only expectorant listed by the FDA?
Definition
Guaifenesin
Term
What are the treatment goals for COPD drugs?
Definition
Reduce bronchial constriction
Term
Administered via inhaler or nebulizer. Stimulates Beta-2 receptors reslting in bronchodilation. Side effects = Prolonged use may increase bronchial response, cardiac irregularities, nervousness, tremors.
Definition
Beta-Adrenergic Agonists (Albuterol, Epinephrine)
Term
Results in bronchodilation. May inhibit phosphodiesterase (PDE) enzyme in bronchial smooth muscle; increase cAMP; cause bronchodilation. May also act as an adenosine antagonist; adenosine stimulates bronchocontriction
Definition
Xanthine Derivatives
Term
Side effects of Xanthine Derivatives?
Definition
Toxicity, nausea, confusion, irritability, cardiac arrhythmias, seizures.
Term
Cause bronchodilation. Prevents acetylcholine (from the PSN) from binding to cholinergic mucosa receptors; preventing bronchoconstriction. Side effects include dry mouth, constipation, tachycardia, and confusion.
Definition
Anticholinergics (Atropine and Atrovent)
Term
Reduces inflammation associated with COPD disorders. Includes Cortisone, Dexamethasone, and Prednisone
Definition
Glucocorticoids
Term
Prevent bronchospasm not bronchoconstriction in pts with asthma. Must be administered before asthma episode.
Definition
Cromones
Term
May inhibit the release of inflammatory mediators (histamine, leukotrienes). Side effects are minimal.
Definition
Cromones (Cromolyn sodium and nedocrmil sodium)
Term
Treatment of bronchial asthma
Definition
Bronchodilators (beta-adrenergic agonist, xanthine derivatives, and glucocorticoids)
Term
Results in excessive viscous secretions. Results in pneumonia, pulmonary fibrosis, and infections.
Definition
Cystic Fibrosis
Term
Treatment for CF?
Definition
Bronchodilators, Mycolytic/Expectorants, and glucocorticoids
Term
2 primary types of adrenocorticosteroids
Definition
Glucocorticosteroids
Mineralcorticoids
Term
Controls glucose metabolism and body's ability to deal with stress.
Definition
Glucocorticoids (cortisol, corticosterone)
Term
Maintain fluid and electrolyte balance
Definition
Mineralocorticoids (aldosterone)
Term
The precursor of this is cholestrol. All steroid hormones share similar chemical structures. Adding a H+ ion to testosterone synthesis makes estradiol. By manipulating chemical side-groups, pharmacologists develop more effective drugs.
Definition
Steroid Synthesis
Term
Released on a cyclic basis peaking at 8 am in humans. Prepares human for increased activity.
Definition
Cortisol
Term
Alter protein synthesis by directly effecting the cell nucleus. Alters the transcription of DNA genes. Exert anti-inflammatory effects by increasing anti-inflammatory and decrease inflammatory protein synthesis
Definition
Glucocorticoids
Term
Increase blood glucose and liver glycogen. This is the result of affecting glucose, fat, and protein metabolism
Definition
Glucocortcoid Physiological Effects
Term
They inhibit genetic stimulation of inflammatory cells. They inhibit production of pro-inflammatory protoglandins and leukotrienes.
Definition
Glucocorticoids anti-inflammatory effects
Term
Inhibit the immune response (immunosuppression) by the same means of inhibiting inflammation. Inhibit key components of immune response (T cells)
Definition
Glucocorticoids
Term
4 Clinical uses for glucocorticoids
Definition
Replacement therapy
Evaluate endocrine dysfunction
Inflammation
Immunosuppression
Term
3 Glucocorticoid Side effects
Definition
Adrenocortial suppression due to negative feedback, cushing syndrome, and tissue breakdown
Term
Primary steroid hormone
Definition
Aldosterone
Term
Regulates/increases fluid and electrolyte levels. Increase levels of angiotensin II stimulate aldosterone production. Helps to prolong the antihypotensive effect.
Definition
Mineralocortoids (aldosterone)
Term
Why might you use mineralocorticoids?
Definition
To treat Addison Disease (replacement therapy)
Term
The primary male hormone is testosterone and is a what?
Definition
Androgen
Term
estrogens (estradiol) and progestins (progesterone)
Definition
Primary female hormones
Term
Are all male and female hormones considered steroids?
Definition
Yes
Term
Clinical uses for androgens
Definition
Replacement Therapy
Catabolic States or Pathologies
Delayed Puberty
Breast Cancer
Anemia
Hereditary Angioedema
Term
Primarily seen in athletes or weight lifters. Can promote strength and muscle growth (anabolic steroid). Liver damage, HF, cardiomyopathy, CVA, MI, behavior changes, impaired sperm production,e tc.
Definition
Androgen Abuse
Term
Clinical uses for estrogen and progesterone
Definition
-Primarily oral contraceptives
-Replacement therapy
-Hypogonadism
-Failed ovarian development
-Menstrual Irregularities
-Endometriosis
-Carcinoma
Term
Pancreatic endocrine function secretes 2 primary hormones
Definition
Insulin
Glucagon
Term
What is primary role of insulin and glucagon?
Definition
Blood glucose regulation
Term
Also plays a role in fat and protein metabolism
Definition
Insulin
Term
A defect in production and/or function of insulin.
Definition
DM
Term
Primary role is to lower blood glucose by increasing glucose entry into peripheral tissues.
Definition
Insulin
Term
Promotes storage of protein in muscle and lipids in adipose tissue. It encourages protein synthesis by increasing DNA activity in protein synthesis. Inhibits protein breakdown.
Definition
Insulin
Term
Stimulates the production of triglycerides. Inhibits lipid breakdown.
Definition
Insulin
Term
Considered to be the hormonal antagonist to insulin. Increases blood glucose levels and prevetns hypoglycemia. Increases glycogen breakdown in the liver which results in the increase in blood glucose
Definition
Glucagon
Term
Can cause damage to neural and vascular structures.
Definition
Hyperglycemia
Term
Increase Glucose = Increase Insulin
Decrease Glucose = _____Glucagon
Definition
Increase
Term
Lack of insuline produced
Definition
Type 1 DM
Term
The lack of adequate utilization of insulin in the peripheral tissues
Definition
Type 2 DM
Term
Most common effect of DM
Definition
Hyperglycemia
Term
Can result in glycosuria (increase glucose excretion). Promotes fluid excretion thus dehydration.
Definition
Hyperglycemia
Term
Can cause ketoacidosis which can result in coma or death
Definition
Glycosuria
Term
Treatment goal for DM
Definition
Control blood glucose levels
Term
This is too large of a polypeptide to be absorbed orally. Typically injected into the subcutaneous tissue. May be adminisered intravenously in severe cases.
Definition
Insulin Administration
Term
Treats hypoglycemia induced by insulin or oral hypoglycemic drugs. Increases glucose release from liver. Administered by injection
Definition
Glucagon
Term
Marked by rapid, uncontrolled cell proliferation and conversion of normal cells to undifferentiated state. Excessive cell proliferation results in tumors/neoplasms. Can be benign or malignant.
Definition
Cancer
Term
Limit cell proliferation by killing or altering the growth of cancer cells
Definition
Cytotoxic strategy
Term
Attack healthy cells as well so there will be some adverse effects. Most inhibit DNA/RNA synthesis or inhibit cell division.
Definition
Anticancer drugs
Term
Sometimes classified by whether they act at a specific phase of cell division.
Definition
Antineoplastic Drugs
Term
Exert effects at a certain stage of cell division
Definition
Cell-Cycle-Specific (CCS)
Term
Exert their effect during any stage of cell division. More general and effect overall tissues.
Definition
CCNS (Cell-Cycle-Nonspecific)
Term
% of proliferating cells to total neoplastic cells
Definition
Growth fraction
Term
These cells are more susceptible to antineoplastics because they are the cells that are causing the problems.
Definition
Growth fraction cells
Term
Every malignant tumor cell must be destroyed to eliminate cancer.
Definition
Total Kill Cell
Term
These drugs affect good tissue as well as cancer tissue
Definition
Antineoplastic Drugs
Term
Induces binding of DNA strands; prevents DNA replication and function; kills cell
Definition
Alkylating Agents
Term
Compee/interfere with normal metabolites during cell biosynthesis
Definition
Antimetabolites
Term
Known as the antimitotic drugs because they inhibit cell division
Definition
Plant Alkaloids
Term
Does not directly destroy cancer cells; affects the regulation of cell division or the immune system.
Definition
Interferons and Interleukin-2
Term
Contain platinum. Form strong links in DNA strands; inhibits DNA replication and function.
Definition
Heavy Metals
Term
Inhibit the COX enzyme
Definition
Aspirin
NSAIDs
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