Shared Flashcard Set

Details

Chemotherapeutics
17 drugs... Not bad mostly review
19
Medical
Graduate
01/18/2013

Additional Medical Flashcards

 


 

Cards

Term
Paclitaxel (taxol)
Definition
Locks in Tubulin Polymerization during Mitosis

Causes neuropathy and hypersensitivity (treat with NSAIDS)
CAN CAUSE ARRYTHMIAS


Metabolised by P450
Term
Vincristine
Definition
Inhibits Tubulin Polymerization (antagonist to paclitaxel)

Causes Neuropathy due to decrease axonal transport

Used for LYMPHOMA/LEUKEMIA
Term
doxirubicine (adriamycin)
Definition
Binds to DNA topoisomerase II to prevent RNA polymerization

Cardiotoxic but preventable with dezroxane

TURNS URINE RED

Metabolised BIPHASIC P450
Term
Dactinomycin
Definition
actinomycin D

WILMS TUMOR AND RHABDOMYCO

Inhibits RNA polymerization by binding to DNA
Term
Cyclophosphamide (cytoxan)
Definition
Transfers alkyl groups to cross link DNA

Causes Bone Marrow Myelosupression

Activated in the liver
Term
Methotrexate
Definition
Anti DHFR --> Prevents cellular creation DNA

Severe interactions Salicate/Sulfonimides/Phenytoin

Tendancy to accumulate in fluids (retroperitoneal/pleural)

Good for Leukemia
Term
5-FloroUricil
Definition
Inhibits Thymidine Syntase (pyridimine synthesis)

Degraded by dihydropyridine dehydrogenase (some individuals lack)
Term
Tamoxifen
Definition
Anti-Estrogen Receptor

Causes Hot Flashes
Vaginal Lining Atrophy

2X chance endometrial Cancer

T1/2 = 2 weeks
Term
Anastozol
Definition
Inhibits cyp/aromatase irreversibly

Given Second but more effective than tamoxifen
Term
G-CSF (Filgrastin)
Definition
Helps with chemotherapeutic induced neutropenia
Term
Ondansetron
Definition
Anti-HT3 medulla receptor to prevent emesis (vomiting)
Term
predgnisone
Definition
Adreno-corticosteroid with potent lympholytic activity

Used leukemia/lymphoma
Inflammation/nausea/breat cancer also
Term
Herceptin
Definition
Her2Neu antibody Trastuzumab
Term
cisplatin
Definition
Platinum derived DNA alkylator/crosslinker used to treat lung cancer

Nephrotoxic (short T1/2 long excretion)
Term
Etoposide
Definition
Anti-topoisomerase II
Term
imatinib
Definition
antibody against BCR/ABL translocation
Term
Leuprolide
Definition
Gonoadotrop releasing Hormone (GRH):

causes massive release LH--> massive spike testosterone followed by desensitization and loss test. release.

Treat spike with AR inhibitors
Term
Flutamide
Definition
Nonsteroidal androgen receptor inhibitor
Causes liver damage
Term
carmustine
Definition
DNA cross-linker/alkylator for brain cancer
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