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Pharmacology Chapter 14
NWTC Chapter 14
40
Pharmacology
Undergraduate 2
03/29/2010

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Term
Antineoplastic
Definition
against new tissue formation
Term
palliative
Definition
relief of symptoms
Term
monoclonal antibodies
Definition
target only cancer cells
Term
antineoplastic agents
Definition
antimetabolites
alkylating agents
plant alkaloids\
antibiotic antineoplastics
steroid hormones
antiestrogen
antiandrogen
biological response modifiers
Term
antimetabolites
Definition
leukemia, osteogenic sarcoma, squamous cell carcinoma, breast cancer, genital area malignancies
methotrexate, fluorouracil
cell cycle specific
S phase
vitamen supplements needed, folic acid
Term
antimetabolite side effects
Definition
Anorexia, N, V, diarrhea
bleeding of oral mucosa
bone marrow suppression
leukopenia with infection
rash, itching, photosensitivity, scaling
Term
antimetabolite side effects
Definition
Anorexia, N, V, diarrhea
bleeding of oral mucosa
bone marrow suppression
leukopenia with infection
rash, itching, photosensitivity, scaling
Term
Leucovorin
Definition
reduced form of folic acid
rescue agent to reduce methotrexate induced hematological and GI toxicity
Term
alkylating agencts
Definition
used for brain tumors, sarcomas, lymphomas, leukemias
carmustine, cisplatin
affect replication of DNA
Term
carmustine, cisplatin
Definition
severe nausea and vomiting 1-2 hours after
use antiemtic, load fluids
Term
ankylating agent side effects
Definition
severe nausea and vomiting, diarrhea
pulmonary fibrosis
hemorrhagic cystitis with heavy metal aldylating agents
Term
mesna
Definition
chemoprotectant, given prior to ifosfamide to prevent hemorrhagic cystitis from heavy metal alkylating ifosfamide
Term
plant alkaloids
Definition
inhibit mitosis, cell division
used with other chemotherapeutic agents
vinblastine, vincristine
leukemias, Hodgkins disease, lymphomas, sarcomas
very toxic, once per week, largest dose 2mg
Term
plant alkaloid SE
Definition
neurotoxicity
severe constipation, diarrhea, NV
oral or GI ulceration
rash, phototoxicity, alopecia
Term
paclitaxel/Taxol
Definition
plant alkaloid, Western Yew
second line, subsequent therapy
metastatic breast or ovarian cancer refractory to conventional chemo
Term
paclitaxel/Taxol side effects
Definition
bone marrow suppression, neutropenia, leukopenia, thrombocytopenia, anemia
hypersensitivity reac
peripheral neuropathy
NVdiarrea, mucositis
benedryl given before IV
Term
monoclonal antibodies
Definition
exogenous antibodies
produce clone of single antibody
Term
Rituximab/Rituxan
Definition
relapsed or refractory non-Hodgkins lymphoma
Term
trastuzumab/Herceptin
Definition
combined with paclitaxcel
first line treatment of metastatic breast cancer
Term
MAB side effects
Definition
fever, chills, headache, dizziness
NV
Severe reactions: angioedema, hypotension, dyspnea, brochospasm, hypersensitivity, cardiac arrhythmias, angina, cardiomyopathy, \
hematological toxicitry
GI perforation
have antidotes ready
Term
Radioactive isotopes
Definition
radioactive material injected (radiogold)
seeds
targeted therapy, MAB's with radioisotopes attached
Term
antiemetics
Definition
ondansetron/Zofran
dolasetron/Anzemet, gramnisetron/Kytril
Term
antimetabolites
Definition
fluorouracil/Adrucil
methotrexate/Rheumatrex
Term
alkylating agents
Definition
carmustine, BCNE/BiCNU, Gliadel
cisplatin/Platinol
thiotepa/Thioplex
Term
plant alkyloids
Definition
vinblastine/Velban
vincristine/Oncovin
paclitaxel/Taxol
Term
antibiotic antineoplastics
Definition
bleomycin, can cause pulmonary fibrosis
doxorubicin, red devil, red urine
mitomycin, purple bands fingernails
treat leukemias, sarcomas, Hodgkins, lymphomas, brease cancerl, tumors: head, neck, testicles
Term
antibiotic antineoplastic side effects
Definition
effect: lungs, kidneys, circulation
anorexia, nausea, vomiting, diarrhea
bone marrow suppression
cardiotoxicty (doxorubicin)
pneumonitis, dyspnea, rales, pulmonary fibrosis
ulceration mouth and colon
Term
antibiotic antineoplastic contraindications
Definition
pregnancy
liver disorders
cardiac disease
Term
hormone therapy
Definition
corticosteroids
antiestrogen
antiandrogen
Term
corticosteroids
Definition
prednisone
dexamethasone/Decadron
prevention and treatment of NV before or with chemo
Term
corticosteroid side effects
Definition
fluid retention
moon face
fatigue and weakness
osteoporosis
Term
antiestrogen
Definition
tamoxifen, nonsteroidal
metastatic estrogen receptor-positive breast cancer
alternative: anastrozole/Arimidex inhibits final step in estrogen production
Term
antiandrogen
Definition
leuprolide acetate/Lupron Dept
gonadatrophin releasing hormone, IM monthly for prosate cancer
oral: bicalutamide/Casodex
Term
antiadrogen side effects
Definition
impotence
hot flashes, generalized pain, infection, constipation, nausea
Term
biological response modifiers
Definition
interferons
leukemias, sarcomas, MS
Term
biological response modifier, Interferon side effects
Definition
flulike symptoms
GI symptoms
nervous system effects
Term
steroid hormones
Definition
dexamethasone/Decadron
prednisone/Deltasone
Term
antiestrogen
Definition
tamoxifen/Nolvadex
Term
antiandrogen
Definition
leuprolide/Lupron Depot
Term
biological response modifiers
Definition
rituximab/Rituxan
trastuzumab/Herceptin
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