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Pharm -- Heme/Onc
First Aid 2012 pp395-402
59
Medical
Graduate
02/07/2013

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Cards

Term
enoxaparin
Definition
LMWH -- acts more on Xa (than thrombin)
Term
lepirudin
Definition
direct thrombin inhibitors
Term
-rudin
Definition
direct thrombin inhibitors
Term
-gatran
Definition
direct thrombin inhibitors
Term
argatroban
Definition
direct thrombin inhibitors
Term
melagatran
Definition
direct thrombin inhibitors
Term
dabigatran
Definition
direct thrombin inhibitors
Term
warfarin
Definition
inhibits epoxide reductase --> no activation of vit K --> no gamma-carboxylation of glutamate residues of Vit K-dep factors
Term
rodenticides contain...
Definition
brodifacoum -- like coumadin!!!
Term
dalteparin
Definition
LMWH -- acts more on Xa (than thrombin)
Term
alteplase
Definition
tPA, thrombolytic
Term
anistreplase (APSAC)
Definition
thrombolytic
Term
reteplase
Definition
recombinant tPA, thrombolytic
Term
weird ASA side effect
Definition
tinnitus (CN VIII)
Term
clopidogrel
Definition
irreversibly blocking ADP receptors on platelets
Term
ticlopidine
Definition
irreversibly blocking ADP receptors on platelets
neutropenia!!
Term
cilostazol
Definition
phosphodiesterase III inhibitor --> increased cAMP --> inhibit platelet aggregative, vasodilates
Term
dipyridamole
Definition
phosphodiesterase III inhibitor --> increased cAMP --> inhibit platelet aggregative, vasodilates
Term
abciximab
Definition
antibody binding to glycoprotein receptor IIb/IIIa
Term
methotrexate
Definition
folic acid analog -- inhibits dihydrofolate reductase
myelosuppression (leucovorin = folinic acid), fatty liver, mucositis
Term
5-fluorouracil
Definition
pyrimidine analog -- inhibits thymidylate synthtase
rescue with thymidine
Term
6-mercaptopurine
Definition
purine (thiol) analog -- inhibits de novo purine synthesis
activated by HGPRTase
metabolized by XO
Term
6-thioguanine
Definition
purine (thiol) analog -- inhibits de novo purine synthesis
Term
cytarabine
Definition
pyrimidine analog -- inhibits DNA polymerase
Term
dactinomycin
Definition
intercalating agent
Term
plicamycin
Definition
intercalating agent
Term
doxorubicin
Definition
1. free radicals
2. intercalating agent
3. disrupts fluid and ion transport
cardiotoxicity (dexrazoxane)
Term
daunorubicin
Definition
1. free radicals
2. intercalating agent
3. disrupts fluid and ion transport
cardiotoxicity (dexrazoxane)
Term
idarubicin
Definition
1. free radicals
2. intercalating agent
3. disrupts fluid and ion transport
cardiotoxicity (dexrazoxane)
Term
bleomycin
Definition
free radicals
arrest in G2!!!
pulm fibrosis
minimal myelosuppression!!
Term
etoposide
Definition
inhibits topoisomerase II!!
Term
teniposide
Definition
inhibits topoisomerase II!!
Term
cyclophosphamide
Definition
alkylating agent
activated by liver P450
hemorrhagic cystitis (mesna)
Term
ifosfamide
Definition
alkylating agent
activated by liver P450
hemorrhagic cystitis (mesna)
Term
carmustine
Definition
alkylating agent (nitrosourea)
crosses BBB!!!
Term
lomustine
Definition
alkylating agent (nitrosourea)
crosses BBB!!!
Term
semustine
Definition
alkylating agent (nitrosourea)
crosses BBB!!!
Term
streptozocin
Definition
alkylating agent (nitrosourea)
crosses BBB!!!
Term
nitrosoureas
Definition
alkylating agents
crosses BBB!!!
Term
busulfan
Definition
alkylating agent
pulm fibrosis
Term
mitomycin
Definition
alkylating agent
Term
mechlorethamine
Definition
alkylating agent
Term
procarbazine
Definition
alkylating agent
also MAOi, disulfuram-like reaction
Term
vin-
Definition
bind tubulin, block polymerization
Term
paclitaxel
Definition
bind tubulin, block depolymerization
Term
pentostatin
Definition
same as deoxycoformycin
inhibits adenosine deaminase -- hairy cell leukemia
Term
-platin
Definition
alkylating-like agent (cross-links DNA)
nephrotoxicity (amifostine) and ototoxicity
Term
hydroxyurea
Definition
inhibits ribonucleotide reductase
Term
irinotecan
Definition
inhibits topoisomerse I
Term
topotecan
Definition
inhibits topoisomerse I
Term
deoxycoformycin
Definition
same as pentostatin
inhibits adenosine deaminase -- hairy cell leukemia
Term
cladribine
Definition
same as 2-chlorodeoxyadosine
inhibits adenosine deaminase -- hairy cell leukemia
Term
2-chlorodeoxyadosine
Definition
same as cladribine
inhibits adenosine deaminase -- hairy cell leukemia
Term
dacarbizine
Definition
methylating agent, needs liver for activation
Term
trastuzumab
Definition
Herceptin
antibody against HER-2/erb-B2
Term
Chemo-Tox Man
Definition
Cisplatin/Carboplatin --> ototoxicity
Vincristine --> peripheral neuropathy
Bleomycin/Busulfan --> pulm fibrosis
Doxorubicin --> cardiotoxicity
Cisplatin/Carboplatin --> nephrotoxicity
CYclophosphamide --> hemorrhagic cystitis
5-FU --> myelosuppression
6-MP --> myelosuppression
MTX --> myelosuppression
Term
multi-drug resistant cancers
Definition
MDR1 -- glycoprotein that is transmembrane ATP-dep efflux pump!!
Term
fondaparinux
Definition
direct X inhibitor
Term
comptothecin
Definition
inhibits topoisomerase I
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