Alkylating Agents - Unusual Toxicities Flashcards
1
Q
Cylcophosphamide (Unusual Toxicity)
• agent to counter it?
A
- Lung Fibrosis
- renal/urotoxic (Hemmorrhagic Cystitis)
- Congenital Heart Failure
• MESNA is renoprotective from acrolein
2
Q
Procarbazine (Unusual Toxicity)
A
- Disulfram-like effect
- weak MAO inhibition
3
Q
Carmustin (BCNU) (Unusual Toxicity)
A
Hepatic “veno-occlusive”
4
Q
Carboplatin (Unusual Toxicity)
• Protective agents?
A
- Thrombocytopenia
- Peripheral Neuropathy
- less renal toxicity than Cisplatin
Amifostine in Nephroprotective
5
Q
Lomustine (CCNU) (Unusual Toxicity)
A
CNS - siezures, Dementia
6
Q
Mehphalan (Unusual Toxicity)
A
Lung fibrosis
7
Q
Cisplatin (Unusual Toxicity)
• Protective agents
A
- Renal Toxicity
- Ototoxicity
- Peripheral Neuropathy
Amifostine in Nephroprotective
8
Q
Busulfan (Unusual Toxicity)
A
- Lung Fibrosis
- Addison-like syndrome
- Hepatic “veno-occlusive’
9
Q
Ifosfamide (Unusual Toxicity)
• Protective agents?
A
- CNS toxicity
- Renal/ Urotoxic (Hemorrhagic Cystitis via acrolein)
MESNA counters the effects of acrolein