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

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2
Q

Procarbazine (Unusual Toxicity)

A
  • Disulfram-like effect

- weak MAO inhibition

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3
Q

Carmustin (BCNU) (Unusual Toxicity)

A

Hepatic “veno-occlusive”

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4
Q

Carboplatin (Unusual Toxicity)

• Protective agents?

A
  • Thrombocytopenia
  • Peripheral Neuropathy
  • less renal toxicity than Cisplatin

Amifostine in Nephroprotective

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5
Q

Lomustine (CCNU) (Unusual Toxicity)

A

CNS - siezures, Dementia

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6
Q

Mehphalan (Unusual Toxicity)

A

Lung fibrosis

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7
Q

Cisplatin (Unusual Toxicity)

• Protective agents

A
  • Renal Toxicity
  • Ototoxicity
  • Peripheral Neuropathy

Amifostine in Nephroprotective

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8
Q

Busulfan (Unusual Toxicity)

A
  • Lung Fibrosis
  • Addison-like syndrome
  • Hepatic “veno-occlusive’
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9
Q

Ifosfamide (Unusual Toxicity)

• Protective agents?

A
  • CNS toxicity
  • Renal/ Urotoxic (Hemorrhagic Cystitis via acrolein)

MESNA counters the effects of acrolein

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