Anti Cancer Drugs Flashcards
Chlorambucil
Nitrogen Mustards
(Chronic Lymphocytic Leukemia)
Cyclophosphamide
Nitrogen mustards
(Lymphocytic Leukemia)
[Hemorrhagic Cystitis]
Ifosfamide
Nitrogen mustards
Mechlorethamine
Nitrogen mustards
(Hodgkin’s disease)
Melphalan
Nitrogen mustards
(Malignant melanoma, Mutliple myeloma)
Altretamine
Ethylenemelamine Derivatives
(Ovarian CA)
Thiotepa
Ethylenemelamine Derivatives
(Breast and Ovarian CA)
Busulfan
Alkyl Sulfonate
(Chronic Myelogenous Leukemia)
[Interstitial Pneumonitis, Pulmonary fibrosis]
Decarbazine
Triazenes
(Melanoma, Hodgkin’s)
[CNS depression]
Procarbazine
Triazenes
Temozalamide
Triazenes
Cisplatin
Platinum analogs
(non Hodgkin’s Lymphoma)
[Ototoxicity, Nephrotoxicity, Peripherla Sensory Neuropathy]
Carboplatin
Platinum analogs
[irreversible Nephrotoxicity]
Oxaloplatin
Platinum analogs
administered Intrvenously
Carmustine
Nitrosoureas
(Brain tumors)
Lomustine
Nitrosoureas
(Brain tumors)
Semustine
Nitrosoureas
(Brain tumors)
Streptozocin
Nitrosoureas
[low Bone marrow toxicity]
Methotrexate
Antifolate
(Acute lymphocytic leukemia)
[Megaloblastic Anemia]
Has oral and IV preparation
Pemetrexed
Anti-folate
5-Flourouracil
Pyrimidine Analogs
(Breast, Colorectal CA)
[Megaloblastic anemia]
Linear dose-response curve
Capecitabine
Pyrimidine analogs
Azacitidine
Pyrimidine analogs
Cytarabine
Deoxycytidine Analogs
(AML, CML, ALL, CLL)
[Megaloblastic Anema, Neurotoxicity]
Gemcitabine
Pyrimidine Analogs
(Pancreatic, Bladder, Breast CA)
Fludarabine
Purine Antagonists
Cladribine
Purine Antagonists
(Hairy cell Leukemia)
6-Thiopurine
Purine Antagonists
(Childhood Acute Leukemia)
Mercaptopurine
Purine Antagonists
(Childhood Acute Leukemia)
has oral and IV preparation
Thioguanine
Purine Antagonists
Vincristine
Vinca Alkaloid
(Germ cell tumor, Kaposi’s Sarcoma)
[Neurotoxic, Areflexia]
Vinblastine
Vinca Alkaloids
(Rhabdomyosarcoma, Neuroblastoma, Wilm’s tumor, Acute Lymphocytic Leukemia)
[Neurotoxic, Areflexia]
Vinorelbine
Vinca Alkaloid
(non small cell lung CA)
[Neurotoxic, Areflexia]
Paclitaxel
Taxanes
[Myalgia, Arthralgia]
Docetaxel
Taxanes
Etoposide
Epipodophyllotoxins
(small and non-small cell Lung CA)
[Diarrhea]
Oral or IV
Tenoposide
Epipodophyllotoxins
(Acute Lymphocytic Leukemia)
[Diarrhea]
IV only
Topotecan
Camptothecins
(Breast and Lung CA)
renal excretion
Irinotecan
Camptothecins
(Colorectal CA)
Bile and feces excretion
Doxorubicin
Anthracycline
[Cardiotoxic]
Antracyclines
MOA:
- Topoisomerase II dependent DNA cleavage
- Generation of free radicals
- Intercalate with DNA double helix
- Doxorubicin, Daunorobucin, Idarubicin, Epirubicin, Mitoxantrone
ADR: Vesicant
Daunorobucin
Anthracyclines
[Cardiotoxic]
Idarubicin
Anthracycline
Epirubicin
Anthracycline
Mitoxantrone
Anthracycline
[Blue discoloration of the fingernails and urine]
Dactinomycin
Non-Anthracycline Anticancer Antibiotic
MOA: same as Anthracyclines
[Vesicant]
Plicamycin
Non-Anthracycline Anticancer Antibiotic
MOA: complex with Mg & DNA; Blocks RNA synthesis
[Hepatotoxic]
Mitomycin
Non-Anthracycline Anticancer Antibiotic
MOA: crosslinks between complementary strands of DNA –> impair replication
[HUS, Thrombocytopenia, Interstitial Pneumonitis]
Bleomycin
Non-Anthracycline Anticancer Antibiotic
cell cycle specific (only)
MOA: DNA strand scission by interacting with O2 and Fe
[Pulmonary Fibrosis]
Fluoxymesterone
Androgen
[Cholestatic jaundice]
Flutamide
Androgen Antagonist
(Prostatic CA)
[Hot flushes, decreased libido, Impotence]
Cyprotenone
Androgen Antagonist
Firastemide
Androgen Antagonist
Diethylstilbestrol
Estrogen
Ethinylestradiol
Estrogen
Tamoxifen
Estrogen Antagonist
(Breast CA)
[Hot flushes, osteoporosis]
Hydroxycortisone
Prednisone
Corticosteroids
[Immunosuppression]
Anastrozole
Aromatase Inhibitor
(Advanced ER/PR (+) Tamoxifen resistant Breast CA)
[Myelosuppression]
Letrozole
Aromatase inhibitor
[Myelosuppression]
Aminoglutethimide
Aromatse Inhibitor
[Myelosuppression]
Leoprolide
Gonadotropin releasing Hormone
(Metastatic Prostatic CA)
Goserelin
Gonadotropin Releasing Hormone
Octreotide
Peptide Hormone
(GI cancer)
[Bradycardia]
Growth Signal Reductors
(TAFT)
- Tamoxifen
- Aromatase Inhibitors
- Fluvestrant
- Toremefene
Tyrosine Kinase Inhibitors
(DIN) “-nib”
- Dasatanib
- Imatinib
- Nilotinib
Her2 Inhibitors
- Lapatinib
- Trastuzumab
EGRF Inhibitors
- Panitumumab (Humanized)
- Cetuximab (Chimeric)
mTOR kinase Inhibitors
- Temsirolimus
- Everolimus
Histone Deacetylases
- Vorinostat
- Romidespin
Retinoid Receptors
(BAT) as in paniki
- Bexarotene
- Alitretinoin
- Tretinoin
Bortezonib
Proteasome Apoptosis Inducer
Pralatrexate
RFC-1 Apoptosis Inducer
VEGF inhibitors (Anti Angiogenesis)
- Bevacizumab
- Sunitinib
- Sorafenib
Treatment for the Adverse Drug reaction of Cisplatin
Amifostine
Treatment for Metastatic Breast CA
Trastuzumab
Drug Combination for Cervical CA
Cisplatin/Carboplatin + 5-Flourouracil
Drug combination for Colon CA (3)
- FOLFOX
- FOLFIRI
- CapeOx
- FOLFIRI:
- 5-FU + Leucovorin + Irinotecan/Topotecan
- FOLFOX:
- 5-FU + Leucovorin + Oxaliplatin
- CapeOx
- Capecitabine + Oxaliplatin
Drug combination for ALL
- Vincristine + Predisone (remission)
- 6-Mercaptopurine + Methotrexate + Cyclophosphamide (Maintenance)
Drug combination for AML
- Cytarabine + Doxorubicin
Drug Combination for CLL
Chlorambucil + Prednisone
Drug used for Treatment of CML
Busulfan