Antimetabolites Flashcards
Mitotic phase
S phase specific
MOA
Replace natural nucleic acid bases
Pyrimidine antagonist
Adrucil
Xeloda
Gemzar
Topical 5-fluorouracil
Efudex
Carac
Contraindication for 5-fluorouracil
CrCl<30
Adrucil
5-FU
Xeloda
Capecitabine
Gemzar
Gemcitabine
Folate antagonist
Methotrexate
What lowers MTX toxicity
Leucovorin
What can increase MTX levels
NSAIDS
Probenacid
Purine antagonist
Ara-c
Purinethol
Purinethol
6-mercaptopurine
Ara-c
Cytarabine
Oral formulations
Adrucil
Xeloda
Purinethol
Methotrexate ( this is the only medication that is also IV, IM,SQ,IT,IA)
Why are high doses of MTX used
BBB penetration and overcome resistance
What pharmacogenomic testing is recommended for Purinethol to avoid toxicity
TPMT
Why is leucovorin given with 5-FU?
Increase the efficiency
Xeloda is a pro drug of
5-FU
Should Xeloda be taken with meals or without?
With meals
Xeloda contraindications
Known DPD deficiency
CrCl<30
Which antimetabolite may cause flu like symptoms within 24 hours of administration?
What is used to manage symptoms?
Gemzar
Tylenol