antimetabolites Flashcards
1
Q
Methotrexate
Folic acid analog
A
inhibits dehydrofolate reductase enzyme to prevent tetraydrofolate cofactors to provide carbon groups to DNA and RNA synthesis…prevents synthesis
2
Q
methotrexate toxicity
A
GI toxicity (mucositis, esophagitis) Renal precipitation (weak acid, crystallizes) high dose fatal bone marrow --> leucovorin rescue