Antineoplastic drugs Flashcards
Which drugs are chemotherapy?
Cisplatin
Doxorubicin
Capecytabine
Which drug is hormonal?
Tamoxifen
Which drugs are targeted?
Trastuzumab Cetuximab Nivolumab Bevacizumab Imatinib Ipilimumab Vemurafenib
Which drugs are cardiotoxic?
Doxorubicin
Traztuzumab
Which drugs are nephrotoxic?
Cisplatin
Which side effects does Cisplatin have?
Nephrotoxicity N/V Neurotoxicity Ototoxicity BM suppression
Side effects of capecytapine?
BM suppression
GI symptoms
HAND FOOT syndrome
How is capecytapine adm?
Orally
When is capecytapine used?
Colorectal and breast cancer
Side effects of Doxorubicin?
CARDIOTOXICITY
- early (arrhythmias
- late (congestive HF)
Which drug has side effects affecting vessels?
Bavacizumab
Mechanism of Tamoxifen?
Anti-estrogen
When is tamoxifen used?
Breast ca
Administration of Tamoxifen?
Oral
Side effects of tamoxifen?
Endometrial cancer
Menopausal symptoms
Which drug has red discoloration of urine?
Doxorubicin
How long is adjuvant treatment with trastuzumab?
1 year
Another name for trastuzumab?
Herceptin
Mechanism of trastuzumab?
Anti-HER2
When is trastuzumab used?
Breast and gastric ca
Side effect of trastuzumab?
Cardiotoxicity
When is cetuximab used?
Colorectal and H/N cancer
Mechanism of cetuximab?
Binds to EGFR
- -> inhibits cell growth
- -> induce apoptosis
When is cetuximab ineffective?
If present K-ras mutation
SIde effects of cetuximab?
Skin toxicity = acne like rash
What disease is Nivolumab tx for?
Melanoma
Which drugs can be used in melanoma?
Nivolumab
Ipilimumab
Vemurafenib
What does nivolumab act on?
Lymphocytes
Mechanism of nivolumab?
Anti-PD1 –> inhibits programmed death
Side effect of nivolumab?
Autoimmune reactions (CRAZY lymphocytes)
When is bevacizumab used?
Colorectal ca, ovarian ca
Mechanism of bevacizumab?
Anti-VEGF
Side effects of bevacizumab?
HTN
Hemorrhage
Thromboembolism
Which stage of colorectal ca is bevacizumab used in?
Stage IV
Mechanism of Imatinib?
Tyrosine-kinase inhibitor
Administratoin of Imatinib?
Oral
When is Imatinib used?
CML, GIST
Side effects of Imatinib?
WELL tolerated
Ipilimumab mechanism?
CTLA 4-inhibitor = activates T cell
When is Ipilimumab used?
Melanoma
Side effects of ipilimumab?
Autoimmune reaction
Mechanism of Vemurafenib?
BRAF kinase inhibitor
Usage of Vemurafenib?
Melanoma
Side effect of vemurafenib?
Skin toxicity