Chemotherapy Flashcards
What is the mechanism of action of cyclophosphamide?
Alkylating agent
Causes cross linking in DNA
What are the adverse effects of cyclophosphamide?
Haemorrhagic cystitis
Myelosuppression
Transitional cell carcinoma
What is the mechanism of action of Bleomycin?
Degrades preformed DNAat
is the big adverse effect of bleomycin?
Lung fibrosis
What are some examples of anthracyclines?
Doxorubicin
Daunorubicin
What is the mechanism of action of anthracyclines?
Inhibits DNA and RNA synthesis by stabilising DNA topimerase II complex
Whatt is the big adverse effect of anthracyclines?
Cardiomyopathy
What are some antimetabolite cytotoxics? x4
Methotrexate
5FU
Mercaptopurine
Cytarabine
What is the mechanism of action of methotrexate?
Inhibits dihydrofolate reductase and thymidylate synthesis
What are the main adverse effects of methotrexate?
Mucositis
Liver fibrosis
Lung fibrosis
Myelosuppression
What is the mechanism of action of 5FU?
Pyrimidine analogue
Induces cell cycle arrest and apoptosis by blocking thymidylate synthase
What are the adverse effects of 5FU?
Mucositis and diarrhoea
Myelosuppression
Dermatitis
What is the mechanism of action of mercaptopurine?
Purine analogue
Decreases purine synthesis
Activated by HGPRTase
What is the adverse effect of mercaptopurine?
Myelosuppression
What is the mechanism of action of cytarabine?
Pyrimidine antagonist
Interferes with DNA synthesis and inhibits DNA polymerase