Chemotherapy Flashcards
alkylating agents
cyclophosphamide (nitrogen mustard)
cisplatin (platinum compounds)
Mitotic inhibitors
vincristine
paclitaxel
anti-tumor antibiotic
doxorubicin
antimetabolites
methotrexate
topoisomerase inhibitor
irinotecan
selective toxicity
kill rapidly dividing cells while sparing slowly dividing normal cells
MOA: alkylating agents
covalently binds DNA; damage causes cell to undergo apoptosis
MOA: antimetabolites
prevent nucleic acid synthesis thus inhibiting cell replication; analogs of endogenous precursors of DNA and RNA
blocks dihydrofolate reductase
methotrexate
MOA: antitumor anitbiotics
intercalation of DNA
adverse reaction of anti tumor antibiotics (doxorubicin)
cardiotoxicity; CHF
MOA: mitotic inhibitors
interfere w/ microtubule assembly/disassembly
blocks tubulin polymerization
vincristine
block tubulin depolymerization
paclitaxel
cause permanent strand breaks by prevuing resealing of nicked DNA
irinotecan (topoisomerase inhibitors)
monoclonal antibody
Rituximab
tyrosine kinase inhibitor
Imatinib
side effects
myelosupression (thrombocytopenia, neutropenia, anemia)
GI effects (stomatitis, diarrhea, N/V)
alopecia
secondary tumors