Cytotoxic Agents Flashcards
Cyclophosphamide MOA
Alkylating agent - causes cross linking in DNA
Cyclophosphamide Adverse effects
Haemorrhagic cystitis, myelosuppression, transitional cell carcinoma
Bleomycin MOA
Degrades preformed DNA
Bleomycin Adverse effects
Lung fibrosis
Anthracyclines (doxorubicin) MOA
Stabilises DNA-topoisomerase II complex - inhibits DNA / RNA synthesis
Anthracyclines (doxorubicin) adverse effects
Cardiomyopathy
methotrexate MOA
inbihits dihydrofolate reductase and thymidylate synthesis
Methotrexate adverse effects
Myelosuppression, mucositis, liver fibrosis, lung fibrosis
5-FU MOA
pyrimidine analogue, inducing cell cycle arrest and apoptosis by blocking thymidylate synthase
5-FU Adverse effects
myelosuppression, mucostis, dermatitis
6-mercaptopurine MOA
Purine analogue that is activated by HGPRTase, decreasing purine synthesis
6-mercaptopurine adverse effects
Myelosuppression
Cytarabine moa
Pyrimidine antagonist. interferes with DNA synthesis specifically at the S-phase of the cell cycle and inhibits DNA polymerase
Cytarabine adverse effects
Myelosuppression, ataxia
Vincristine MOA
Inhibits formation of microtubles
Vincristine adverse effects
vincristine: Peripheral neuropathy, paralytic ileus
vinblastine: myelosuppression
Docetaxel MOA
Prevents microtubule depolymerisation and disassembly, decreasing free tubulin
Docetaxel adverse effects
Neutropenia
Irinotecan MOA
Inhibits topoisomerase I which prevents relaxation of supercoiled DNA
Ironitecan adverse efects
Myelosuppression
Cisplatin MOA
Causes cross-linking in DNA
Cisplatin Adverse effects
Ototoxicity, peripheral neuropathy, hypomagnesaemia
Hydroxyurea MOA
Inhibits ribonucleotide reductase, decreasing DNA synthesis
Hydroxyurea adverse effects
Myelosuppression