Immune Suppression Flashcards
1
Q
Raloxifene
A
- Chemo- SERM
- Antagonist in uterine and breast tissue, partial bone agonist
- breask ca
- pregnancy X
2
Q
Tamoxifen
A
- Chemo- SERM
- competes with estradiol for estrogen receptor proteins
- metastatic breast ca
- pregnancy D
- BLACK BOX uterine malignancy, sroke, PE
3
Q
Leuprolide
A
- Chemo- LH-RH agonist/ GnRH analogue
- initial stimulatory continuous dosing
- supress ovary/testes steroidogenesis
- prostate ca, precosious puberty, endometriosis, fibroids
- Pregnancy X
4
Q
Anastrozole
A
- Chemo- aromatase inhibitor
- irreversible inhibitio nof androgen to estrogen
- postmenopausal
- E receptor pos breast ca, BPH, prostate ca
5
Q
Bicalutamide
A
- Chemo- testosterone agonist
- metestatic prostate ca
- CI in women
6
Q
Doxorubicin
A
- Chemo- anthracycline
- one of the most useful ca drugs, used in a variety of dz
- preg D
- BLACK BOX myolosupression, cardiotoxicity, liver impairment
7
Q
Methotrexate
A
- Chemo- anti-metabolite/ anti-folate
- used in many ca, ra, psoriasis, organ transplant
- pregnancy X
8
Q
Vinbiastine
A
- Chemo- anti-microtubule/ mitotic disruptor
- IV only- other routes fatal
- derived from periwinkle
- lymphoma, head/neck, hormone ca
- pregnancy D
9
Q
Paclitaxel
A
- Chemo- anti-microtubule/ mitotic disruptor
- From pacific yew similar to vinbiastine
- pregnancy D
- BLACK BOX neutropenia
10
Q
5-flourouracil
A
- Chemo- pyrimidine analogue
- narrow therapeutic margin
- pregnancy D
11
Q
Trastuzumab
A
- Chemo- HER2 inhibitor
- breast ca, metastatic breast ca, gastric ca
- pregnancy D
- BLACK BOX serious heart problems, lots of fatality, fetal harm
12
Q
Cyclophosphamide
A
- Chemo- alkylating agent- interfere with synthesis of all the transcription things
- advanced mycosis fungoides, lymphomas
- pregnancy D
- BLACK BOX renal tox, myelosuppression, ototoxicity, alaphylactic like reaction.
13
Q
Cisplatin
A
- Chemo- alkylating agent- interfere with synthesis of all the transcription things
- metastatic t/ovarian and advanced bladder ca
- pregnancy D
- BLACK BOX renal tox, myelosuppression, ototoxicity, alaphylactic like reaction.
14
Q
Cyclosporine
A
- Immune suppression
- transplant, severe RA, psoriasis, also eye formula for dry eyes
- MANY interactions and toxicities
15
Q
Tacrolimus
A
- Immune suppression
- transplant, severe RA, severe atopic derm
- MANY interactions and toxicities
- BLACK BOX malignancy and serious infection