Miscellaneous Flashcards
Cyclophosphamide - Mechanism of action and Adverse effects
- Alkylating agent - causes cross-linking in DNA
- Haemorrhagic cystitis, myelosuppression, transitional cell carcinoma
Bleomycin - Mechanism of action and Adverse effects
- Degrades preformed DNA
- Lung fibrosis
Anthracyclines (e.g doxorubicin) - Mechanism of action and Adverse effects
- Stabilizes DNA-topoisomerase II complex inhibits DNA & RNA synthesis
- Cardiomyopathy
Methotrexate - Mechanism of action and Adverse effects
- Inhibits dihydrofolate reductase and thymidylate synthesis
- Lung Fibrosis, Liver Fibrosis, Mucositis, Myelosuppression
Fluorouracil (5-FU) - Mechanism of action and Adverse effects
- Pyrimidine analogue inducing cell cycle arrest and apoptosis by blocking thymidylate synthase (works during S phase)
- Myelosuppression, mucositis, dermatitis
6-mercaptopurine - Mechanism of action and Adverse effects
- Purine analogue that is activated by HGPRTase, decreasing purine synthesis
- Myelosuppression
Cytarabine - Mechanism of action and Adverse effects
- Pyrimidine antagonist. Interferes with DNA synthesis specifically at the S-phase of the cell cycle and inhibits DNA polymerase
- Myelosuppression, ataxia
Vincristine, vinblastine - Mechanism of action and Adverse effects
- Inhibits formation of microtubules
- Vincristine: Peripheral neuropathy (reversible) , paralytic ileus
Vinblastine: myelosuppression
Docetaxel - Mechanism of action and Adverse effects
- Prevents microtubule depolymerisation & disassembly, decreasing free tubulin
- Neutropaenia
Irinotecan - Mechanism of action and Adverse effects
- Inhibits topoisomerase I which prevents relaxation of supercoiled DNA
- Myelosuppression
Cisplatin - Mechanism of action and Adverse effects
- Causes cross-linking in DNA
- Ototoxicity, peripheral neuropathy, hypomagnesaemia
Hydroxyurea (hydroxycarbamide) - Mechanism of action and Adverse effects
- Inhibits ribonucleotide reductase, decreasing DNA synthesis
- Myelosuppression