"Old" Cancer drugs Flashcards
What class is Cyclophosphamide in? Is it a prodrug?
Cyclophosphomide is a nitrogen mustard and is a prodrug
Cyclophosphomide MOA
Binds N7 of guanine and alkylates DNA producing intra or inter strand cross links that prevent DNA replication
Cyclophosmphamide ADE
Hemorrhagic cystitis
Cyclophosphamide adjuvant therapy?
Mesna
Platinum drug?
Cisplatin
Cisplatin MOA
Binds N7 of guanine and causes mostly intra strand crosslinks
Cisplatin ADE
Renal & Oto toxicity
Adjuvant therapy of Cisplatin?
Amifostine
Nitrosoureas?
Carmustine, Lomustine
MOA of Carmustine
Alkylation and carbamoylation of amino acids
ADE of Carmustine
- CNS (seizures)
2. Hepatic veno-occlusive disease
Adjuvant therapy of nitrosoureas
Defibrotide
Cyclophosphamide treats?
BCC
Cisplatin treats?
BCC, SCC
Carmustine, Lomustine treat?
Melanoma