P1 PHARMACOLOGY Flashcards
main treatment for early stages of colon cancer
Surgery
local treatment that uses radio-frequency , cryo-ablation is known as
ablation therapy
in which local treatment substances are injected into blood to reduce their blood flow to the tumors
Embolisation
use of high energy rays to destroy cancer cells is used in
radiation therapy
Immunotherapy is based on which principal
that cancer cells have tumor antigens
Systemic chemo advantages
1- treating metastasis
2- preventing metastasis
Example of regional chemotherapy
haptic artery infusion
Advantage of regional chemotherapy
reduced side effects on normal tissues
chemo given before Surgery is known as
neo-adjuvant chemotherapy
why is chemo given prior to Surgery
- to shrink tumor size
chemo given after surgery
Adjuvant chemotherapy
5-Fu route of administration
IV
prodrug of 5 -FU
Capecitabine
MOA of 5-FU
Pyrimidine antimetabolite
Oxaliplatin route of administration
IV
Irinotecan route of administration
IV
Trifluridine & tipiracil route of administration
oral
5-Fu targets which cell cycle
S phase
which drug is given with 5-FU to enhance its efficacy
leucovorin
active metabolite of 5-FU
FdUMP
Early onset ADR of 5-FU
Diarrhoea , nausea , mucositis
late onset ADR of 5-FU
BM suppression , hand foot syndrome
hand foot syndrome is seen more frequent with
Capecitabine
Capecitabine route of administration
orally
severe toxicity of 5-FU is seen in
dihydropyrimidne dehydrogenase deficiency
MOA of Oxaliplatin
DNA platinum adduct formation : DNA damage , DNA synthesis arrest & mitochondrial function alteration
Oxaliplatin ADR
Peripheral neuropathy , nausea
to which class of anti-neoplastic drugs does Irinotecan belong
campothecin class
MOA of Irinotecan
topoisomerase-I enzyme inhibitor
Treatment of the cholinergic syndrome that is seen with Irinotecan
Atropine
Irinotecan acts on which cell cycle
on the S phase
MOA of Bevacizumab
Angiogenesis
ADR of Cetuximab
Allergic reactions
Recombinant humanised monoclonal antibody that blocks VEGF
Bevacizumab
drug that inhibit TFG alpha & EFG receptors
Cetuximab
Methyl-cellulose belongs ti which class of laxatives
bulk forming class of laxatives
mention 2 osmotic agents of laxatives
lactulose & Mg oxide
bisacodyl belongs to which class of laxatives
Stimulants