SBL Pharm Flashcards
High expression of p-Glycoprotein means what?
Resistance to natural products
MOA of Alkylating agents?
Cross-linking of DNA
Cisplatin is what kind of drug?
Alkylating agent
Tumor cells can become resistant to alkylating agents how?
Increased MGMT, DNA repair enzyme
Carmustine is good at treating what?
Brain tumors (lipophilic)
Cyclophosphamide is what kind of drug?
Alkylating agent
Antimetabolits cause DNA damage during what phase?
S phase
What is the MOA of Cytarabine?
Converted into ara-CTP and blocks DNA polymerase
Pemetrexed can cause what side effect?
Painful erythema and swelling of the hands and feet
What drug is used to rescue from methotrexate?
Leucovorin
What is the most effective drug for AML?
Cytarabine
Vincristine can cause what?
Neurotoxicity
Topotecan and Irnotecan can cause what?
Diarrhea
What is MOA of anti tumor ABx?
Free radicals
What is the major SE of doxorubicin?
Cardiac toxicity
What does doxorubicin inhibit?
Topoisomerase
What drug causes blue discoloration of fingernails, sclera, and urine?
Mitoxantrone
Bleomycin has what SE?
Pulmonary toxicity
What is a common SE of tyrosine kinase and growth factor receptor inhibitors
Acneform skin rash
Imatinib is an inhibitor of what?
Bcr-Abl
What is the first line therapy for CML?
Imatinib
What is the MOA of Ziz-aflibercept
An IgG that is attached to VEGFR
Cyclophosphamide is used for what?
Non-Hodgkin lymphomas and Burkitt Lymphoma
Aldophasmide is broken down into what two things?
Phosphoramide mustard and Acrolein
Acrolein causes what?
Hemorrhagic cystitis
What is the triple therapy used after surgery for breast cancer?
Cyclophosphamide, doxorubicin, and Taxane
What is Mechlorethamine
Used for T cell lymphoma topically
What is the SE of mechlorethamine?
Blistering
What is Melphalan used for?
Multiple Myeloma with dexamethasone
Chlorambucil is only used for what?
Chronic Lymphoblastic Leukemia
Nitrosourease are effective in what kind of cancer?
Brain cancer, lipid soluble
Carmustine what MOA?
Alkylates DNA
What is the SE of Carmustine?
Myelosuppression
MGMT having tumors are immune to what?
Carmustine
What Carmustine used to treat?
Malignant gliomas via wafer
What is Streptozin used for?
Pancreatic islet cell carcinoma
What is the MOA of Streptozin?
Attacks the islets of Langerhans
MOA of Thiotepa?
Causes DNA crosslinks
What is Thiotepa used for?
Used in transplants for hematological malignancies
What is the MOA of procarbazine?
Methylates DNA
Why can Procarbazine not be used as a single agent?
Rapidly occurring resistance due to MGMT being elevated
What is the SE of Procarbazine?
Acute leukemia and can interact poorly with alcohol
What is Procarbazine used for?
Hodgkin and gliomas