Weel 4 Pharm Cards Flashcards
Major ADES for Microtubule Inhibitors
Peripheral neuropathy, Myelosuppression
Vincristine Mechanism
Binds tubulin monomers –> aggregate formation occurs, which inhibits polymerization.
Docetaxel, Paclitaxel Mechanism
Binds beta-tubulin –> inhibits depolymerization of microtubules
What phase of the cell cycle do microtubule inhibitors affect?
M phase
What organs metabolize microtubule inhibitors, what excretes?
Hepatic metabolism
Biliary excretion
Topoisomerase Inhibitors Major ADES
Myelosuppression
Topotecan Mechanism and Phase
Binds to/stabilizes transient DNA-topoisomerase I cleavable complex –> inhibits top I actions
S phase specific
Etoposide Mechanism and Phase
Forms ternary complex with top II and DNA –> accumulation of DNA breakas
S and G2 specific
What organ eliminate Topoisomerase Inhibitors?
Renal elimination
Vincristine
Microtubule Inhibitor
Docetaxel
Microtubule Inhibitor
Paclitaxel
Microtubule Inhibitor
Topotecan
Topoisomerase Inhibitor
Etoposide
Topoisomerase Inhibitor
Methotrexate
Antimetabolite