Zhu Pharm Flashcards
Drug for MM in non-pregnant patients who’ve received 1+ previous tx
Lenalidomide
Indicated for cutaneous manifestations of erythema nodosum leprosum
Thalidomide
Drug used for immunotherapy
Rituximab
Chimeric monoclonal antibody targeting CD20
Rituximab
Drug for MM in non-pregnant patients who’ve previously tried 2+ tx
Pomalidomide
CONTRAINDICATED IN PREGNANCY
Cardiotoxicity due to Doxorubicin can be reduced by co-administration of ___?
Dexrazoxane
Blocks PDGF receptor-alpha
Imatinib
- a tyrosine kinase inhibitor targeting BCR-ABL
Treatment of diffusue large B cell lymphoma
RCHOP
Which drug do we give patients with relapsed APL?
Arsenic trioxide
- Targets PML of PML-RARA fusion protein
What are the components of RCHOP chemotherapy?
What is RCHOP used for?
Rituximab
Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
Indications: Follicular Lymphoma & DLBL
What are the components of FCMR?
Fludarabine
Cyclophosphamide
Mitoxantrone
Rituximab
AE of Bleomycin
Pulmonary toxicity
Down-regulates cytokines
Increaseses NK cells, IL-2, INF-gamma
Anti-angiogenic
Thalidomide
- CONTRAINDICATED IN PREGNANCY!
What are the components of the BR regimen
Bendamustine
Rituximab
Induces leukemic cell apoptosis
Arsenic Trioxide
- Targets PML of PLM-RARA fusion product
Inhibits DNA polymerase
Cytarabine
Inhibits tumor & bone stromal cell interactions
MM cell growth arrest & apoptosis
Thalidomide
CONTRAINDICATED IN PREGNANCY
Tx for MM resistant to 2+ prior tx
Carfilzomib
Induces leukemic cell differentiation
Tretinoin
- targets RARA of PML-RARA fusion protein
First line for ALL
Pegasparagase
Inhibits AMP/GMP synthesis and de novo purine synthesis
6-Mercaptopurine
Inhibits NF-kappa B activation
Bortezomib
Incorporates into DNA only
Cytarabine
Drug interaction with Allopurinol
What is Allopurinol usually given for?
6-mercaptopurine
Allopurinol used to prevent tumor lysis syndrome
Drug given to pt with resistant CML
Intolerant to 2 previous tyrosine kinase inhibitors
Omacetaxine
- protein synthesis inhibitor
Incorporates into both DNA and RNA
6-Mercaptopurine
AE of Doxorubicin
Cardiotoxicity
Drug for relapsed mantle cell lymphoma, or progressed after 2 prior tx
Lenolidomide
CONTRAINDICATED IN PREGNANCY
What is the RCVP Regimen?
Rituximab
Cyclophosphamide
Vincristine
Prednisone
Tx for newly diagnosed MM
Combo with Dexamethasone
Thalidomide
3 indications for Cytarabine
AML
ALL
CML
MOA of asparaginase & others
Catalyze deamination of asparagine
Asparagine –> Aspartate (neoplastic cells can’t use this for protein synthesis)
Proteasome inhibitor
Indicated for MM (and) Mantle Cell lymphoma resistant to 1+ previous tx
Bortezomib
Maintenance of ALL remission
6-Mercaptopurine
Treatment of follicular lymphoma:
- Stages I & II –>
- Stages III & IV asymptomatic –>
- Stages III & IV symptomatic –>
- Stages I & II –> Radiation
- Stages III & IV ASx –> Watch-and-wait
- Stages III & IV Sx –> Chemotherapy (RCHOP), immunotherapy
Drug for CML without drug interaction risks
Omacetaxine
Irreversible proteasome inhibitor
Carfilzomib
What is the regimen for Hodgkin Lymphoma?
What are the components?
ABVD
- Doxyrubicin
- Bleomycin
- Vinblastine
- Dacarbazine
What drug is indicated for:
CLL
Indolent NHLs
Fludarabine