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Antineoplastic Agents - Aklylating Agents

        Help!  

Drug Name
Uses
MOA/Pharm
Misc/Side Effects
Mechlorethamine (N-mustard)   Hodgkins & NHL   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Vesiant activity = skin blistering  
🗑
Melphalan (N-mustard)   Breast & Ovarian cancer   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Vesicant  
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Chlorambucil (N-mustard)   CLL (po)   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Vesicant  
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Cyclophosphamide (N-mustard)   NHL, ALL, CLL, AML, CML   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Acrolein = Toxic metabolite --> hemorrhagic cystitis (  
🗑
Ifosfamide (N-mustard)   same as Cyclophosphamide, but for pts w/ liver disfunction. Increased half-life = 7 hrs   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Acrolein = Toxic metabolite --> hemorrhagic cystitis (  
🗑
Busulfan   CML   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   SE: Pulmonary fibrosis, hyperpimentation  
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Carmustine (Nitrosureas - IV)   Brain Tumors (very lipophilic), Multiple Myloma   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   CNS toxicity, Lymphocytopenia, Thrombocytopenia  
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Lomustine (Nitrosureas - PO)   Brain Tumors, Multiple Myloma   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   see carmustine  
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Streptozocin   Pancreatic Islet Tumors   Attaches carbon to another molecule --> Cross-linking, Mispairing, Depurination & Ring cleavage.   Less BM toxicity, Renal & Hepato toxicity.  
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Dacarbazine   Hodgkins, SLL, Melanoma, Glioblastoma   MAO-I, also CYP activity   HTN rxns --> avoid tyramines & sympathomimetics  
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Procarbazine   Hodgkins, SLL, Melanoma, Glioblastoma   see dacarbazine   see dacarbazine  
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Cisplatin   Bladder, Testicular, Ovarian & Small Cell Lung Cancer   Platinum complex causes DNA cross-linking --> inhibit RNA & DNA Pol.   Ototo & Renal toxicity, neuropathy, BM suppression  
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Oxaliplatin   Bladder, Testicular, Ovarian & Small Cell Lung Cancer   Platinum complex causes DNA cross-linking --> inhibit RNA & DNA Pol.   Ototo & Renal Toxicity, neuropathy, BM suppression  
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Carboplatin   Colorectal Cancer   Platinum complex causes DNA cross-linking --> inhibit RNA & DNA Pol.   BM suppression. Minor: ototo & renal toxicity and neuropathy  
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