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Pharm 44 hemat/immun
Pharm
| Question | Answer |
|---|---|
| Stimulates leukocyte production. For neutropenia. SE: precipitate sickle crisis, vasculitis, bone pain. G-CSF and GM-CSF enhance microbicidal activity of neutrophils in addition to stimulating their production. | Filgastrim (rhG-CSF), PEG-Filgastrim (longer half life) |
| Stimulate platelet production. prevent chemo induced thrombocytopenia. SE: fluid retention, atrial fib. rhIL-11 | Oprelvekin |
| Stimulate leukocyte production. For Neutropenia, also increases eosinophil count. SE: hypotension, tachycardia, bone pain. rhGM-CSF | Sargramostim |
| induce fetal hemoglobin. for sickle cell anemia. SE: myelosuppression, skin ulcer. Contra: severe bone marrow depression | Hydroxyurea |
| Induce fetal hemoglobin. For myelodysplastic synd. SE: cardiac arrhythmia/failure, pancytopenia, cerebral hemorrhage/pulm edema. may pose long term cancer risk. | Decitabine |
| For colon CA (in combo w/ 5 flurouracil). SE: leuko/neutro/thrombocytopenias, seizures. Thought to cause macrophages and T cells to secrete cytokines and other factors that supress tumor growth. | Levamisole |
| For acute promyelocytic leukemia and acne vulgaris. SE: ATRA synd (fever, acute resp distress, pulm infiltrates, edema and weight gain, organ fail), bone pain, skin and mucosal dryness. ATRA=all-trans retinoic acid. | Tretinoin |
| Activate erythropoietin receptor. for anemias from cancer, chemo, chronic kidney disease. SE: cardiac arrhythmia/failure. May be abused by athletes | Epoetin alfa, Darbepoetin (longer half life) |