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First Aid Neo Pharm
Anti-neoplastics
Question | Answer |
---|---|
Folic acid analog that inhibits dihydrofolate reductase | Methotrexate |
Pyrimidine analog that inhibits thymidylate synthase | 5-fluorouracil |
Inhibitor of de novo purine synthesis | 6-mercaptopurine |
Inhibits DNA polymerase | cytarabine |
Alkylating agents used to treat Non-Hodgkin lymphoma, breast and ovarian carcinoma. Notable side effect of hemorrhagic cystitis | Cyclophosphamide, ifosfamide |
Alkylating agent capable of crossing blood brain barrier | Nitrosureas (carmustine, lomustine) |
Similar to alkylating agent, notable toxicities include nephrotoxicity and acoustic nerve damage | Cisplatin, carboplatin |
Alkylating agent used to treat CML | Busulfan |
Free radical generator and also intercalates DNA to from strand breaks ("A" in ABVD treatment for Hodgkins) | Doxorubicin (Adriamycin), daunorubicin |
Used to treat childhood tumors (Wilm's tumor, rhabdomyosarcoma, and Ewing's sarcoma) | Dactinomycin (Actinomycin D; Children ACT out) |
Free radical generator which can cause life threatening pulmonary fibrosis | Bleomycin |
Topoisomerase II inhibitor | Etoposide |
Steroid that triggers apoptosis | Prednisone |
Estrogen receptor antagonist | Tamoxifen |
Monoclonal antibody against HER-2 | Trastuzumab |
Philadelphia chromosome bcr-abl tyrosine kinase inhibitor | Imatinib (Gleevec) |
Binds tubulin blocking polymerization of microtubules and mitotic spindle formation | Vincristine, vinblastine |
Binds tubulin hyperstabalizing microtubules and blocking mitotic spindle formation | Paclitaxel |
Toxicity includes Cushing-like symptoms | Prednisone |
Used for "metastatic" breast cancer | Trastuzumab |
Increased risk of endometrial carcinoma | Tamoxifen |
Do not use with allopurinol | 6-mercaptopurine (activated by xanthine oxidase; allopurinol is a xanthine oxidase inhibitor used to treat gout) |
CNS toxicity | Nitrosureas (carmustine, lomustine |
Reversible myelosuppression with leucovorin rescue | Methotrexate |
Neurotoxic (areflexia, peripheral neuritis) paralytic ileus | Vincristine (Vinblastine is notable for bone marrow suppression) |
Antineoplastic used for therapeutic abortion | Methotrexate |
Androgen receptor antagonist | Flutamide |
Recombinantly produced cytokine used to treat hairy cell leukemia | Interferon alpha |
GnRH agonist used for the treatment of metastatic prostate carcinoma | Leuprolide, Goserelin, Nafarelin |
Monoclonal antibody used for treatment of low grade non-Hodgkin lymphoma | Rituximab |
Aromatase inhibitor used to treat breast cancer | Anastrozole |