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Oncology - Hoa

Oncology Notes

QuestionAnswer
SE of Alkylating Agents Most toxic chemo. Myelo, Secondary malignancy, N/V (high)
Cyclophosphamide (Cytotan) Alkylating Agents - Hemorrhagic cystitis (Mesna)
Dacarbazine Alkylating Agents
Chlorambucil (Leukeran) Alkylating Agents
Ifosfamide (Ifex) Alkylating Agents - Hemorrhagic cystitis (Mesna)
Procarbazine (Matulane) Alkylating Agents
Carmustine Alkylating Agents
Melphalan (Alkeran) Alkylating Agents
Temozolamide (Temodar) Alkylating Agents
SE of Anthracylines Cardiotoxicity, Orange/Red color, Extravasation injuries
Bleomycin (G2 Phase) Anthracyclines (Pneumotitis SE). Max dose 400 units
Dactomomycin (Cosmegen) Anthracyclines
Daunorubicin (Daunoxome) Anthracyclines (Cardiotoxicity). Max dose 550mg/m2
Doxorubicin (Adriamycin) Anthracyclines (Cardiotoxicity). Max dose 550mg/m2
Epirubicin Anthracyclines (Cardiotoxicity). Max dose 900mg/m2
Idarubicin Anthracyclines (Cardiotoxicity).
Mitomycin Anthracyclines
Mitoxantrone Anthracyclines
Topotecan Topoisomerase (I)
Irinotecan Topoisomerase (I) - SE Diarrhea (give Loperamide)
Etoposide Topoisomerase (II)
Teniposide Topoisomerase (II)
SE of Heavy Metals Neurotoxicity, Nephrotoxicity, N/V (high)
Cisplatin Heavy metal (SE= Ototoxicity)
Carboplatin Heavy metal
Oxaliplatin Heavy metal
MTX Antimetabolites- S phase Specific (Folate Antagonist)
Pemetrexed (IV only) Antimetabolites- S phase Specific (Folate Antagonist) = rash (use steroid)
Capacitabine (Xeloda) - Pro-drug 5-FU Antimetabolites- S phase Specific (Pyrimidine analogs)
Floxuridine Antimetabolites- S phase Specific (Pyrimidine analogs)
Fluouracil, 5-FU (Adrucil) Antimetabolites- S phase Specific (Pyrimidine analogs) = Diarrhea
Gemcitabine (Gemzar) Antimetabolites- S phase Specific (Pyrimidine analogs)
Mercaptopurine (Purinethol) Antimetabolites (Purine analog).Metabolized by XO --> Allopurinol
Vincristine (Oncovin) Mitotic Inhibitors -M phase: (Alkaloids)
vinblastine (Velban) Mitotic Inhibitors -M phase: (Alkaloids)
vinorelbine (Navelbine) Mitotic Inhibitors -M phase: (Alkaloids)
Docetaxel (Taxotere) Mitotic Inhibitors (Taxenes) - Fluid retention
Paclitaxel (Taxol) Mitotic Inhibitors (Taxenes) = Neuropathies, infusion reaction (must use with Dexame, Benadryl and Famotidine/Ranitidine)
Imatinib (Gleevac) Protein Tyrosine Kinase Inhibitors (only use pt with positive Philadelphia Chromosone positive)
Erlotinib (Tarceva) Protein Tyrosine Kinase Inhibitors (Major SE = rash, diarrhea)
Bevacizumab (Avastin) Protein Tyrosine Kinase Inhibitors (BBW GI, Intra-abdominal, Wound dehiscene)
Trastuzumab (Herceptin) Biologic Therapies (for Breast cancer)
Rituximab (Rituxin) Biologic Therapies (for Non-Hodgkin's lymphoma) - (SE= infusion reaction. Pretreat APAP and Benadryl)
Tamoxifen Antiestrogens (Pre and Postmenopausal)
Bicalutamide (Casodex) Antiandrogen
Ansatrolzole (Arimidex) Aromatase inhibitors (postmenopausal only)
Exemestane (Aromasin) Aromatase inhibitors (postmenopausal only)
Letrozole (Femara) Aromatase inhibitors (postmenopausal only)
Leuprolide (Lupron) - SC LHRH agonist
Goserelin (Zoladex) - SC LHRH agonist
Dexrazoxane (Zinecard) Antidote of Cardiotoxicity (-rubucin)
Dexrazoxane (Totect) Antidote for Extravasation cause by Anthracycline
Amifostine (Ethyol) Antidote for Nephrotoxicity caused by Cisplatin
Created by: _Tom_
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