ANTINEOPLASTICS
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1 gram of tumor is equivalent to
10^9 or 1 billion cells
A very common adverse reaction of alkylating agents used in the tx of cancer
Alopecia
ALKYLATING AGENTS: NITROGEN MUSTARDS Alkylating agents replace H with an alkyl group, which causes ____.
DNA strand breakage
ALKYLATING AGENTS: NITROGEN MUSTARDS Mainstay therapy for solid tumors followed by autologous bone marrow transplantation
Thiotepa
ALKYLATING AGENTS: NITROGEN MUSTARDS Dialkylating agent drug of choice for Hodgkin’s disease
Mechlorethamine
ALKYLATING AGENTS: NITROGEN MUSTARDS For germ cell testicular cancer
Ifosfamide
ALKYLATING AGENTS: NITROGEN MUSTARDS Causes sulfur stripping
Busulfan
ALKYLATING AGENTS: NITROGEN MUSTARDS Cell cycle non-specific phosphoramide mustard (major metabolite)
Cyclophosphamide
ALKYLATING AGENTS: NITROGEN MUSTARDS For multiple myeloma
Melphalan
ALKYLATING AGENTS: NITROGEN MUSTARDS 1st line agent for chronic lymphocytic leukemia and macroglobulinemia
Chlorambucil
ALKYLATING AGENTS: ORGANOPLATINUM MOA of organoplatinum
DNA strands cross-linking
ALKYLATING AGENTS: ORGANOPLATINUM Most reactive and most effective in platinating DNA
Cisplatin
ALKYLATING AGENTS: ORGANOPLATINUM Carboplatin is administered with ____ to reduce toxicity
1,1-cyclobutane-dicarboxylate
ALKYLATING AGENTS: ORGANOPLATINUM ____ is administered with 1,1-cyclobutane-dicarboxylate to reduce toxicity
Carboplatin
ALKYLATING AGENTS: ORGANOPLATINUM Activated in low chloride environment, not recognized by MMR
Oxaliplatin
ALKYLATING AGENTS Alkylates DNA with restricted uncoiling and replication of strands
Nitrosoureas
ALKYLATING AGENTS: NITROSOUREAS 1st line agent for metastatic brain tumor
Lomustine
ALKYLATING AGENTS: NITROSOUREAS 2nd line agent for Hodgkin’s disease
Lomustine
ALKYLATING AGENTS: NITROSOUREAS For brain tumors and can penetrate BBB
Carmustine
ALKYLATING AGENTS: OTHERS 3 agents for Hodgkin’s lymphoma
• Mechlorethamine • Lomustine • Procarbazine
ALKYLATING AGENTS: OTHERS 2 agents that form DNA adducts
• Dacarbazine • Temozolomide
ALKYLATING AGENTS: OTHERS Involved in hydroxylation of methyl group
Altretamine
ALKYLATING AGENTS: OTHERS 2nd line agent for ovarian cancer
Altretamine
ALKYLATING AGENTS: OTHERS Induces hyperglycemia on animal model
Streptozocin