antibacterials (finals)

Cards (147)

  • cancer chemotherapy
    the goal is use as an advance in develop drugs that selectively target specific cancer cells.
  • name all the anticancer drugs
    alkylating agents
    antimetabolites
    natural products
    antitumor antibiotics
    miscellaneous
    hormonal
  • drugs under this alkylating agent _
    cyclophosphamide
    cisplatin
  • antimetabolites drugs under these are:
    5-FU or fluorouracil
    methotrexate
    gemcitabine
    6-mercaptopurine
  • what are the drugs under these natural products
    etoposide
    paclitaxel
    vincristine
  • antitumor antibiotics drugs _
    bleomycin
    doxorubicin
    mitomycin
  • miscellaneous drugs _?
    imatinib
    cetuximab
  • what are the hormonal drugs_
    prednisone
    tamoxifen
  • MOA of resistance to anticancer drugs
    increased DNA repair
    formation of trapping agents
    changes in target enzymes
    decreased activation of prodrugs
    inactivation of anticancer drugs
    decreased drug accumulation
  • exert their actions selectively on cycling cells _
    cell cycle-specific drugs
  • cell cycle-nonspecific (CCNS) drugs
    it kills tumor cells in both cycling and resting phases of the cell cycle (although cycling cells are more sensitive)
  • log-kill hypothesis
    proposes that the magnitude of tumor cell kill by anticancer drugs is a logarithmic function
  • cancer treatment modalities
    primary induction chemotherapy
    neoadjuvant chemotherapy
    adjuvant chemotherapy
  • it is a form of tetrahydrofolate that is accumulated more readily by normal than by neoplastic cells, bypasses the dihydrofolate reductase step in folic acid synthesis, administered for the toxicity with high doses of methotrexate.
    leucovorin
  • it traps acrolein released from cyclophosphamide, reduces the incidence of hemorrhagic cystitis.
    mercaptoethanesulfonate (mesna)
  • it inhibits free radical formation, affords protection against the cardiac toxicity of anthracyclines.
    dexrazoxane
  • what drugs are under alkylating agents
    nitrogen mustards
    nitrosoureas
    alkyl sulfonates
  • give examples of nitrogen mustards drugs
    chlorambucil
    cyclophosphamide
    mechlorethamine
  • give examples of nitrosoureas
    carmustine
    lomustine
  • give example of alkyl sulfonates drug
    busulfan
  • other drugs under alkylating agents are_
    cisplatin
    dacarbaine
    procarbazine
  • form reactive molecular species that alkylate nucleophilic groups on DNA bases, particularly the N-7 position of guanine, leading to crosslinking of bases, abnormal base-pairing, and DNA strand breakage.
    alkylating agents
  • what does the tumor cell resistance do to alkylating agents
    increased DNA repair
    decreased drug permeability
    production of trapping agents (thiols)
  • suppress the immune system. to treat cancer of the ovaries, breast, blood and lymph system and nerves (mainly in children)
    cyclophosphamide
  • one of the breakdown products_
    acrolein
  • uses of cyclophosphamide
    leukemia
    non-Hodgkin's lymphoma
    breast and ovarian cancers
    neuroblastoma
  • give adverse effects of cyclophosphamide:
    gastrointestinal distress
    myelosuppression
    alopecia
    hemorrhagic cystitis
    cardiac dysfunction
    pulmonary toxicity
    SIADH
  • this is spontaneously converts in the body to a reactive cytotoxic product
    mechlorethamine
  • give some uses of mechlorethamine
    Hodgkin's
  • give toxicity of mechlorethamine
    gastrointestinal disease
    mild hematotoxicity
    neurotoxic
    nephrotoxity
  • it less nephrotoxic than cisplatin, less likely to cause tinnitus and hearing loss, has greater myelosuppressant actions.
    carboplatin
  • what drug is less nephrotoxic than cisplatin?
    carboplatin
  • dose-limiting neurotoxicity
    oxaliplatin
  • forms hydrogen peroxide, generates free radicals that cause DNA strand scission, orally active, penetrates into most tissues including the cerebrospinal fluid, hepatic elimination.
    procarbazine
  • give one use of procarbazine
    non-Hodgkin's lymphoma
  • toxicity of procarbazine
    gastrointestinal distress
    myelosuppression
    alopecia
    sterility
  • toxicity of BCNU (carmustine) and CCNU(lomustine)
    myelosuppressant
    gastrointestinal irritation
    CNS dysfunction
    vesicant
    peripheral neuropathy
  • it is used in chronic myelogenous leukemia, causes adrenal insufficiency, pulmonary fibrosis, skin pigmentation
    bulsulfan
  • it is the adjuncts in the management of brain tumors
    carmustine and lomustine
  • it is used in regimens for Hodgkin's lymphoma
    dacarbazine