Cancer Drugs Flashcards

(53 cards)

1
Q

What does hydroxyurea treat?

A

granulocytic leukemia

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1
Q

side effects of cisplatin?

A

nephrotoxicity

ototoxicity

peripheral neuropathy

electrolyte disturbances

nausea, vomiting

myelosuppression

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2
Q

What does mercaptopurine treat?

A

acute leukemias

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2
Q

side effects of trastuzumab?

A

cardiomyopathy

hypersensitivity

infusion reactions

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3
Q

Risk of secondary malginancies?

Vincristine, vinblastine

A

Low risk

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3
Q

What does carmustine treat?

A

brain tumors, multiple myeloma, melanoma

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4
Q

Risk of secondary malginancies?

Methotrexate

A

Low risk

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4
Q

choriocarcinoma, acute lymphocytic leukemia

A
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4
Q

What does paclitaxel treat?

A

combination with cisplatin has become standard therapy for ovarian cancer

refractory ovarian cancer, breast cancer

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5
Q

side effects of bleomycin?

A

pulmonary toxicity (unique, cumulative & potentially fatal)

minimal myelosuppression

skin vesiculation, hyperpigmentation

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6
Q

What does vinblastine treat?

A

lymphomas

breast cancer

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6
Q

side effects of leuprolide?

A

hot flashes

impotence

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8
Q

Risk of secondary malginancies?

cytarabine

A

Low risk

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8
Q

Risk of secondary malginancies?

paclitaxel

A

Unknown

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9
Q

what does bleomycin treat?

A

germ cell tumors of testes and ovaries (probably the best for these)

head, neck, lung, lymphomas

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9
Q

side effects of tamoxifen?

A

nausea, fatigue, bone & other musculoskeletal pain

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10
Q

Risk of secondary malginancies?

mechlorethamine

A

High risk

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12
Q

Risk of secondary malginancies?

etoposide

A

High risk

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12
Q

side effects of doxorubicin?

A

cardiomyopathy

dexrazoxane can lessen cardiomyopathy by chelating Fe and preventing free radical damage

bone marrow depression

alopecia

GI problems

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13
Q

what does prednisone treat?

A

lympholytic for lymphoma

lymphocytic for leukemia

breast cancer

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14
Q

which drug is activated by CYP2D6?

A

tamoxifen

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14
Q

which drugs lack significant bone marrow toxicity?

A

vincristine, prednisone, belomycin

15
Q

what does trastuzumab treat?

A

25-30% of metastatic breast cancers that overexpress HER2

1st line Tx with paclitaxel

16
Q

what does tamoxifen treat?

A

advanced post-menopausal breast cancer

pre-menopausal metastatic breast cancer

break cancer prophylaxis for women at high risk

17
what does cisplatin treat?
testicular cancer cisplatin + paclitaxel = standard regimen for advanced ovarian cancer (wide spectrum) head, neck, bladder, small cell lung, colon, esophagus
18
which drug is not active without chelated Fe?
bleomycin
19
Risk of secondary malginancies? doxorubicin
Moderate risk
20
side effects of flutamide?
gynecomastia diarrhea hepatotoxicity (uncommon)
21
What is the major side effect difference between vinblastine and vincristine?
Vinblastine is strongly myelosuppressive
23
which drug promotes progenitors of neutrophils?
filgrastim
24
What does fluorouracil treat?
26
What does cytarabine treat?
acute leukemias very effective against acute myelocytic leukemia
27
palliative effects of prednisone?
anti-emetic, stimulates appetite, anti-inflammatory
29
what does procarbazine treat?
Hodgkin's lymphoma
32
Risk of secondary malginancies? bleomycin
Unknown
34
What does doxorubicin treat?
Wide spectrum, the most widely prescribed agent of this class _lymphomas, breast, ovary, small cell lung_ anti-angiogenic properties
35
What does methotrexate treat?
37
Risk of secondary malginancies? procarbazine
Moderate risk
38
side effects of paclitaxel?
myalgia/arthralgia dose-limiting leukopenia peripheral neuropathy
39
Risk of secondary malginancies? cyclophosphamide
Moderate risk
40
What does vincristine treat?
acute lymphocytic leukemia lymphomas Wilm's tumor neuroblastoma
41
interesting side effects of mercaptopurine?
jaundice, anorexia bone marrow depression, vomiting, nausea
42
Risk of secondary malginancies? cisplatin
Moderate risk
42
what does letrozole treat?
1st-line treatment of post-menopausal locally advanced or metastatic breast cancer
43
Risk of secondary malginancies? carmustine
High risk
44
What does cyclophosphamide treat?
a very broad spectrum of activity --- used against a wide variety of cancers
46
What does mechlorethamine treat?
combination therapy for Hodgkin's and non-Hodgkin's lymphoma
47
Risk of secondary malginancies? 5-fluorouracil
Low risk
49
what does leuprolide treat?
advanced hormonally responsive prostate cancer
50
what does etoposide treat?
lymphomas, acute leukemia, small cell lung, testis
51
broad spectrum of uses stomach, _colon_, pancreas, ovary, head and neck, _breast_, bladder basal cell carcinoma
52
side effects of filgrastim?
bone pain
53
what does flutamide treat?
metastatic prostate cancer used in combination with GnRH agonist