Methotrexate flashcard sets

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methotrexate definitions
# Definition Sets
1methotrexate10 sets
2rheumatrex5 sets
3-5 sets
4trexall3 sets
5rheumatrex, trexall3 sets
6cancer3 sets
7treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis3 sets
8inhibits dihydrofolate reducatase (dhfr), rheumatrex, antimetabolite and antifolate drug used in treatment of cancer and autoimmune diseases such as ankylosing spondylitis, crohn's disease, psoriasis, psoriatic arthritis, and rheumatoid arthritis.2 sets
9mexate2 sets
10no brand name2 sets
11anntimetabolite2 sets
12immunomodulators, autoimmune diseases2 sets
13no trade2 sets
14long/short-term tx of cd pts, may be useful in long-term tx of uc pts, possible steroid sparing effects2 sets
15folex1 set
16t: dihydrofolate reductase a: competitive inhibition blocks one-carbon transfer reactions, reducing methylation of uridine to thymine, decreasing dna synthesis acute lymphoma leukemia, choriocarcinoma and other tumors, severe psoriasis altered dhfr, increased dhfr synthesis, drug efflux myelosuppresion, mucositis administration of folinic acid reuces toxicity due to selective uptake by normal cells1 set
17an example of an antimetabolite is1 set
18folate analog1 set
19liver fibrosis, fatty change1 set
20a drug used in some medical abortions1 set
21antifolate/inhibitor of dihydrofolate reductase (dhfr)/ bioprecursor prodrug - enzymatically activated ???1 set
22med used for head, neck, or lung carcinoma1 set
23cancer therapy and dmards, used for rheumatoid arthritis, inhibits aicar transformylase and adenosine deaminse and amp deaminase, inhibit last step in de novo purine biosynthesis1 set
24ra tx: **started w/in 3 months of diagnosis**, give with folic acid. toxicity: gi/pulmonary/hypersensitivity/bone marrow supression, hepatic fibrosis. monitor: immunosupression/sob/cough/doe/n/v/lymph node swelling/jaundice/dark urine *** lft's/createnine q 4-8 weeks, platelet count. avoid: bactrim, nsaids, etoh1 set
25antifolate & antimeabolite - interrupt normal cell function especially in rapidly replicating cells; inhibits dihydrofolate reductase—inhibiting the formation of thfa ; folate supplement is given 5mg/day1 set
26this antineoplastic drug can cause oral ulcers1 set
27competitive inhbitors of dna synthesis in the s phase1 set
28myelosuppression and mucositis1 set
29rhematrex; antineoplastic agent; cancer, ra1 set
30antimetabolite, folate antagonist, enteres via active transport and inhibits folate synthesis, inhibits conversion of dihydrofolate to thfr, to depletion of thymidine, and decrease in dna/rna and protein. also becomes polyglutamated and accumulates in cells and increases inhibitory effects on enzymes involved in folate metabolism and increase in duration of action1 set
31&&1 set
32trexall, rheumatrex1 set
33tx of leukemia, lymphoma, breast cancer, osteosarcoma, testicular tumors1 set
34inhibits t-cell proliferation by binding dihydrofolate reductase to stop tmp production1 set
35preventive immunosuppressant for agvhd (antiproliferative)1 set
36dmard; treat autoimmune and cancer (1st line for rheumatoid arthritis); inhibits folic acid pathway; inhibits dna and rna synthesis1 set
37to reverse the toxicity of this antimetabolite, purines, thimidine and reduced folates need to be administered.1 set
38this antimetabolite is a folic acid antagonist.1 set
39name a folic acid antagonist1 set
40drug used to inhibit cell division and enlargement of emryo during an ectopic pregnancy1 set