Methotrexate flashcard sets

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methotrexate definitions
# Definition Sets
1methotrexate9 sets
2-5 sets
3rheumatrex5 sets
4treat certain types of cancer or to control severe psoriasis or rheumatoid arthritis3 sets
5rheumatrex, trexall3 sets
6trexall3 sets
7cancer3 sets
8immunomodulators, autoimmune diseases2 sets
9no trade2 sets
10inhibits 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
11long/short-term tx of cd pts, may be useful in long-term tx of uc pts, possible steroid sparing effects2 sets
12no brand name2 sets
13anntimetabolite2 sets
14med used for head, neck, or lung carcinoma1 set
15rhematrex; antineoplastic agent; cancer, ra1 set
16folate analog1 set
17trexall, rheumatrex1 set
18antimetabolite, 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
19ra 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
20this antineoplastic drug can cause myelosuppression, nausea, and vomiting, and can accumulate via 3rd space accumulation1 set
21disease modifying anti rheumic, mono or with other drugs, ae nausea headache, stomahitis1 set
22therapeutic >0.01 µmol ; toxic >10µmol in 24hr1 set
23mtx1 set
24this antineoplastic drug can cause oral ulcers1 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
26mexate1 set
27competitive inhbitors of dna synthesis in the s phase1 set
28cancer 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
29t: 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
30myelosuppression and mucositis1 set
31a drug used in some medical abortions1 set
32anti-metabolites: folate analogue, blocks synthesis of dna bases through dhfr1 set
33dmard1 set
34rheumatrex, , toxic antimetabolite that limits cellular reproduction by acting as an antagonist to folic acid1 set
35aka mexate, folex; antimetabolite (for chemotherapy); folic acid analog inhibits dihydrofolate reductase, which inhibits dna synth; used for ra, psoriasis, leukemia, lymphoma ades = myelosuppression1 set
36ra, 1st line tx!. dihydrofolate reductase inhibitor (interrupt dna synthesis). usually given in small weekly oral dose 7.5 mg. adr: nausea, mucosal ulcer, hepatoxicity, leucovorin (24 hr after pulse)1 set
37anticancer drug that competes with folate1 set
38folate antagonists--inhibits dhfr; (dna synthesis inhibitor) causes myelosuppression at 4-7 days, mucositis, acute renal failure; can save pt with leucocorin1 set
39to reverse the toxicity of this antimetabolite, purines, thimidine and reduced folates need to be administered.1 set
40this antimetabolite is a folic acid antagonist.1 set