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Fundamentals of Chemotherapy 2023 with 100% correct questions and answers
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---4February 20232022/2023A+
- Alkylating Agents 
MOA 
-Inactive until metabolized by the microsomal P450 system 
-Metabolism forms highly reactive electrophils that react with neutrophiic groups cross-linking DNA and interfering with its function 
Classical = carmustine, cyclophosphamide, mechlorethamine 
Non-Classical = procarbazine, dacarbazine, temazolamide, bendamustine 
 
 
 
Cyclophosphamide 
-Classical alkylating agent 
Toxicity - bone marrow suppression (days 8-14), cystitis, cardiac toxicity (high doses), immunosupp...
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