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DRUG IMPORTANT SIDE EFFECTS
ALKYLATING AGENTS Secondary Leukemias
Busulfan Lung fibrosis
Bleomycin Lung fibrosis
Cyclophosphomide Hemorrhagic Cystitis
Nitrosureas (Carmustine) Persistent Neutropenia
Cisplatin Most emitogenic
Nephrotoxic, Ototoxic
Carboplatin Maximum Bone marrow
suppression
Methotrexate Megaloblastic
Anemia/Hepatotoxic
6-Mercaptopurine / 6-
Thioguanine
Hepatotoxic
5-FU Hand and foot disease
Capecitabine Hand and foot disease
Cytarabine
(Arabinofuranisyl Cytidine)
Cerebellar Ataxia
Vincristine SIADH, Peripheral
Neuropathy
Vinblastine Bone marrow suppression
Paclitaxel Allergy, Peripheral
Neuropathy
Etoposide Secondary Leukemias
Anthracyclines
(Doxorubocin,
Daunorubocin)
Cardiotoxic
L-Asparaginase Allergy
Pancreatitis
Hypercoagulable Sx
Imatinib Rash
Tacrolimus Nephrotoxic, Neurotoxic,
Alopecia, Precipitates DM
But not Ototoxic
Cyclosporine Nephrotoxic, Increase
Infection Risk, Hepatotoxic
Thalidomide S –Sedation
Po- Phocomelia, Peripheral
neuropathy
R – Rash
T – Thrombosis
Channel – Constipation
Mycophenolate and
Azathioprine
Bone marrow suppression
Leflunomide Liver and lung injury

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  • 1. DRUG IMPORTANT SIDE EFFECTS ALKYLATING AGENTS Secondary Leukemias Busulfan Lung fibrosis Bleomycin Lung fibrosis Cyclophosphomide Hemorrhagic Cystitis Nitrosureas (Carmustine) Persistent Neutropenia Cisplatin Most emitogenic Nephrotoxic, Ototoxic Carboplatin Maximum Bone marrow suppression Methotrexate Megaloblastic Anemia/Hepatotoxic 6-Mercaptopurine / 6- Thioguanine Hepatotoxic 5-FU Hand and foot disease
  • 2. Capecitabine Hand and foot disease Cytarabine (Arabinofuranisyl Cytidine) Cerebellar Ataxia Vincristine SIADH, Peripheral Neuropathy Vinblastine Bone marrow suppression Paclitaxel Allergy, Peripheral Neuropathy Etoposide Secondary Leukemias Anthracyclines (Doxorubocin, Daunorubocin) Cardiotoxic L-Asparaginase Allergy Pancreatitis Hypercoagulable Sx Imatinib Rash
  • 3. Tacrolimus Nephrotoxic, Neurotoxic, Alopecia, Precipitates DM But not Ototoxic Cyclosporine Nephrotoxic, Increase Infection Risk, Hepatotoxic Thalidomide S –Sedation Po- Phocomelia, Peripheral neuropathy R – Rash T – Thrombosis Channel – Constipation Mycophenolate and Azathioprine Bone marrow suppression Leflunomide Liver and lung injury