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Cytarabine Powder is a purine nucleoside antiviral drug extracted from the culture of Streptomyces and then chemically synthesized. Cytarabine CAS 147-94-4 is used clinically for the treatment of acute lymphoblastic and non-lymphoblastic leukaemia in the induction phase and maintenance phase, chronic granulocytic leukaemia in the acute phase and malignant lymphoma, and ophthalmologically for the treatment of viral keratitis and epidemic conjunctivitis.
Uses and functions of Cytarabine Powder.
Cytarabine is one of the most effective drugs in the treatment of acute non-lymphoid myeloid leukaemia in China.
In 1961 it was found to have an inhibitory effect on mouse sarcoma S180 and leukaemia L1210. It is a pyrimidine antimetabolic antitumour agent with cell cycle specificity and is most sensitive to S-phase cells, interfering with cell proliferation by inhibiting the synthesis of cellular DNA.
The former strongly inhibits the synthesis of DNA polymerase, while the latter inhibits the conversion of cytidine diphosphate into deoxycytidine diphosphate, thereby inhibiting the synthesis and polymerization of cellular DNA. The inhibition of RNA and protein synthesis is very mild.
It is mainly used clinically for the treatment of acute lymphocytic and non-lymphocytic leukaemia in the induction and maintenance phases, chronic granulocytic leukaemia in the acute phase and malignant lymphoma, and ophthalmologically for the treatment of viral keratitis and rheumatoid conjunctivitis. It is also effective against head and neck cancer, digestive tract cancer and lung cancer; in addition, it can inhibit the reproduction of herpes simplex virus, smallpox virus, cowpox virus and the immune response of the body.
Adverse reactions hierarchical management.
Toxicity type | Incidence | Intervention measures | Prevention strategies |
Myelosuppression | 100% | G-CSF support | Dose adjustment |
Cerebellar toxicity | 10-25%(HD) | Immediate discontinuation | 72h neurological monitoring |
Conjunctivitis | 30-50% | Steroid eye drops | Preventive cold compresses |
Hand-foot syndrome | 15% | dimethyl sulfoxide topical | Extremity cooling |
Pharmacological Effects of Cytarabine Powder.
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