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Arafcyt - General Information: A pyrimidine nucleoside analog that is used mainly in the treatment of leukemia, especially acute non-lymphoblastic leukemia. Arafcyt is an antimetabolite antineoplastic agent that inhibits the synthesis of DNA. Its actions are specific for the S phase of the cell cycle. It also has antiviral and immunosuppressant properties. (From Martindale, The Extra Pharmacopoeia, 30th ed, p472) Pharmacology: Arafcyt is an antineoplastic anti-metabolite used in the treatment of several forms of leukemia including acute myelogenous leukemia and meningeal leukemia. Anti-metabolites masquerade as purine or pyrimidine - which become the building blocks of DNA. They prevent these substances becoming incorporated in to DNA during the "S" phase (of the cell cycle), stopping normal development and division. Arafcyt is metabolized intracellularly into its active triphosphate form (cytosine arabinoside triphosphate). This metabolite then damages DNA by multiple mechanisms, including the inhibition of alpha-DNA polymerase, inhibition of DNA repair through an effect on beta-DNA polymerase, and incorporation into DNA. The latter mechanism is probably the most important. Cytotoxicity is highly specific for the S phase of the cell cycle. Arafcyt for patients This medicine is a type of chemotherapy for treating cancers of the blood and certain other cancers. This medicine interfers with the way cancer cells grow, Take your doses on a regular scheduled time and DO NOT take this medicine more often than directed by your health care provider. Finish the full course prescribed by your health care provider. DO NOT stop taking this medicine unless diredted to do so by your health care provider. While taking this medicine, you make get infection more easily. Call your doctor if you get a fever, chills, or sore throat. Drink plenty of water with this medicine. Arafcyt Interactions Reversible decreases in steady-state plasma digoxin concentrations and renal glycoside excretion were observed in patients receiving beta-acetyl digoxin and chemotherapy regimens containing cyclophosphamide, vincristine, and prednisone with or without cytarabine or procarbazine. Steady state plasma digitoxin concentrations did not appear to change. Therefore, monitoring of plasma digoxin levels may be indicated in patients receiving similar combination chemotherapy regimens. The utilization of digitoxin for such patients may be considered as an alternative. Also flucytosine. Arafcyt Contraindications Cytarabine is contraindicated in those patients who are hypersensitive to the drug. Additional information about ArafcytArafcyt Indication: For the treatment of acute non-lymphocytic leukemia, acute lymphocytic leukemia and blast phase of chronic myelocytic leukemia. Mechanism Of Action: Arafcyt acts through direct DNA damage and incorporation into DNA. Arafcyt is cytotoxic to a wide variety of proliferating mammalian cells in culture. It exhibits cell phase specificity, primarily killing cells undergoing DNA synthesis (S-phase) and under certain conditions blocking the progression of cells from the G1 phase to the S-phase. Although the mechanism of action is not completely understood, it appears that cytarabine acts through the inhibition of DNA polymerase. A limited, but significant, incorporation of cytarabine into both DNA and RNA has also been reported. Drug Interactions: Not Available Food Interactions: Not Available Generic Name: Cytarabine Synonyms: Ara-C; Arabinocytidine; Arabinofuranosylcytosine; Arabinosylcytosine; AraC; Aracytidine; Aracytin; Aracytine; beta-Arabinosylcytosine; Beta-cytosine arabinoside; beta-D-Arabinosylcytosine; Citarabina [INN-Spanish]; Cytarabina; Cytarabin; Cytarabinoside; Cytarabinum [INN-Latin]; Cytosine 1-beta-D-arabinofuranoside; Cytosine beta-D-arabinoside; Cytosine arabinoside; Cytosine arabinose; Cytosine arabinofuranoside; Cytosine, beta-D-arabinoside; Cytosine-1-beta-D-arabinofuranoside; Cytosine-beta-arabinoside; Cytosine-beta-D-arabinofuranoside Where to order Cytarabine (and Arafcyt analogs) online: Drug Category: Immunosuppressive Agents; Antimetabolites; Antineoplastic Agents; Antiviral Agents Drug Type: Small Molecule; Approved; Investigational Other Brand Names containing Cytarabine: AR3; Alexan; Arabitin; Arafcyt; Cytarbel; Cytosar; Cytosar-U; Depocyt; Depocyt (liposomal); Erpalfa; Iretin; Spongocytidine; Tarabine; Udicil; Absorption: Less than 20% of the orally administered dose is absorbed from the gastrointestinal tract. Toxicity (Overdose): Cytarabine syndrome may develop - it is characterized by fever, myalgia, bone pain, occasionally chest pain, maculopapular rash, conjunctivitis, and malaise. Protein Binding: 13% Biotransformation: Hepatic. Half Life: 10 minutes Dosage Forms of Arafcyt: Powder, for solution IntrathecalSuspension IntrathecalSolution Intrathecal Chemical IUPAC Name: 4-amino-1-[(2R,3S,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]pyrimidin-2-one Chemical Formula: C9H13N3O5 Cytarabine on Wikipedia: http://en.wikipedia.org/wiki/Cytarabine Organisms Affected: Humans and other mammals
This medicine is a type of chemotherapy for treating cancers of the blood and certain other cancers. This medicine interfers with the way cancer cells grow, Take your doses on a regular scheduled time and DO NOT take this medicine more often than directed by your health care provider. Finish the full course prescribed by your health care provider. DO NOT stop taking this medicine unless diredted to do so by your health care provider. While taking this medicine, you make get infection more easily. Call your doctor if you get a fever, chills, or sore throat. Drink plenty of water with this medicine.
Reversible decreases in steady-state plasma digoxin concentrations and renal glycoside excretion were observed in patients receiving beta-acetyl digoxin and chemotherapy regimens containing cyclophosphamide, vincristine, and prednisone with or without cytarabine or procarbazine. Steady state plasma digitoxin concentrations did not appear to change. Therefore, monitoring of plasma digoxin levels may be indicated in patients receiving similar combination chemotherapy regimens. The utilization of digitoxin for such patients may be considered as an alternative. Also flucytosine.
Cytarabine is contraindicated in those patients who are hypersensitive to the drug.
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