Platinum Analogs

Cisplatin and Carboplatin

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  • Mechanism
    • crosslinks DNA
      • platinum atom binds to DNA bases
  • Clinical use
    • testicular cancer
    • bladder cancer
    • ovarian cancer
    • lung cancer
  • Toxicity  
    • nephrotoxicity
      • prevent with
        • amifostine
          • free radical scavenger
        • hydration
    • deafness 
      • acoustic nerve damage