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DRUG NAME: Fluorouracil

Fluorouracil BC Cancer Agency Cancer drug Manual Page 1 of 11 Fluorouracil Developed: September 1994 Revised: June 2006 Limited revision: 1 September 2015 drug name : Fluorouracil SYNONYM(S): 5-FU, 5- Fluorouracil , NSC-19893 COMMON TRADE name : generic available, ADRUCIL , EFUDEX CREAM CLASSIFICATION: antimetabolite Special pediatric considerations are noted when applicable, otherwise adult provisions apply. MECHANISM OF ACTION: Fluorouracil is an analog of the pyrimidine uracil and thus acts as a pyrimidine There are three possible mechanisms of First, the Fluorouracil metabolite fluorodeoxyuridine monophosphate (FdUMP) competes with uracil to bind with thymidylate synthetase (TS) and the folate This results in decreased thymidine production and therefore decreased DNA synthesis and repair, and ultimately decreased cell proliferation. Leucovorin (formyltetrahydrofolate, formyl-FH4) enhances Fluorouracil by stabilizing the binding of FdUMP to TS.

Fluorouracil BC Cancer Agency Cancer Drug Manual© Page 1 of 11 Fluorouracil Developed: September 1994 Revised: June 2006 Limited revision: 1 September 2015 DRUG NAME: Fluorouracil

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