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Within a few years, six million Americans were taking it. By the end of the year the drug was pulled from the market.

  • PThey are phosphorylated in different cells and then compete with the normal nucleotides for incorporation into bacterial DNA or RNA.
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Of the drugs in this group, cyclophosphamide is commonly used to treat chronic lymphocytic leukaemia, lymphoma and ovarian and testicular cancers. Cyclophosphamide produces severe nausea and is often used with a ondansetron. Cyclophosphamide is metabolized to a toxic metabolite called acrolein, which can cause haemorrhagic cystitis, a rare but serious complication.

Authored by Mark E. Skellenger, MD

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