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Pharmacology Chemotherapy 20728012

What is the primary toxicity of busulfan

A
Lung fibrosis
B
Severe myeloidsupression
C
Cystitis
D
Hyperuricaemia
High-Yield Explanation
Busulfan It is highly specific for myeloid elements( doses myelosupression occurs); granulocyte precursors being the most sensitive, followed by those of platelets and RBC. It produces little effect on lymphoid tissue and g.i.t. Side effects:- Hyperuricaemia is common; pulmonary fibrosis and skin pigmentation are the specific adverse effects. Sterility also occurs. Uses It is the drug of choice for chronic myeloid leukaemia. Ref:-kd tripathi; pg num:-861

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