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See also Cytotoxic and immunosuppressant drugs
Gemcitabine is an S-phase-specific pyrimidine nucleoside analogue of deoxycytidine (2',2'-difluorodeoxycytidine) that is structurally similar to cytosine arabinoside. It has been used to treat metastatic urothelial carcinoma of the bladder, pancreatic cancer, and some other solid tumors.
In a retrospective study of patients with non-small cell lung cancers who received gemcitabine 1000 mg/m 2 on days 1 and 8, the adverse effects and reactions involved the gastrointestinal system (nausea, vomiting, and diarrhea) and the hemopoietic system (leukopenia, neutropenia, thrombocytopenia, and anemia), but only in the last (8th–11th) cycles [ ]. There was grade 4 vomiting in three patients, grade 4 thrombocytopenia in two, and grade 3 leukopenia in three. Other adverse effects and reactions were mild. None of the patients died during chemotherapy.
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