Mechlorethamine

Diagram of the molecular structure of Mechlorethamine
Brand name: Mustargen®
Brand name: Chlormethine
Brand name: Nitrogen mustard
Brand name: Embichin®
IUPAC: 2-chloro-N-(2-chloroethyl)-N-methylethanamine
FDA approval: Yes
Usage:

Mechlorethamine (Mustargen®, Chlormethine, Nitrogen mustard) is an alkylating agent used primarily in the treatment if Hodgkin's disease as part of the MOPP regimen (Mechlorethamine, Oncovin®, Prednisone, Procarbazine). Other malignancies for which mechlorethamine is used include chronic lymphocytic leukemia, chronic myelogenous leukemia, small cell lung cancer, medulloblastoma non-Hodgkin's lymphoma. Mechlorethamine is commonly administered via injection.1

  • 1. Chu, E., & DeVita, V. T. (2015). Physicians' cancer chemotherapy drug manual 2015. Burlington, MA: Jones & Bartlett Learning.
Mechanism:

Mechlorethamine, which is an analog of mustard gas, is an alkylating agent that prevents DNA synthesis and RNA transcription by attaching alkyl groups to DNA bases, forms cross-links on DNA, and mispairs nucleotides which causes mutations.1

Mechlorethamine

The structure above shows the 3D diagram of Mechlorethamine.

  • 1. Chu, E., & DeVita, V. T. (2015). Physicians' cancer chemotherapy drug manual 2015. Burlington, MA: Jones & Bartlett Learning.
Side effects:

Common side effects include myelosuppression, nausea, vomiting, pain at site of injection, and alopecia. These effects can be diminished by pre-treatment with cannabinoids or phenothizine, severe bone marrow depression limits extensive use and latent viral infections may appear because of the immunosuppressive effects of the drug.1

  • 1. Chu, E., & DeVita, V. T. (2015). Physicians' cancer chemotherapy drug manual 2015. Burlington, MA: Jones & Bartlett Learning.