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Capecitabine + fluorouracil is a combination of two antimetabolite chemotherapeutic agents used primarily in the treatment of various solid tumors, especially gastrointestinal and breast cancers. Capecitabine is an orally administered prodrug that is enzymatically converted to its active form, fluorouracil (5-FU), within tumor tissues. Fluorouracil acts as a pyrimidine analog, interfering with DNA and RNA synthesis by inhibiting thymidylate synthase and incorporating into RNA, leading to cytotoxicity in rapidly dividing cancer cells. This combination may be used sequentially or concurrently in certain regimens for enhanced efficacy against cancers such as colorectal, gastric, pancreatic, esophageal, and breast cancer[1][4][6][7]. Both drugs are classified as antimetabolites within the broader class of cytotoxic chemotherapy.
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