adverse effects Flashcards
sulfonamides
N,V, epigastric pain CRYSTALLURIA Hypersensitivity G6PD deficiency pts can have hemolysis kernicterus in new born (displacement of bilirubin)
cotrimoxazole
n,v, pain, FOLATE DEFICIENCY (megaloblastic anemia) (teratogenicity- neonatal methemoglobinemia, hemolysis)
AIDS patient with jiroveci being treated by cotrimoxazole
fever, rash, bone marrow hypoplasia
Diuretics + cotrimoxazole
thrombocytopenia
nalidixic acid
gi upset, rashes, neurological (headache, drowsiness, vertigo, visual disturbances, seizures)
g6pd deficiency hemolysis
ci- infants
ciprofloxacin
gi upset cns - gaba antagonistic hypersensitivity tendinitis pups- cartilage damage
lamofloxacin
qt prolongation, photosensitivity
sparfloxacin
qt prolongation, phototoxicity
gatifloxacin
qt prolongation, phytotoxicity etc
moxifloxacin
prolong qt qnd sometimes phototoxicity can occur
gemifloxacin
serum amino transferases, skin rash, warfarin effect enhance, qt prolongation
prulifloxacin
git, cns, photosensitivity, utricaria
erythromycin
git discomfort diarrheas hearing impairment hypersensitivity - rashes estolate hypersensitivity - hepatitis with cholestatic jaundice (esp pregnancy)
erythromycin
inhibitor of cyp3a4 - terfenadine, astemizole, cispride toxicity - qt prolongation - arrhythmia and death
clarithromycin
same as erythromycin
also pseudomembranous colitis
rhabdomyolysis
pseudomembranous colitis
tetracycline
clarithromycin
clindamycin
clindamycin
rash, urticaria, abd pain, pseudomembranous colitis (clostridium deficile super infection)
thrombophlebitis
VANCOMYCIN
RED MAN SYNDROME - rapid iv injection stimulate mast cell - histamine release skin allergy BP fall nerve deafness kidney damage
RED MAN SYNDROME
chills
fever
urticaria
flushing
VANCOMYCIN
teicoplanin
rashes, fever, granulocytopenia, hearing loss
linezolid
mao inhibition candidiasis anemia thrombocytopenia rash pruritus git disturbances optic NEUROPATHY
nitrofurantoin in g6pd deficiency pts
hemolytic anemia
brown urine
nitrofurantoin
Frank’s psychosis
cycloserine
fanconi anemia
tetracyclines outdated
grey baby syndrome
chloramphenicol