Adverse Reactions Flashcards
Serotonin syndrome
Antidepressants
Triptans
St John’s Wart
Second generation antipsychotics
MAO inhibitors
Tramadol
Dextromethorphan (cough syrup)
Hyperprolactinemia
Antipsychotics
Extrapyramidal side effects
- Twitch
- Akathesia
- Parkinsonism
- Rabbit syndrome
Antipsychotics
Tardive Dykinesia
Antipsychotics
Neuroleptic malignant syndrome
Antipsychotics
Leukopenia
Clozapine
Arrhythmia, hand tremors, hypo/hyperthyroidism, weight gain, tremors, metallic taste, dry mouth, polyuria
Lithium
Anterograde amnesia
Benzodiazepines
Daytime drowsiness and dizziness
Increased risk of falls
Nightmares
Tolerance
Dependence
Benzodiazepines
Z-sedatives (lesser)
Lemborexant (+ worsens depression)
Sleepwalking, amnesia, bitter metallic taste, behavioural effects (nightmares, anger)
Z-sedatives
Drowsiness, headache, dizziness, nausea, vivid dreams
Melatonin
Drowsiness, dizziness, headache, upset stomach
Valerian
Nausea & vomiting, diarrhea, bradycardia, muscle cramps, vertigo, insomnia, incontinence, increased gastric acid
Cholinesterase inhibitors
Bleeding, seizures, nausea, vomiting, diarrhea
Ginkgo biloba
Nausea, vomiting, stomach pain, stomach ulcers, acute renal failure, bleeding, worsening blood pressure & heart failure, bronchoconstriction, delay labor
NSAIDs
Constipation, nausea, sedation, respiratory depression, dry mouth, pseudoallergy, addiction
Opioids
Chest discomfort
Triptans
Nausea, vomiting, burping, liver toxicity
Butterbur
Growth suppression, rebound hyperactivity, suicidal ideation, tics
Serious: cardiac death, priapism
CNS stimulants
Atomoxetine
Reduce blood pressure & heart rate, sedation, dizziness, dry mouth, headache
Clonidine
Guanfacine
Nystagmus, ataxia, slurred speech, impaired coordination, cognitive impairment, sedation
Phenytoin
Steven Johnson syndrome
Phenytoin
Toxic epidermal necrolysis
Phenytoin
Osteomalacia
Phenytoin
Gingival hyperplasia
Phenytoin
Sudden sleep attacks
Levodopa
Pramipexole
Ropinirole
Rotigotine
Impulsive behaviours
Levodopa
Pramipexole
Ropinirole
Rotigotine
Nausea, vomiting, taste alteration, dark urine, orthostatic hypotension, psychosis, depression, sleep behaviour disorder, motor complications
Levodopa
Pramipexole
Ropinirole
Rotigotine
Acting out dreams
Levodopa
Abrupt withdrawal results in Parkinsonism-Hyperpyrexia Syndrome
Levodopa
Constipation, dry mouth, blurry vision; urine retention, tachycardia
Anticholinergic drugs:
- Benztropine
- Tranylcypromine