Adverse Reactions Anti-Infectives Flashcards
Class of anti-infectives that can cause yellow or brown discoloration of teeth
Tetracyclines (antibiotics)
Anti-infective drug that can cause “red-man syndrome” when administered ________
Vancomycin (antibiotic); intravenously
Classes of antibiotics known to cause allergic or hypersensitive reactions
Beta-lactams and sulfanomides
Common adverse reactions to antibiotics (3)
Diarrhea, nausea, yeast infections
Drugs ending in -cin or -acin commonly belong to __________
Antibiotics; Aminoglycosides and fluoroquinolones
Metronidazole, which is an anti________, can cause nausea, severe vomiting, or dizziness when mixed with this substance:
[Anti]biotic; alcohol
Drugs ending in -cillin are __________
Antibiotics; penicillins
Beta-lactams are a class of _________ that contain four groups of drugs:
Antibiotics; Cephalosporins, penicillins, carbapenems, monobactams
Two classes of antibiotics that begin with N
Nitrofurans and nitroimidazoles
Drugs containing cef- belong to the _________ class of ___________
Cephalosporin (beta-lactams); antibiotics
Two lab tests that may be used to monitor the functioning of the kidneys when taking certain antibiotics
BUN and SCr; Blood urea Nitrogen and serum creatinine level
These two antibiotics should not be mixed in the same IV line
Ampicillin and aminoglycosides
_____________, an antibiotic, can be hard on the kidneys and cause nephrotoxicity at high doses
Vancomycin
_________ is an antibiotic that should not be taken with wine, aged cheese, or chocolate
Linezolid
These types of antibiotics can be a somewhat common allergy for some patients
Penicillins
The ______________ class of antibiotics can cause increased risk of tendon issues
Fluoroquinolones
Steroids, like betamethasone, can be added to topical forms of this type of anti-infective
Antifungals
This antifungal is available OTC
Miconazole
Drug ending in -azole commonly belong to the __________ group of anti-infectives, but can also belong to __________
Anti-fungal; antibiotics
Common adverse reactions associated with antifungal drugs (4)
Liver damage (hepatotoxicity), nausea, diarrhea, skin irritation (for topical)
_______________, a type of antifungal, is known to cause allergic reactions, though rare
Amphotericin B
These 5 antifungals require liver monitoring
Fluconazole, ketoconazole, clotrimazole, itraconazole, terbinafine
(Diflucan, Nizoral, Mycelex, Sporanox, Lamisil) (in order)
Drugs containing AF can be a hint that they belong to the _________ group of anti-infectives
Antifungal
Itraconazole is an anti_______ and should be administered with this condition
[anti]fungal; should be taken with a full meal
Ketoconazole should not be mixed with….
alcohol
__________, an antifungal, should not be used in pregnant patients
Fluconazole
A type of virus that is difficult to treat with antivirals
Cold viruses
These types of drugs can be used to help prevent the effects of HIV
PrEP and PEP; HIV-pre-exposure prophylaxis
Common adverse reactions associated with antivirals (3)
Headache, nausea, abdominal pain
Zovirax (generic name ___________) should be avoided in patients who have an allergy to…
Acyclovir; milk proteins (antiviral)
These two antiviral drugs can reduce the efficacy of varicella vaccines (VAR and MMRV)
Valacyclovir and acyclovir
These two antiviral drugs can reduce the efficacy of the live attenuated influenza vaccine (LAIV)
Oseltamivir and zanamivir (FluMist)
For drugs that interfere with the efficacy of the LAIV vaccinations, these drugs should not be taken ________ before or ________ after vaccine administration
2 weeks; 48 hours (oseltamivir and zanamivir)
For drugs that interfere with the efficacy of the VAR and MMRV vaccinations, these drugs should not be taken ________ before or ________ after vaccine administration
24 hours; 2 weeks (valacyclovir and acyclovir)
Drugs ending in -vir commonly belong to the ____________ group of anti-infectives
antiviral
Special consideration for PrEP and PEP drugs; these also belong to the _________ group
Patients must be HIV negative before starting; antiviral
Kidney function may be monitored when taking these antivirals (4)
Acyclovir, valacyclovir, emtricitabine/tenofovir alafenamide, and emtricitabine/tenofovor disoproxil
This antiviral can weaken barrier contraceptives
Imiquimod (Aldara)
High-alert antivirals
PrEP and PEP drugs
Common adverse reactions to antiparasitics (3)
Headache, nausea, vomiting
Long-term use of antiparasitics may cause damage to this organ
Liver
(Could accept heart as well but that is specific to certain drugs)
Long-term use of these two antiparasitics may cause heart issues
Hydroxychloroquine and chloroquine
Hydroxychloroquine, when mixed with _________, can cause major heart issues
Amiodarone
Drugs ending in -quine belong to the __________ group of anti-infectives and treat _______
Antiparasitics; malaria
In the antiparasitics group, ___________ should be taken with food, while ___________ should be taken on an empty stomach
Atovaquone; ivermectin
This type of virus commonly treated by antivirals is highly contagious and can appear in different forms
Herpes
This type of virus can lead to chicken pox and shingles
Varicella-zoster
_______ is a term used to describe a fungal infection
Tinea
Doxycycline and minocycline are part of the _______ group of anti-infectives and are _____________ class
Antibiotics; tetracycline
Tetracyclines, which are anti________, should be avoided in this population
[anti]biotic; children under 8
These three antibiotics should be used with caution in patients with a penicillin allergy
Ertapenem, meropenem, azteronam
These two antibiotics interfere with many meds
Erythromycin and clarithromycin
__________ reacts with aminoglycosides; these are anti_______
Ampicillin; [anti]biotics
This antibiotic should be taken on an empty stomach
Penicillin V
These types of anti-infectives may have some drugs that need to be separated from meds or supplements containing calcium, iron, aluminum, and/or magnesium
Antibiotics
_________, an antibiotic, can cause discoloration of bodily fluids
Rifampin
These two antibiotics can change taste
Clarithromycin and metronidazole