classic/relevant treatments 2 Flashcards
Hypercholesterolemia
Statin (first-line)
Hypertriglyceridemia
Fibrate
“Vibrates” lower VDLDs (TGs)
Immediate anticoagulation
Heparin
Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Influenza
Oseltamivir, zanamivir
Kawasaki disease
IVIG, high-dose aspirin
Legionella pneumophila
Macrolides (eg, azithromycin)
Long-term anticoagulation
Warfarin, dabigatran, rivaroxaban and apixaban
Malaria
Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)
Malignant hyperthermia
Dantrolene
Medical abortion
Mifepristone
Migraine
Abortive therapies (eg, sumatriptan, NSAIDs); prophylaxis (eg, propranolol, topiramate, CCBs, amitriptyline)
Multiple sclerosis
Disease-modifying therapies (eg, β-interferon, natalizumab); for acute flares, use IV steroids
Mycobacterium tuberculosis
RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)
Neisseria gonorrhoeae
Ceftriaxone (add doxycycline to cover likely concurrent C trachomatis)
Neisseria meningitidis
Penicillin/ceftriaxone, rifampin (prophylaxis)
Neural tube defect prevention
Prenatal folic acid
Osteomalacia/rickets
Vitamin D supplementation
Osteoporosis
Calcium/vitamin D supplementation (prophylaxis); bisphosphonates, PTH analogs, SERMs, calcitonin,
denosumab (treatment)
Patent ductus arteriosus
Close with indomethacin; keep open with PGE analogs
Pheochromocytoma
α-antagonists (eg, phenoxybenzamine)
Pneumocystis jirovecii
TMP-SMX (prophylaxis and treatment in immunosuppressed patients)
Prolactinoma
Cabergoline/bromocriptine (dopamine agonists)
Prostate adenocarcinoma/uterine fibroids
Leuprolide, GnRH (continuous)
Prostate adenocarcinoma
Flutamide
Pseudomonas aeruginosa
Antipseudomonal penicillins, aminoglycosides, carbapenems
Pulmonary arterial hypertension (idiopathic)
Sildenafil, bosentan, epoprostenol
Rickettsia rickettsii
Doxycycline, chloramphenicol
Schizophrenia (negative symptoms)
Atypical antipsychotics
Schizophrenia (positive symptoms)
Typical and atypical antipsychotics
SIADH
Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
Sickle cell disease
Hydroxyurea (^fetal hemoglobin)
Sporothrix schenckii
Itraconazole, oral potassium iodide
Stable angina
Sublingual nitroglycerin
Staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins); MRSA: vancomycin, daptomycin, linezolid, ceftaroline
Streptococcus bovis
Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis
Streptococcus pneumoniae
Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)
Streptococcus pyogenes
Penicillin prophylaxis
Temporal arteritis
High-dose steroids
Tonic-clonic seizures
Levetiracetam, phenytoin, valproate, carbamazepine
Toxoplasma gondii
Sulfadiazine + pyrimethamine
Treponema pallidum
Penicillin
Trichomonas vaginalis
Metronidazole (patient and partner)
Trigeminal neuralgia (tic douloureux)
Carbamazepine
Ulcerative colitis
5-ASA preparations (eg, mesalamine), 6-mercaptopurine, infliximab, colectomy
UTI prophylaxis
TMP-SMX
Warfarin reversal
Fresh frozen plasma (acute), vitamin K (non-acute)