Classic/Relevant Treatments Flashcards
Acute gout attack
NSAIDs, colchicine, glucocorticoids
Acute promyelocytic leukemia (M3)
All-trans retinoic acid
ADHD
Methylphenidate, CBT, atomoxetine, guan facing, clonidine
Alcoholism
Disulfiram, acamprosate, naltrexone, supportive care
Alcohol withdrawal
Long-acting benzodiazepines
Anorexia
Nutrition, psychotherapy, mirtazapine
Arrhythmia in damaged cardiac tissue
Class IB anti arrhythmic (lidocaine, mexiletine)
BPH
Alpha1-antagonists, 5alpha reductase inhibitors, PDE-5 inhibitors
Bipolar disorder
Mood stabilizers (lithium, valproic acid, carbamazepine), atypical antipsychotics
Breast cancer in postmenopausal woman
Aromatase inhibitor (anastrozole)
Buerger disease
Smoking cessation
Bulimia nervosa
SSRIs
Candida albicans
topical Azoles (vaginitis); nystatin, fluconazole, caspofugin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)
Carcinoid syndrome
Octreotide
Chlamydia trachomatis
Doxycycline (+ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)
Chronic gout
Xanthine oxidase inhibitors (eg allopurinol, febuxostat); pegloticase; probenecid
Chronic Hepatitis B&C
IFN-alpha (HBV and HCV); ribavirin, simeprevir, sofosbuvir (HCV)
Chronic myelogenous leukemia
Imatinib
Clostridium botulinum
Antitoxin
Clostridium tetanus
Antitoxin
Clostridium difficile
Oral metronidazole, if refractory - oral vancomycin
CMV
Ganciclovir, foscarnet, cidofovir
Crohn disease
Corticosteroids, infliximab, azathioprine
Cryptococcosis neoformans
Fluconazole (in AIDS pts)
Cyclophosphamide-induced hemorrhagic cystitis
Mesna
Depression
SSRIs (first line)
DM type I
Dietary intervention (low carbohydrate) + insulin replacement
DM type II
Dietary intervention, oral hypoglycemics and insulin (if refractory)
DKA
Fluids, insulin, K+
Drug of choice for anticoagulation during pregnancy
Heparin
Enterococci
Vancomycin, aminopenicillins/cephalosporins
Erectile dysfunction
Sildenafil, tadalafil, vardenafil
ER+ breast cancer
Tamoxifen
Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
Haemophilus influenzae type B
Rifampin (prophylaxis)
Generalized anxiety disorder
SSRIs, SNRIs (first line); buspirone (second line)
Granulomatosis with polyangiitis
Cylcophosphamide, corticosteroids
Heparin reversal
Protamine sulfate
HER2/new + breast cancer
Trastuzumab
Hyperaldosteronism
Spironolactone
Hypercholesterolemia
Statin (first line)
Hypertriglyceridemia
Fibrate
Immediate anticoagulation
Heparin
Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Influenza
Oseltamivir, zanamivir
Kawasaki disease
IVIG, high-dose aspirin
Legionella pneumophilia
Macrolides (eg Azithromycin)
Long-term anticoagulation
Warfarin, dabigatran, rivaroxaban, apixaban
Malaria
Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)
Malignant hyperthermia
Dantrolene
Medical abortion
Mifepristone
Migraine
Abortive therapies (sumatriptan, NSAIDs); prophylaxis (propranolol, topiramate, CCBs, amitriptyline)
Multiple sclerosis
Disease-modifying therapies (beta-interferon, natalizumab); for acute flares (IV steroids)
Mycobacterium tuberculosis
RIPE Rifampin Isoniazid Pyrazinamide Ethambutol
Neisseria gonorrhoeae
Ceftriaxone (add doxycycline to cover likely cocurrent C.trachomatis)
Neural tube defects prevention
Prenatal folic acid
Neisseria meningitidis
Penicillin/ceftriaxone, rifampin (prophylaxis)
Osteomalacia/rickets
Vitamin D supplementation
Osteoporosis
Calcium/vitamin D supplementation (prophylaxis); bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab (treatment)
PDA
Closes with indomethacin
Keep open with PGE analogs
Pheochromocytoma
alpha-antagonists (phenoxybenzamine)
Pneumocystis jirovecii
TMP-SMX (prophylaxis and treatment in immunosuppressed pts)
Prolactinoma
Cabergoline/bromocriptine (DA agonists)
Prostate adenocarcinoma/uterine fibroids
Leuprolide, GnRH (continuous)
Prostate adenocarcinoma
Flutamide
Pseudomonas aeruginosa
Antipseudomonal penicillins, aminoglycosides, carbapenems
Pulmonary arterial HTN (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 (increase fetal Hgb)
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 (pt & partner)
Trigeminal neuralgia (tic douloureux)
Carbamazepine
Ulcerative colitis
5-ASA preparations (mesalamine), 6-mercaptopurine, infliximab, colectomy
UTI prophylaxis
TMP-SMX
Warfarin reversal
Fresh frozen plasma (acute), vitamin K (non-acute)
Absence seizures
Ethosuximide