Classic Treatments Flashcards
Absence seizures
Ethosuximide
Acute gout attack
NSAIDs, colchicine
Acute promyelocytic leukemia (M3)
All-trans retinoic acid
ADHD
Methylphenidate, amphetamines
Alcohol abuse
AA + disulfram for patient and Al-Anon for family
Alcohol withdrawal
Benzodiazepine
Anorexia
SSRIs
Anticoagulation during pregnancy
Heparin
Anxiety
Busprione
Arrhythmia in damaged cardiac tissue
Class IB antiarrhythmic (lidocaine, mexiletine, tocainide)
B12 deficiency
B12
Benign prostatic hyperplasia
Tamsulosin, Finasteride
Bipolar disorder
Lithium, Valproate,Carbamazepine (mood stabilizers)
Breast cancer in postmenopausal women
Aromatase inhibitor (Anastrazole)
Buerger’s disease
Smoking cessation
Bulimia
SSRIs
Candida albicans
Amphotericin B (systemic) (binds ergosterol; "tears" holes in membrane that allow electrolyte leakage)
Nystatin (oral thrush, esophagitis)
(Same as Amphotericin but topical b/c too toxic – “swish & swallow” for oral candidiasis)
Carcinoid Syndrome
Octreotide
Chlamydia trachomatis
Doxycycline (+Ceftriaxone for Gonorrhea co-inf)
Erythromycin eye drops (prophylaxis in infants)
Chronic gout
Probenecid (underexcretor)
(–X reabsorption of Uric acid in PCT)
Allopurinol (overproducer)
(–X xanthine oxidase; ↓conversion of xanthine→uric acid)
Chronic hepatitis
IFN-α
Chronic myeloid leukemia
Imatinib
Philadelphia Chromosome bcr-abl Tyrosine Kinase inhibitor – Fluid Retention
Clostridium botulinum
Antitoxin
Clostridium difficile
Oral Metronidazole
Clostridium tetani
Antitoxin + vaccine booster + Diazepam
Crohn’s disease
Corticosteroids
Infliximab
monoclonal antibody → TNF-α
(also used in UC & RA)
Cryptococcus neoformans
Fluconazole (prophylaxis in AIDS patients)
“azoles” inhibit ergosterol synthesis by inhibiting P-450 enzyme that converts lanosterol → ergosterol
Cystic fibrosis
N-acetylcysteine +Antipseudomonal prophylaxis (tobramycin/azithromycin)
Cytomegalovirus
Ganciclovir
Depression
SSRIs (first line)
Diabetes insipidus
Desmopressin (central); Hydrochlorothiazide, indomethacin, amiloride (nephrogenic)
Diabetes mellitus type 1
Dietary intervention (low sugar) + insulin replacement
Diabetes mellitus type 2
Dietary intervention, oral hypoglycemia, and insulin (possible)
Diabetic ketoacidosis
Fluids, insulin, K+
Enterococci
Vancomycin/ampicillin + aminoglycoside
Erectile dysfunction
Sildenafil
ER positive breast cancer
Tamoxifen
Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
Folate deficiency
Folate
Haemophilus influenzae (B)
Rifampin (prophylaxis)
Hemorrhagic cystitis
Mesna
Heparin toxicity (acute)
Protamine sulfate
binds to Heparin &/or LMWH
HER2/neu-positive breast cancer
Trastuzumab
Hyperaldosteronism
Spironolactone
Hypercholesterolemia
Statin (1st line)
Hypertriglyceridemia
Fibrate
Immediate anticoagulation
Heparin
Infertility
Leuprolide, GnRH (pulsatile)
Influenza
Oseltamivir
Legionella pneumophila
Erythromycin
Long-term anticoagulation
Warfarin
Malaria
Chloroquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)
Malignant hyperthermia
Dantrolene
Medical abortion
Mifepristone
Migraine
Sumatriptan
MRSA
Vancomycin
Multiple sclerosis
β-interferon, Immunosuppression, Natalizumab
Mycobacterium tuberculosis
RIPES (Rifampin, INH, Pyrazinamide, Ethambutol, Streptomycin)
Neisseria gonorrhoeae
Ceftriaxone (add doxycycline to cover likely concurrent Chlamydia)
Neisseria meningitidis
Penicillin/ceftriaxone, rifampin (prophylaxis)
Neural tube defect prevention
Folate
Osteomalacia/rickets
Vitamin D supplementation
Patent ductus arteriosus
Indomethacin
Pheochromocytoma
α-antagonists (Phenoxybenzamine)
Pneumocystis jiroveci
TMP-SMX (prophylaxis in AIDS patient)
Prolactinoma
Bromocriptine (dopamine agonists)
Prostate cancer/Uterine fibroids
Leuprolide, GnRH (continuous)
Prostate carcinoma
Flutamide
Pseudomonas aeruginosa
Antipseudomonal (Ticarcillin/Pipercillin)
+ Aminoglycoside (bactericidal 30S inhibitor)
Pulmonary hypertension
Sildenafil
Epoprostenol
Bosentan
(competitively antagonizes Endothelin-1 receptors)
Rickettsia rickettsii
Doxycycline, Chloramphenicol (especially if context of aplastic anemia)
Ringworm infection
Terbinafine, griseofulvin, imidazole
Schizophrenia (negative symptoms)
5-HT2A antagonists (2nd gen antipsychotics; e.g., Olanzapine)
Schizophrenia (positive symptoms)
D2 receptor antagonists (1st & 2nd gen antipsychotics)
SIADH
Demeclocycline, Lithium, Vasopressin receptor antagonists
Sickle cell anemia
Hydroxyurea (↑ HbF)
Sporothrix schenckii
Oral KCI
Stable angina
Sublingual nitroglycerin
Staphylococcus aureus
Methicillin/Naficillin/Oxacillin/Dicloxacillin (MSSA)
Vancomycin (MRSA)
Streptococcus bovis
Penicillin prophylaxis (evaluate 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 seizure
Phenytoin, valproate, carbamazepine
Toxoplasma gondii
Sulfadiazine + pyrimethamine
Treponema pallidum
Penicillin
Trichomonas vaginalis
Metronidazole (patient and partner)
Ulcerative colitis
5-ASA, Infliximab
UTI prophylaxis
TMP-SMX
Warfarin toxicity
Fresh frozen plasma (acute), Vitamin K (chronic)
Wegener’s granulomatosis
Cyclophosphamide, corticosteroids
Heparin-induced Thrombocytopenia (HIT)
Argatroban
direct-thrombin inhibitor