Common Adverse Drug Reactions Flashcards

1
Q

State the main adverse effects of gentamicin and vancomycin

A

Ototoxicity, nephrotoxicity

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2
Q

State the main adverse effects of ACE inhibitors, e.g. lisinopril

A

Hypotension, electrolyte abnormalities e.g. hyperkalaemia, AKI, dry cough

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3
Q

State the main adverse effects of beta blockers

A

Hypotension, bradycardia, wheeze in asthmatics, worsening of acute heart failure

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4
Q

State the main adverse effects of calcium channel blockers, e.g. diltiazem

A

Hypotension, bradycardia, peripheral oedema, flushing

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5
Q

State the main adverse effects of diuretics

A

Hypotension, electrolyte abnormalities, AKI

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6
Q

State the main adverse effects of heparins

A

Haemorrhage (risk increased in renal failure and weight <50kg), heparin-induced thrombocytopaenia

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7
Q

State the main adverse effects of aspirin

A

Haemorrhage, peptic ulcers, gastritis, tinnitus in large doses

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8
Q

State the main adverse effects of digoxin

A

Nausea, vomiting, diarrhoea, blurred vision, confusion, drowsiness, xanthopsia (disturbed yellow-green perception including visual halos)

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9
Q

State the main adverse effects of amiodarone

A

Interstitial lung disease, thyroid disease (both hyper and hypo), skin greying, corneal deposits

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10
Q

State the main adverse effects of haloperidol

A

Dyskinesias, acute dystonic reactions, drowsiness

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11
Q

State the main adverse effect of clozapine

A

Agranulocytosis

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12
Q

State the main adverse effects of corticosteroids

A

Stomach ulcers, thin skin, oedema, heart failure, osteoporosis, infection, hyperglycaemia, Cushing’s syndrome

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13
Q

State the specific adverse effects of fludrocortisone

A

Hypertension, sodium and water retention

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14
Q

State the main adverse effects of ibuprofen

A

Renal failure, heart failure, wheeze in asthma, indigestion, peptic ulcers, dyscrasias (abnormal clotting)

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15
Q

State the main adverse effects of statins

A

Myalgias (risk greatest with simvastatin), abdominal pain, transaminitis, rhabdomyolysis

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16
Q

Which class of drugs can cause a hypertensive crisis?

A

Monoamine oxidase inhibitors, e.g. selegiline

17
Q

Which common drug can cause lactic acidosis?

18
Q

Name 3 classes of drugs which can cause sedation

A

Barbiturates, opioids, benzodiazepines

19
Q

Which common class of drug reduces awareness of hypoglycaemia?

A

Beta blockers

20
Q

Which atypical antipsychotic has the best side effect profile?

A

Aripiprazole

21
Q

State the main side effects of olanzapine

A

Dyslipidaemia, weight gain, hyperprolactinaemia, T2DM, sedation

22
Q

State the main side effects of quetiapine

A

Weight gain, dyslipidaemia, hyperprolactinaemia, postural hypotension

23
Q

State the main side effects of risperidone

A

Extrapyramidal side effects, weight gain, hyperprolactinaemia, sexual dysfunction, postural hypotension

24
Q

Which antibiotics cause cholestasis?

A

Co-amoxiclav, flucloxacillin

25
Which antibiotic causes a rash when given to a patient with infectious mononucleosis?
Amoxicillin
26
State the main adverse effects of erythromycin
GI upset, prolonged QT interval
27
State the main adverse effects of ciprofloxacin
Lowers seizure threshold, tendonitis
28
Which antibiotic leads to a reaction if taken with alcohol?
Metronidazole
29
State the main adverse effects of trimethoprim
Rashes including photosensitivity, pruritis
30
State the drug to give to reverse a heparin overdose
Protamine sulphate
31
State the 2 major causes of drug-induced lupus, and at least 1 of the 3 rarer causes
Procainamide, hydralazine | Less common: Isoniazid, minocycline, phenytoin