Contraindications Flashcards

1
Q

Chloropheniramine

A

Pregnant, Elderly and Children

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2
Q

Ipratropropium Bromide

A

Caution in older men c prostatic hyperplasia (bc of effects on urinary retention)

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3
Q

Tiotropium

A

Caution in older men c prostatic hyperplasia (bc of effects on urinary retention)

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4
Q

Diphenhydramine

A

Pregnant, Elderly and Children

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5
Q

Dimenhydrinate

A

Pregnant, Elderly and Children

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6
Q

Beta blockers

A

patients in respiratory distress

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7
Q

Atrovastatin

A

Liver disease

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8
Q

Pravastatin

A

Liver disease

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9
Q

Ezetimibe

A

Check liver function test before starting

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10
Q

Cholestyramine

A

pts w/ hypertriglyceridemia

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11
Q

Niacin (vit B3)

A

Pregnancy

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12
Q

Gemfibrozil

A

pregnancy (can cross placenta)
children
Kidney disease

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13
Q

Nitroglycerin

A

Co-use of nitrates & viagra → life threatening hypotension

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14
Q

Verapamil

A

heart failure patients

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15
Q

Diltazem

A

heart failure patients

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16
Q

Propanolol

A

Asthma (also blocks β2)

Depression

17
Q

Hydrochlorothiazide

A

impaired renal function

18
Q

Captopril

A

Pregnancy

Pts with bilat renal artery stenosis

19
Q

Losartan

A

Pregnancy

Pts with bilat renal artery stenosis

20
Q

Methyldopa

A

Depression

21
Q

Clonidine

A

Depression

22
Q

Flecainide

Class IC

A

Severe bradycardia

23
Q

Quinidine

Class IA

A

Excessive Na channel block bc → asystole

Inherited long QT, syncope, sudden cardiac death

24
Q

Rate control drugs

A

WPW

25
Q

Acetazolamide

A

Sulfonamides

26
Q

Loop diuretics

A

Caution in elderly due to hypotension

27
Q

thiazide diuretics

A

Caution in diabetics

28
Q

Angiotensin receptor neprilysin inhibitor (ARNI)

A

Teratogenic (CANNOT USE IN PREGNANCY)

29
Q

Carvedilol

A

Asthmatics

COPD

30
Q

Ivabradine

A

CYP3A4 inducers or inhibitors

bradycardia

31
Q

Isosorbide

A

PDE5 inhibitors

AKA ED drugs

32
Q

Dinitrate/hydralazine

A

CAD (bc drop in BP could cause MI)

33
Q

Digoxin

A

Antibiotics inactivate digoxin

diuretics that alter K⁺ (hyokalemia → toxicity and hyperkalemia → heart block)

P-glycoprotein inhibitors