DDIs Flashcards
Cytochrome P450 INDUCERS
SCRAP GPS St johns wort Carbamazepine Rifampicin Alcohol Phenytoin Griseofulvin Phenobarbital Sulphonylureas
name a few Sulphonylureas
Glibenclamide Gliclazide Glipizide Glimepiride Tolbutamide
Cytochrome P450 INHIBITORS
SICK FACES . COM Sodium V Isoniazid Cimetidine Ketoconazole Fluconazole Alcohol + grapefruit juice (amiodarone) Chloramphenicol Erythromycin (marcolids ACE) Sulphonamides Ciprofloxacin Omeprazole Metronidazole
examples of sulphonamides
sulfadiazine, sulfamethizole, sulfamethoxazole, sulfasalazine
Exampled of drugs that commonly interact with cytochrome P450 enzyme inhibitors and inducers are
Warfarin Combined Contraceptive Pill Theophylline Corticosteroids TCA Pethidine Statins
metformin + cimetidine =
inhibits renal elimination
gentamycin + loop diuretics
renal failure risk
ACEi + K sparring dirutics
hyperkaleamia risk
statin + amiodarone
A=inhibitor, increase statin conc –>rhabdomyolysis
stain + macrolids
Ery= inhibitor rhabdomyolysis –> kidney failure (cannot remove waste released from muscle firber degradation)
thiazide +PPI
hypOMagnesaemia
hypONatraemia
thiazide + lithium
- increased lithium level –> toxicity
- hypokalaemia -TdP - cardiac death
drugs with narrow theraputic window
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Gentamycin Warfarin Lithium Digoxin Theophylline Methotraxate Phenytoin Insulin Ciclosporin
Oestrogen positive breast cancer treatment interacts with which drug
Paroxetine fluoxetine SSRI decrease Tamo E
warfarin increase anticoagulant
Terbinafine decrease tamo E
Dosing instruction for antiplatelet and the exception
Take with or after food
Except dipyridamole MR to be taken one hour before food