DOC Pharma Flashcards
Familial hyperK+ periodic paralysis
Dichlorphenamide
Raised ICP with headache
Acetazolamide
Pulmonary edema
Furosemide
HTN + Osteoporosis
Chlorthalidone (Thiazides)
Cerebral edema
ACG
⬆️ICT
Mannitol
⤵️
C/I - pulmonary edema and active cerebral hemorrhage
Resistant HTN/edema
Cirrhosis edema
Spironolactone
Li induced DI
Liddle syndrome
Amiloride (ENaC#)
Acute variceal bleed
Octreotide
Px - Propranolol
TOC - Endoscopic band ligation
Central DI
Nocturnal eneuresis
Desmopressin
SIADH
Tolvaptan
TOC- free water restriction
ACG
Pilocarpine
Xerostomia
Cevimeline
OP Poisoning
Atropine
Atropine poisoning
Physostigmine
Myasthenia Gravis
Kawasaki
Gillian Barre (GBS)
IVIG
Narcoanalysis
Thiopentone
COPD bronchodilation
Tiotropium fam
Motion sickness
Scopolamine patch
Urge incontinence
Over active bladder or detrusor instability
Darifenacin
HuntingTon’s chorea
Tetrabenazine
TardiVe dyskinesia
Velabenazine
Vasodilatory shock
Norepinephrine
Cardiac arrest
Epinephrine
Anaphylactic shock
Epinephrine
Multiple IM f/b IV
Brittle asthma
Epinephrine
CHF + oliguria
Dopamine
Cardiogenic shock or CHF
Dobutamine
Postural hypotension
Midodrine
Withdrawal hypotension (due to clonidine)
IV Phentolamine
HDP pregnant
Oral labetalol
Cheese reaction
IV Phentolamine
ADHD
Methylphenidate
Abuse/Tics - atomoxetine
Hypotension
- Pregnancy
- Anaesthetic agent
Ephedrine
Narcolepsy
Sleepiness + OHSAS
Shift workers
Modafenil
Intraop HTN in pheochrocytoma
IV Phentolamine
ED
Sildenafil
Preop HTN in pheochromocytoma
Phenoxybenzamine f/b Beta blockers
HTN + BPH
Tera/Doxazocine
BPH
Tamsulosin
Scorpion bite
Prazosin
Px
Migraine
Acute variceal bleed
Propranolol
HOCM
Propranolol
Aortic dissection
Labetalol
OAG
NTG
PG analogs
HTN urgency
Clonidine
Tics with mild/mod Tourette
Clonidine
Tics with severe Tourette
Haloperidol
Acute attack of SVT/PSVT
IV Adenosine
Acute attack of AF/A flutter
IV Ibutelide
TOC- Cardioversion
Long term rhythm control in AF
Amiodarone
WPW + A Fib
IV Procainamide
WPW
Oral Flecainide
TOC- RFA
MI/Digoxin induced VT/VF
Lidocaine
Idiopathic VT
BB
VPC
BB
Cong long QT
BB
Rate control AF
Acute
Chronic
Acute IV Esmolol
Chronic Metoprolol
Catecholamine arrythmias
BB
Acute attack SVT/PSVT resistant to IV Adenosine
BB
VT/VF
Amiodarone
Rhythm control AF
Amiodarone
Amiodarone induced pulmonary fibrosis
Prednisolone
Acute attack of Torsades
MgSO4
Long term management of Cong along QT
Pacing +ICD
F/b
BB
Long term management of SVT/PSVT + chronic CHF
Digoxin
RHF
Milrinone/Enoximone
Sustained VT
V Fib due to digoxin toxicity
Lidocaine
Digiband
MgSO4
HTN Emergency
IV Nicardipine
Raynauds
CCB
HTN Emergency in pregnancy
IV Labetalol
Androgen alopecia
Finasteride
Insulinoma
Diazoxide
Acute attack or Px angina
SC Nitroglycerin
HTN + DM/CKD//NS/Scleroderma
ACEI
Old HTN
CCB
Young HTN (<55y)
ACEI/ARBS
TSS
Clindamycin
Heparin induced thrombocytopenia
Parenteral direct thrombin #
Lepirudin, Bevalirudin, argatroban
Pulmonary embolism
Anticoagulants
Heparin f/b Warfarin
Fe poisoning
Desferrioxamine (IM)
(BAL - C/I) 😱
Heavy menstrual bleed
Tranexamic acid
CLL
Fludarabine
MRSA
Vancomycin
CINV
Ondansetron (5HT3#)
ChorioCA
MTX
Hairy cell leukaemia
Cladarabine
Pancreatic CA
Gemcitabine
CML
Imatinib
HCC
Sorefenib (Sorry)
Nocturnal eneuresis
TOC - CBT
DOC - Desmopressin
Mesothelioma
Pemetrexed
GIST
Imatinib
Carcinoid
Octreotide
Lymes
Doxycycline
Pregnancy and children = Amoxicillin
Mastitis
Dicloxacillin (Erythromycin if allergic)
Shigella
Ciprofloxacin
VRE
Linezolid
Restless leg syndrome or Ekboms syndrome
Ropinirole
VRSA
VRSA pneumonia
Daptomycin (inactivated by surfactant)
Vrsa pneumonia - Linezolid
Brucellosis
Rifampicin + Doxycycline
Opioid withdrawal
Clonidine
PCOS + Ovarian induction
Letrozole
More success than Clomiphene
Cyanide toxicity
Hydroxocobalamin + Sodium thiosulfate
Precocious puberty
GnRH agonist
Scabies
Permethrin 5%
Inverse glaucoma
Atropine
Schizo on meds + Catatonia
BZD
Absence seizure (3spike on wave)
Ethosuximide
Nodulocystic acne
Isotretinoin
Not acetretinoin
Hep B + decompensated cirrhosis
Tenofovir
CAH
Hydrocortisone
Scrub typhus
- Pregnancy
- Others
- Pregnancy: Azithromycin
2. Others: Doxycycline
Delayed vomiting after chemoRx
Acute vomiting
Delayed: NK1 Substance P- Aprepitant
Acute: 5HT3# Emset
Actinomycosis
Penicillin G
Anaphylactic shock
0.5 mg 1:1000 Epi IM
ADHD
Methylphenidate
Lymes
Bulls eye skin lesion
Doxycycline 100 BD
Pregnant: Amoxicillin
Ethylene glycol
HAGMA + dumbbell urine crystals
Fomepizole
Px and Rx PCP pneumonia
Cotrimoxazole
Gono + Non Gono urethritis
Cefixime + Azithromycin
OCD
SSRI - fluoxetine
Px migraine
Flunarazine
Propranolol Amitryptaline Valproate, Topiramate Methysergide Candesartan
Hyper PTH + Hyper PO4
Sevelamer (no Ca)
PO4 binders
Lanthanum (no Ca)
CaCO3
Ca acetate
Alcohol withdrawal
BZD
Anaesthesia induction + in Shock patients
Ketamine
Post op DVT Px
Heparin»_space;» early ambulation
Loa loa
DEC
Uranium antidote
Bicarbonate
Lung abscess
Clindamycin
Graves
Methimazole
PPH Rx and Px
Oxytocin
Best drug = Carboprost
Cholera Px
Oxytetracycline
Leptospirosis
Doxycycline
Cholera
Rx
Px
Rx
Adults Doxy
Preg and children Azithro
Px
Tetracycline
Acute muscle dystonia secondary to antipsychotics
Benztropine
Systemic fungal (except invasive aspergillosis) Mucormycosis
AMB
Kala Azar
AMB
Cryptococcal meningitis
IV AMB + IV Flucytosine
Muco cutaneous Candida albicans (only)
Coccidiosis meningitis
Fluconazole
Endemic mycosis
Sporotrichosis
Itraconazole
Old- Keto (Cushings only now)
ABPA
Prednizolone
Invasive aspergillosis
Seedosporum
Trichosporon
Voriconazole
Px of invasive aspergillosis
Posaconazole
Also used in resistant aspergillosis, mucor
Kerion
Griseofulvin
Fungal corneal ulcer
Natamycin
NEMATODES
Soil:
Hook worm
Whip worm
Round worm
Enterobius
Trichinella
Albendazole
CESTODES
NCC
Echinococcus
Albendazole
Strongyloides
O. Volvulus
Ivermectin
Loa loa
Filariasis
DEC
Intestinal T. Solium
T. Saginata
H. Nana
D. Latum
Praziquantel
F. Hepatica
Trichlabendazole
Other Fasciolas
Schistosomiasis
Praziquantel
Microsporidiosis
Albendazole
Oral DOC in scabies
Ivermectin morning
Scabies TOC
5% permethrin
Filaria TOC
IDA
Ivermectin
DEC
Albendazole
Asymptomatic intestinal amoebiasis
Paramomycin oral
Symptomatic intestinal or extra intestinal amebiasis
Metronidazole
Visceral leishmaniasis
IV LAMB
Oral Miltefosine
Cutaneous leishmaniasis
Sod. Stibugluconate
Chagas
Benznidazole
Cryptosporidiasis
Resistant giardiasis
Nitazoxanide
Severe falciparum malaria
Even in pregnancy 🤰🏻
IV Artesunate continuous IV infusion 48 h
Uncomplicated vivax/ovale
CQ 3days + Primaquine 14days
Uncomplicated Malaria
Vivax/ovale CQ resistant and
Falciparum (inherently CQ resistant)
ACT
Vivax/ovale - primaquine 14days or tafenaquine once
Falciparum- primaquine once
ACT all other states
ACT SP
Artesunate oral
Sulfadoxine
Pyrimethamine
NE States ACT
ACT AL
Oral artemether
Lumefantrine
Malaria Px <6wks
Doxy 100 mg OD
Start 2d before travel continue 4 wks after travel
Malaria Px >6wks
Mefloquine 250mg/week
Started 1wk before journey to 4 wks after journey
Preg with uncomplicated vivax/ovale
CQ
Post partum primaquine
Pregnant
Resistant Vivax/ovale
Falciparum
Quinine + clindamycin
Px pregnancy
Mefloquine
Radical cure
Terminal Px
Primaquine
Isospora
Cyclospora
Microsporum
Cotrimoxazole
Babesiosis
Atovaquone + Azithromycin
Toxoplasmosis (non pregnancy)
Pyrimethamine + Sulfadiazine
Toxoplasmosis in pregnancy 🤰🏻
Spiramycin
Typhoid
Cases
Carriers
Cases
Ceftriaxone, FQ
Carriers
Ampicillin/Amoxicillin + Probenecid x 6wks
Chemo Px Cholera
Tetracycline
Toxoplasmosis
Adults Pyrimethamine + Sulfadiazine
HIV Cotrimoxazole
Pregnant Spiramycin
Cutaneous larva migrans
Ivermectin
Strongyloides
Bilharziasis
Praziquantel
Rx and Px of Type 2 DM
Metformin
Secretory diarrhea Glucagonoma VIPoma Somatostatinoma GRFoma
Octreotide
Acute variceal bleeding
Octreotide
Insulinoma
Diazoxide
Acromegaly
Octreotide
Hyperthyroidism
Pregnancy T1
Thyroid storm
PTU
TPO# and Peripheral conversion #
Hyperthyroidism Overall
Pregnancy 🤰🏻 T2/3
Methimazole
Carbazole
ER+ breast CA in PRE menopausal
Tamoxifen
200mg OD 5y
ER+ breast CA POST menopausal
Raloxifen
60mg OD 5y
Reidels thyroiditjs
Tamoxifen
Tamoxifen resistant ER + breast CA
Fulvestrant
250 OAMS sc
Hereditary angioedema
Danazol
⬇️ C1 esterase
Androgenic alopecia
Finasteride
5alpha reductase type 2#
ED
Sildenafil
PDE5#
Osteoporosis
Bisphosphonates
Paget’s disease bone
Bisphosphonates
Psoriatic arthritis
Psoriasis + Arthritis
Only Arthritis
P+A: MTX
Only A: anti TNF
Acute gout
NSAIDS
C/I uric acid lowering agents.
Raynaud’s disease
CCB
Long term Gout
Allopurinol
RA
MTX (DMARD)
Sarcoidosis
Prednisolone
HyperCa of malignancy
Bisphosphonates
Gold std for BPH
TURP
DKA
Regular insulin
Replacement Rx in
Adissons
Patient of CAH
Hydrocortisone
Pregnant + CAH baby
Dexa
Staph nasal carrier MRSA
Bacitracin
MRSA
E faecium
E faecalis (ampicillin resistant ONLY)
IV Vancomycin
GlycoPEPTIDE - only PE.
PMC
Oral Vancomycin
Listeria meningitis
H influenza ➡️ otitis and pneumonia
E faecalis 💩
Ampicillin
Px of RF
BPG OAMS
1mg = 1600 IU
Primary Syphillis
Secondary
Early latent
BPG one dose of 2.4 mi
Tertiary Syphillis
Cvs
Late latent
BPG 3 doses of 2.4 mi every week
Neuro Syphillis
Continuous infusion of 18-24 mi Aqueous PG for 10-14 days
Streptococcus Leptospirosis Gas gangrene Yaws Rat bite fever
Penicillin G
ESBL (Class A)
Carbapenemase
ABCD
C➕M➕C➖C➖
Mastitis
Cloxacillin
MRSA
VRSA
MRSA - Vanco
VRSA - Dapto
Linear IgA pemphigoid
Dermatitis herpetiformis
Dapsone
ADHD + Tics
Atomoxetine
Methylphenidate worsens the tics (⬆️DA)
Pseudo tumor cerebri
Acetazolamide
Status migranosis
Steroids
Cluster headache
Verapamil
Absence seizure
Ethosuccimide
Sx Px of Strep and staph
IV Cefazolin
1h to 24h
Typhoid
IV - Ceftriaxone
Oral - Cefixime
Gonorrhoea
E. coli, Klebsiella
Providentia
Typhoid
IV ceftriaxone
Longest 3rd gen. most preferred
Toc Gonorrhoea
Ceftriaxone + Azithromycin/ Doxycycline
All meningitis except listeria
Ceftriaxone
Pseudomonas
Meliodosis
Febrile neutropenia
Ceftrazidime + AG
ESBL
Serratia
Enterobacter
Acinetobacter
Carbapenem
Herpes
Acyclovir
Ganciclovir
Herpes resistant to acyclovir (DNA pol alpha and Thymid kinase)
Resistant CMV, HSV, VZV
Foscarnet
HSV
VZV
Valacyclovir ( prodrug of acyclovir ORAL ✅)
CMV
Valgancyclovir (prodrug of Ganciclovir ORAL ✅)
Recurrent laryngeal papillomatosis
Cidofivir
Influenza A,B and Bird flu 🦢
Oral oseltamivir
Rx and Px
Oselta resistant Influenza A, B and bird flu 😷
Inhalation Zanamavir
Hep B
Tenofovir
✅lami resistance
Hep B ➕ D
INF alpha
RAV
Px
Rx
Px - Palivizumab
Rx - inhalational Ribavirin
Perinatal HIV
NVP syp 6wks
Except in HIV2/past ho NVP in mother
⬇️
Zido
12wks if mother <4wks or BF baby
Resistant schizophrenia
Clozapine
Acute mania
Severe mania
Haloperidol
Alcohol withdrawal
Diazepam
Delirium tremens
Chlordiazepozide (BZD)
Rapid cycling
Cyclothymia
Valproate
Akathesia
Propranolol
Ekbom syndrome
Ropinirole
Cheese reaction 🧀
Phentolamine
Cocaine OD
Bromocriptine
Alpha + beta blocker
Essential thrombocytosis
Hydroxyuria
My Pink RBC Mycoplasma Px plague Pleurodesis Ricketssia Brucella borrelia Chlamydia cholera LGV Lymes Syphillis Anthrax Malaria Filaria
Doxycycline
Plague
Tularaemia
AG + Tetra
Genta and Doxy
Gut strerilisation in hep encephalopathy
Oral rifaximin
Pertussis
Diphtheria
Erythromycin
Community pneumonia (atypical - mycoplasma chlamydia legionella)
Chancroid
Campylobacter
Azithromycin
Cholera and chlamydia in pregnancy🤰🏻and children 👶🏻
Azithromycin
TSS
Clindamycin
Gas gangrene
Penicillin G
Supra diaphragmatic PREVOTELLA Oral cavity 🦷 Lung Pleural cavity
Clindamycin
Infra diaphragmatic
BACTEROIDES
Abdomen
Pelvis - PID, septic abortion
Metronidazole
MRSA nasal carriers
Mupirocin ointment
Anthrax Typhoid carrier Travellers diarrhoea Meningococcal meningitis - mass chemo Px and contacts Pyelonephritis
Ciprofloxacin
Partial seizure
CBZ
General seizure
CCB
⬇️
Valproate
Upto 2y of seizure free. Except lifelong in Janz and post infarct
GTCS
Myoclonic
Absence
LGS
Valproate
Rapid cycler
Valproate
Rheumatic chorea
Valproate
Absence seizure <2y
Ethosuximide
Janz planning pregnancy and drug free trial had seizure
Levetracetam
Trigeminal neuralgia
CBZ
Infantile spasm syndrome ➕ tuberous sclerosis
Vigavatrin
Infantile spasms
ACTH
Steroids
Dravet syndrome
Valproate
Febrile seizure
Rectal diazepam
Alcohol withdrawal seizure
Lorazepam
Status epilepticus
Lorazepam
Neonatal seizures
Type 2 criggler najjar
Phenobarbital
Zaleplon
Sleep INDUCTION
Jet lag
EszopicLONe
Long acting for sleep maintenance
Post op chills
Meperidine
Opioid toxicity
IV Naloxone
Type 1 wenkebach
IV Atropine
Bradycardia in child
IV Epinephrine
PSVT 1st step
PSVT BP is Normal
Vagal manoeuvre fb Adenosine 6mg
SVT
BP is low
Cardiovert fb
Adenosine iv 6mg
A fib with normal BP
IV Ibutilide
Non shockable rhythm
1mg epinephrine IV
VT normal BP
IV Procainamide
Rescue analgesia
Fentanyl
RSI
Full stomach
SCh
Routine intubation in peds
Rocuronium
M/s relaxant for neonate
Atracurium