Drug by Adverse Reaction Flashcards
Penicillin G
rash, anaphylaxis, convulsions
Penicillin V
rash, anaphylaxis, convulsions
Penicillinase-resistant
rash, anaphylaxis, convulsions
Amoxicillin
diarrhea, CDAD possible
Cephalexin
allergy
Cefaclor, Cefuroxime
DDI: enhances Warfarin, anticoags possible
CDAD possible
Cefdinir, Ceftriaxone
CDAD possible
Vancomycin
chills/fever/rash
ototoxicity, renal toxicity (monitor Cp)
Carbapenems
nausea/vomiting, diarrhea, possible seizures
Azythromycin
GI disturbances (n/v, diarrhea) DDI's due to P450 metabolism
Doxycycline
abn tooth/bone development, fungal suprainfection
DDI with metal cations (antacids, dairy, iron)
Avoid in pregnancy
Minocycline
abn tooth/bone development, fungal suprainfection
DDI with metal cations (antacids, dairy, iron)
Avoid in pregnancy
Clindamycin
severe diarrhea
pseudomembranous colitis
Aminoglycoside
vestibular/auditory toxicity
nephrotoxicity (monitor Cp)
Chloramphenicol
bone marrow toxicity
gray baby syndrome, GI upset
Oxazolidinones
well tolerated
Streptogamins
infusion-related pain, phlebitis inhibits CYP3A4 (DDI's)
Ciprofloxacin
well-tolerated, CDAD possible
DDI with theophylline/antacids
Do not give to children
Levofloxacin
well-tolerated, CDAD possible
DDI with theophylline/antacids
Do not give to children
Nitrofurantoin
GI
Metronidazole
nausea, headache, GI
Antabuse-like rxn
Sulfamethoxazole/Trimethoprim
hypersensitivity skin rxns
decreased H2O solubility of metabolites
Isoniazid
hepatotoxicity, neuritis, allergic rxns
Rifampin
liver function impairment
colors excretions orange-red
induces CYP1A2, 2C9-19, 3A4
Ethambutol
optic neuritis, rash
avoid in children
Pyrazinamide
hepatotoxicity, hyperuricemia
Streptomycin
8th nerve toxicity
Amphotericin
fever/chills with infusion
nephrotoxicity
Nystatin
well tolerated
Caspfungin
rash, pruritus, n/v with infusion
Fluconazole
well tolerated
Terbinafine
headache, diarrhea, rash
inhibits CYP450
Flucytosine
n/v, rashes, bone marrow depletion
Griseofulvin
hypersensitivity rxns, GI distress, confusion
Acyclovir
minor toxicities (headache, n/v)
Valacyclovir
minor toxicities (headache, n/v)
Entacavir
well tolerated
Tenofovir
well tolerated usually
lactic acidosis, HSM in HIV pt’s
Interferon-α
flu-like symptoms, bone marrow depression, neurobehavioral changes
Ribavirin
low aerosol toxicity
systemic toxicity: anemia, bone marrow depression
Telaprevir, Boceprevir
rash common (possibly severe)
Sufosbuvir
well tolerated overall
fatigue, nausea, insomnia
Emtricitabine
best tolerated HIV, hypersensitivity
Tenofovir
well tolerated HIV, hypersensitivity
Efavirenz
CNS effects
Atazanavir
rash, bilirubinemia/jaundice
Darunavir
severe rash/ DJ syndrome
Ritonavir
Gi, hepatotoxicity
Raltegravir
relatively well tolerated
GI upset, sweating
DDI increase with glucuronidation inducer
Enfuvirtide
injection site inflammation
Maraviroc
mild GI, HA, URI, insomnia, rash
DDI with ART that inhib/induce CYP3A4
Antipseudomonal
diarrhea, CDAD possible