Drug Interactions 2 Flashcards
Poor metabolizers have _____ response to medications
Greater
Probenecid inhibits tubular secretion of ______, amplifying its effects
Pencillin
Methotrexate and sulfamethoxazole compete for _______. Results in methotrexate toxicity
Tubular secretion
Omeprazole inhibits K, H - ATPase blocking the secretion of this drug in the kidney, causing higher serum levels and toxicity
Methotrexate
Trimethoprim increases distal renal tubular absorption of ____ causing _____
Potassium - hyperkalemia
Quinidine inhibits tubular secretion of _________ via PGP. Results in digoxin toxicity
Digoxin
Unionized drugs are often reabsorbed into the
Blood stream
Low pH cause an acidic drug to be in its _____ form
Unionized
Carbonic anhydrase inhibitors ___ urine pH. Causes an increased reabsorption of quinidine
Increase
Quinidine associated with
Cardiotoxicity
______ taken with acetazolamide increases its toxicity
Aspirin
Macrolides - azithromycin
Less potential for interactions
Macrolides - erythromycin, clarithromycin both affect
P450 > higher potential for interactions
Cimetidine inhibits
P450 - higher risk of interaction
H2 blocker ranitidine
Lower risk of interaction