Drug Reactions Flashcards
Cardiovascular - What are the causal agents of Coronary vasospasm?
Cocaine, sumatriptan, ergot alkaloids
Cardiovascular - What are the causal agents of Cutaneous flushing?
Vancomycin, Adenosine, Niacin, Ca2+ channel blockers
Acronym - VANC
Cardiovascular - What are the causal agents of Dilated cardiomyopathy?
Doxorubicin, daunorubicin
Cardiovascular - What are the causal agents of Torsades de pointes?
Class III (e.g., sotalol) and class IA (e.g., quinidine) antiarrhythmics, macrolide antibiotics, antipsychotics, TCAs
Endocrine/reproductive - What are the causal agents of Adrenocortical insufficiency?
HPA suppression 2° to glucocorticoid withdrawal
Endocrine/reproductive - What are the causal agents of Hot flashes?
Tamoxifen, clomiphene
Endocrine/reproductive - What are the causal agents of Hyperglycemia?
Tacrolimus, Protease inhibitors, Niacin, HCTZ, β-blockers, Corticosteroids
(Acronym - Taking Pills Necessitates Having Blood Checked)
Endocrine/reproductive - What are the causal agents of Hypothyroidism?
Lithium, amiodarone, sulfonamides
GI - What are the causal agents of Acute cholestatic hepatitis, jaundice?
Erythromycin
GI - What are the causal agents of Diarrhea?
Metformin, Erythromycin, Colchicine, Orlistat, Acarbose
Acronym - Might Excite Colon On Accident
GI - What are the causal agents of Focal to massive hepatic necrosis?
Halothane, Amanita phalloides (death cap mushroom), Valproic acid, Acetaminophen
GI - What are the causal agents of Hepatitis?
INH
GI - What are the causal agents of Pancreatitis?
Didanosine, Corticosteroids, Alcohol, Valproic acid, Azathioprine, Diuretics (furosemide, HCTZ
(Acronym - Drugs Causing A Violent Abdominal Distress)
GI - What are the causal agents of Pseudomembranous colitis?
Clindamycin, ampicillin, cephalosporins
Antibiotics predispose to superinfection by resistant C. difficile
Hematologic - What are the causal agents of Agranulocytosis?
Dapsone, Clozapine, Carbamazepine, Colchicine, Methimazole, Propylthiouracil
(Acronym - Drugs CCCrush Myeloblasts and Promyelocytes)
Hematologic - What are the causal agents of Aplastic anemia?
Carbamazepine, Methimazole, NSAIDs, Benzene, Chloramphenicol, Propylthiouracil
(Acronym - Can’t Make New Blood Cells Properly)
Hematologic - What are the causal agents of Direct Coombs - positive hemolytic anemia?
Methyldopa, penicillin
Hematologic - What are the causal agents of Gray baby syndrome?
Chloramphenicol
Hematologic - What are the causal agents of Hemolysis in G6PD deficiency?
INH, Sulfonamides, Dapsone, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
(Acronym - hemolysis IS D PAIN)
Hematologic - What are the causal agents of Megaloblastic anemia?
Phenytoin, Methotrexate, Sulfa drugs
Acronym - Having a blast with PMS
Hematologic - What are the causal agents of Thrombocytopenia?
Heparin, cimetidine
Hematologic - What are the causal agents of Thrombotic complications?
OCPs (e.g., estrogens)
Musculoskeletal/skin/connective tissue - What are the causal agents of Fat redistribution?
Protease inhibitors, Glucocorticoids
Acronym - Fat PiG
Musculoskeletal/skin/connective tissue - What are the causal agents of Gingival hyperplasia?
Phenytoin, verapamil, cyclosporine, nifedipine
Musculoskeletal/skin/connective tissue - What are the causal agents of Hyperuricemia (gout)?
Pyrazinamide, Thiazides, Furosemide, Niacin, Cyclosporine
Acronym - Painful Tophi and Feet Need Care
Musculoskeletal/skin/connective tissue - What are the causal agents of Myopathy?
Fibrates, niacin, colchicine, hydroxychloroquine, interferon-α, penicillamine, statins, glucocorticoids
Musculoskeletal/skin/connective tissue - What are the causal agents of Osteoporosis?
Corticosteroids, heparin
Musculoskeletal/skin/connective tissue - What are the causal agents of Photosensitivity?
Sulfonamides, Amiodarone, Tetracyclines, 5-FU
Acronym - SAT For Photo
Musculoskeletal/skin/connective tissue - What are the causal agents of Rash (Stevens-Johnson syndrome)?
Anti-epileptic drugs (ethosuximide, carbamazepine, lamotrigine, phenytoin, phenobarbital), Allopurinal, Sulfa drugs, Penicillin
(Remember: Steven Johnson has epileptic Allergy to Sulfa drugs and Penicillin)
Musculoskeletal/skin/connective tissue - What are the causal agents of SLE-like syndrome?
Sulfa drugs, Hydralazine, INH, Procainamide, Phenytoin, Etanercept)
(Remember: Having lupus is SHIPP-E)
Musculoskeletal/skin/connective tissue - What are the causal agents of Teeth discoloration?
Tetracyclines
Musculoskeletal/skin/connective tissue - What are the causal agents of Tendonitis, tendon rupture, and cartilage damage?
Fluroquinolones
Neurologic - What are the causal agents of Cinchonism?
Quinidine, quinine
Neurologic - What are the causal agents of Parkinson-like syndrome?
Antipsychotics, Reserpine, Metoclopramide
Acronym: cogwheel rigidity of ARM
Neurologic - What are the causal agents of Seizures?
INH (vitamin B6 deficiency), Bupropionm Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
(Remember: With seizures, I BITE My tongue)
Neurologic - What are the causal agents of Tardive dyskinesia?
Antipsychotics, metoclopramide
Renal/Genitourinary - What are the causal agents of Diabetes insipidus?
Lithium, demeclocycline
Renal/Genitourinary - What are the causal agents of Fanconi syndrome?
Expired tetracycline
Renal/Genitourinary - What are the causal agents of Hemorrhagic cystitis?
Cyclophosphamide, ifosfamide
Prevent by coadministering with mesna
Renal/Genitourinary - What are the causal agents of Interstitial nephritis?
Methicillin, NSAIDs, furosemide
Renal/Genitourinary - What are the causal agents of SIADH?
Carbamazepine, Cyclophosphamide, SSRIs
Acronym - Can’t Concentrate Serum Sodium
Respiratory - What are the causal agents of Dry cough?
ACE inhibitors
Respiratory - What are the causal agents of Pulmonary fibrosis?
Bleomycin, Amiodarone, Busulfan, Methotrexate
Acronym - Breathing Air Badly from Medications
Multiorgan - What are the causal agents of Antimuscarinic?
Atropine, TCAs, H1-blockers, antipsychotics
Multiorgan - What are the causal agents of Disulfiram-like reaction?
Metronidazole, certain cephalosporins, griseofulvin, procarbazine, 1st-generation sulfonylureas
Multiorgan - What are the causal agents of Nephrotoxicity/ototoxicity?
Aminoglycosides, vancomycin, loop diuretics, cisplatin
What drugs are Cytochrome P-450 Inducers (+)?
Chronic alcohol use, Modafinil, St. John’s wort, Phenytoin, Phenobarbital, Nevirapine, Rifampin, Griscofulvin, and Carbamazepine
(Acronym - Chronic alcoholic Mona Steals Phen-Phen and Never Refuses Greasy Carbs)
What drugs are Cytochrome P-450 Substrates?
Anti-epileptics, Antidepressants, Antipsychotics, Anesthetics, Theophylline, Warfarin, Statins, OCPs
(Acronym - Always, Always, Always, Always Think When Starting Others)
What drugs are Cytochrome P-450 Inhibitors (-)?
Acute alcohol abuse, Gemfibrozil, Ciprofloxacin, Isoniazid, Grapefruit juice, Quinidine, Amiodarone, Ketoconazole, Macrolides, Sulfonamides, Cimetidine, Ritonavir)
(Acronym - A cute Gentleman “Cipped” Iced Grapefruit juice Quickly And Kept Munching on Soft Cinammon Rolls)