Drug Reactions Flashcards
Coronary Vasospasm
Cocaine, Sumatriptan, ergot alkaloids
Cutaneous Flushing
VANComycin, Adenosine, Niacin, Ca Channel blockers
“VANC”
Dilated cardiomyopathy
Doxorubicine (Adriamycin), Daunorubicin
Torsades de pointes
Class III potassium channel blockers (sotalol), Class IA sodium channel blockers (quinidine), macrolides, haloperidol, chloroquine, protease inhibitors
Agranulocytosis
Cloazpine, Carbamazepine, Colchicine, Propylthiouracil, Methimazole, Dapsone
“Agranulocytosis Could Certainly Cause Pretty Major Damage”
Aplastic anemia
Chloramphenicol, benzene, NSAIDs, propylthiouracil, methimazole
Thrombocytopenia
Heparin (HIT), cimetidine
Direct coombs positive hemolytic anemia
methyldopa, penicillin
Gray baby syndrome
Chloramphenicol
This is due to the baby having immature UDP glucuronidase, so the drug can’t be metabolized appropriately
Hemolysis in G6PD-deficienct patient
Isoniazid, Sulfonazmides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
“hemolysis IS PAIN”
Megaloblastic anemia
Phenytoin, Methotrexate, Sulfa drugs
“having a BLAST with PMS”
Thrombotic complications
OCPs
Cough
ACE inhibitors
Pulmonary fibrosis
Bleomycin, Amiodarone, Busulfan
Acute cholestatic hepatitis, jaundice
Erythromycin
Focal to massive hepatic necrosis
Halothane, Amanita phalloides, Valproic acid, Acetaminophen (high doses)
“liver HAVAc”
Hepatitis
Isoniazid
Pseudomembranous colitis
Clindamycin, ampicillin
Adrenocortical insufficiency
Glucocorticoid withdrawal
Gynecomastia
Spironolactone, Digitalis, Cimetidine, chronic Alcohol use, estrogens, Ketoconazole
“Some Drugs Create Awkward Knockers”
Hot flashes
Tamoxifen, clomiphene
Hyperglycemia
Niacin, tacrolimus, protease inhibitors, HCTZ, corticosteroids
Hypothyroidism
Lithium, amiodarone, sulfonamides
Fat redistribution
Glucocorticoids, protease inhibitors
Gingival hyperplasia
Phenytoin, verapamil
Gout
Furosemide, thiazides, niacin, cyclosporine
Myopathies
Fibrates, Niacin, Colchicine, Hydroxychloroquine, Interferon-alpha, Penicillamine, Statins, Glucocorticoid
“Fish N CHIPS Give you MYOPATHIES”
Osteoporosis
Corticosteroids, heparin
Photosensitivity
Sulfonamides, Amiodarone, Tetracycline
“SAT for a PHOTO”
Stevens-Johnson syndrome (Rash)
Penicillin, Ethosuximide, Carbamazepine, Sulfa drugs, Lamotrigine, Allopurinol, Phenytoin, Phenobarbital
“bad RASH after a PEC SLAPP”
SLE-like syndrome
Hydralazine, Isoniazid, Procainamide, Phenytoin
Teeth (kids)
Tetracyclines
Tendonitis, tendon rupture, and cartilage damage
Fluoroquinolones
Diabetes insipidus
Lithium, demeclocycline
Fanconi’s syndrome
Expired tetracycline
Hemorrhagic cystitis
Cyclophosphamide, ifosfamide (prevent by coadministering with mesna)
Interstitial nephritis
Methicillin, NSAIDs, Furosemide
SIADH
Carbamazepine, cyclophosphamide
Cinchonism
Quinidine, quinine
Parkinson-like syndrome
antipsychotics, reserpine, metoclopramide
Seizures
Isoniazid, Buproprion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
“with SEIZURES, I BITE My tongue”
Tardive dyskinesia
Antipsychotics
Antimuscarinic
Atropine, TCAs, H1 blockers, neuroleptics
Disulfiram-like reaction
Metronidazole, certain cephalosporins, procarbazine, first-generation sulfonylureas
Nephrotoxicity/ototoxicity
Aminoglycosides, vancomycin, loop diuretics, cisplatin