drug reactions Flashcards
coronary vasospasm
cocaine, sumatriptan, ergot alkaloids, amphetamine
cutaneous flushing
vancomycin, adenosine, niacin, Ca channel blockers
dilated cardiomyopathy
doxorubicin, daunorubicin
torsades de pointes
class III (e.g. sotalol) and class IA (e.g. quinidine) antiarrhythmics, macrolide antibiotics, antipsychotics (haloperidol), and TCAs
adrenocortical insufficiency
abrupt glucocorticoid withdrawal
hot flashes
tamoxifen, clomiphene (SERMs)
hyperglycemia
tacrolimus, protease inhibitors, niacin, HCTZ, beta-blockers
hypothyroidism
lithium, amiodarone, sulfonamides
gynecomastia
ketoconazole, estrogens, spironolactone
acute cholestatic hepatitis, jaundice
erythromycin
diarrhea
metformin, erythromycin, colchicine, orlistat, acarbose
focal to massive hepatic necrosis
halothane, valproic acid, acetaminophen
hepatitis
Isoniazid
pancreatitis
didanosine, corticosteroids, alcohol, valproic acid, azathioprine, diuretics
pseudomembranous colitis
clindamycin, ampicillin, cephalosporins
agranulocytosis
dapsone, clozapine, carbamazepine, colchicine, methimazole, PTU
aplastic anemia
carbamazepine, methimazole, NSAIDs, benzene, chloramphenicol, PTU
direct coombs + hemolytic anemia
methyldopa, penicillin
grey baby syndrome
chloramphenicol
hemolysis in G6PD deficiency
INH, Sulfonamides, dapsone, primaquine, aspirin, ibuprofen, nitrofurantoin, fava beans
megaloblastic anemia
phenytoin, methotrexate, sulfa drugs
thrombocytopenia
heparin, cimetidine
thrombotic complications
OCPs (estrogens)
fat redistribution
protease inhibitors, steroids
gingival hyperplasia
phenytoin, verapamil, cyclosporine, nifedipine
hyperuricemia (gout)
pyrazinamide, thiazides, furosemide, niacin, cyclosporine
myopathy
Fibrates, niacin, colchicine, hydroxychloroquine, IFN-alpha, penicillamine, statins, steroids
osteoporosis
corticosteroids, heparin
photosensitivity
sulfonamides, amiodarone, tetracyclines, 5-FU
stevens-Johnson
anti epileptic drugs, allopurinol, sulfa drugs, penicillin
SLE-like syndrome
sulfa-drugs, hydrazine, INH, procainamide,
teeth discoloration
tetracyclines
tendonitis, rupture
fluoroquinolones
cinchonism (dizziness, HA, vision changes, tinnitus)
quinidine, quinine
parkinson-like syndrome
antipsychotics, reserpine, metoclopramide
seizures
isoniazid (due to B6 deficiency), bupropion, imipenem/cilastatin, tramadol, enflurane, metoclopramide
tardive dyskinesia
antipsychotics, metoclopramide
diabetes insipidus
lithium, demeclocylcine
fanconi syndrome
expired tetracycline
hemorrhagic cystitis
cyclophosphamide, ifosfamide
interstitial nephritis
methicillin, NSAIDs, furosemide
SIADH
carbamazepine, cyclophosphamide, SSRIs
cough
ACE inhibitors
pulmonary fibrosis
bleomycin, amiodarone, busulfan, methotrexate
disulfiram- like reactions
disulfiram, metronidazole, certain cephalosporins, griseofulvin, procarbazine, 1st gen. sulfonylureas
nephrotoxicity/ototoxicity
aminoglycosides, vancomycin, loop diuretics, cisplatin