Drug Reactions Flashcards
(cardiovascular) Coronary vasospasm
Cocaine, sumatriptan, ergot alkaloids
(cardiovascular) Cutaneous flushing
Vancomycin, Adenosine, Niacin, Ca2+ channel blockers; Mnemonic: “VANC”
(cardiovascular) Dilated cardiomyopathy
Doxorubicin, daunorubicin
(cardiovascular) Torsades de pointes
Class III (e.g., sotalol) and class IA (e.g., quinidine) antiarrhythmics, macrolide antibiotics, antipsychotics, TCAs
(endocrine/reproductive) Adrenocortical insufficiency
HPA suppression 2¡ to glucocorticoid withdrawal
(endocrine/reproductive) Hot flashes
Tamoxifen, clomiphene
(endocrine/reproductive) Hyperglycemia
Tacrolimus, Protease inhibitors, Niacin, HCTZ, beta-blockers, Corticosteroids; Mnemonic: “Taking Pills Necessitates Having Blood Checked”
(endocrine/reproductive) Hypothyroidism
Lithium, amiodarone, sulfonamides
(GI) Acute cholestatic hepatitis, jaundice
Erythromycin
(GI) Diarrhea
Metformin, Erythromycin, Colchicine, Orlistat, Acarbose; Mnemonic: “Might Excite Colon On Accident”
(GI) Focal to massive hepatic necrosis
Halothane, Amanita phalloides (death cap mushroom), Valproic acid, Acetaminophen; Mnemonic: Liver “HAVAc”
(GI) Hepatitis
INH
(GI) Pancreatitis
Didanosine, Corticosteroids, Alcohol, Valproic acid, Azathioprine, Diuretics (furosemide, HCTZ); Mnemonic: “Drugs Causing A Violent Abdominal Distress”
(GI) Pseudomembranous colitis
Clindamycin, ampicillin, cephalosporins ; Mnemonic: Antibiotics predispose to superinfection by resistant C. difficile
(Hematologic) Agranulocytosis
Dapsone, Clozapine, Carbamazepine, Colchicine, Methimazole, Propylthiouracil; Mnemonic: Drugs CCCrush Myeloblasts and Promyelocytes
(Hematologic) Aplastic anemia
Carbamazepine, Methimazole, NSAIDs, Benzene, Chloramphenicol, Propylthiouracil; Mnemonic: Can’t Make New Blood Cells Properly
(Hematologic) Direct Coombs- positive hemolytic anemia
Methyldopa, penicillin
(Hematologic) Gray baby syndrome
Chloramphenicol
(Hematologic) Hemolysis in G6PD deficiency
INH, Sulfonamides, Dapsone, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin; Mnemonic: Hemolysis IS D PAIN
(Hematologic) Megalo”blast”ic anemia
Phenytoin, Methotrexate, Sulfa drugs; Mnemonic: Having a blast with PMS
(Hematologic) Thrombocytopenia
Heparin, cimetidine
(Hematologic) Thrombotic complications
OCPs (e.g., estrogens)
(Musculoskeletal/skin/connective tissue) Fat redistribution
Protease inhibitors, Glucocorticoids; Mnemonic: Fat PiG
(Musculoskeletal/skin/connective tissue) Gingival hyperplasia
Phenytoin, verapamil, cyclosporine, nifedipin
(Musculoskeletal/skin/connective tissue) Hyperuricemia (gout)
Pyrazinamide, Thiazides, Furosemide, Niacin, Cyclosporine; Mnemonic: Painful Tophi and Feet Need Care
(Musculoskeletal/skin/connective tissue) Myopathy
Fibrates, niacin, colchicine, hydroxychloroquine, interferon-, penicillamine, statins, glucocorticoids
(Musculoskeletal/skin/connective tissue) Osteoporosis
Corticosteroids, heparin
(Musculoskeletal/skin/connective tissue) Photosensitivity
Sulfonamides, Amiodarone, Tetracyclines, 5-FU; Mnemonic: “SAT For Photo”
(Musculoskeletal/skin/connective tissue) Rash (Stevens- Johnson syndrome)
Antiepileptic drugs (ethosuximide, carbamazepine, lamotrigine, phenytoin, phenobarbital), Allopurinol, Sulfa drugs, Penicillin; Mnemonic: “Steven Johnson has epileptic Allergy to Sulfa drugs and Penicillin”
(Musculoskeletal/skin/connective tissue) SLE-like syndrome
Sulfa drugs, Hydralazine, INH, Procainamide, Phenytoin, Etanercept; Mnemonic: Having lupus is “SHIPP-E”
(Musculoskeletal/skin/connective tissue) Teeth discoloration
Tetracyclines
(Musculoskeletal/skin/connective tissue) Tendonitis, tendon rupture, and cartilage damage
Fluoroquinolones
(Neurologic) Cinchonism
Quinidine, quinine
(Neurologic) Parkinson-like syndrome
Antipsychotics, Reserpine, Metoclopramide ; Mnemonic: Cogwheel rigidity of ARM
(Neurologic) Seizures
INH (vitamin B6 deficiency), Bupropion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide; Mnemonic: With seizures, I BITE My tongue
(Neurologic) Tardive dyskinesia
Antipsychotics, metoclopramide
(Renal/genitourinary) Diabetes insipidus
Lithium, demeclocycline
(Renal/genitourinary) Fanconi syndrome
Expired tetracycline
(Renal/genitourinary) Hemorrhagic cystitis
Cyclophosphamide, ifosfamide ; Rx:Prevent by co-administering with mesna
(Renal/genitourinary) Interstitial nephritis
Methicillin, NSAIDs, furosemide
(Renal/genitourinary) SIADH
Carbamazepine, Cyclophosphamide, SSRIs ; Mnemonic: Can’t Concentrate Serum Sodium
(Respiratory) Dry cough
ACE inhibitors
(Respiratory) Pulmonary fibrosis
Bleomycin, Amiodarone, Busulfan, Methotrexate; Mnemonic: Breathing Air Badly from Medications
Antimuscarinic
Atropine, TCAs, H1-blockers, antipsychotics
Disulfiram-like reaction
Metronidazole, certain cephalosporins, griseofulvin, procarbazine, 1st-generation sulfonylureas
Nephrotoxicity/ ototoxicity
Aminoglycosides, vancomycin, loop diuretics, cisplatin