Drug reactions Flashcards
Coronary vasopasm
Cocaine, Sumitriptan, ergot alkaloids
Cutaneous flushing
Vancomycin, Adenosine, Niacin, Ca channel blockers- VANC
Dilated cardiomyopathy
Doxorubicin (adriamycin), Daunorubicin
Torsades de pointes
Class III (satolol) and class IA (quinidine) antiarrhythmics. Tx with Mg
Agraulocytosis
Clozapine, Carbamazepime, Colchicine, PTU< Methimazole, Dapsone
Aplastic Anemia
Chloramphenicol, benzene, NSAIDs, PTU, methimazole
Direct Coombs positive hemolytic anemia
Methyldopa, Penicillin
Gray baby syndrome
Chloramphenicol
Hemolysis in G6PD pts
INH, sulfonamides, Primaquine, ASA, Ibuprofen, Nitrofurantoin
Megaloblastic anemia
Phenytoin, Methotrexate, Sulfa drugs
Thrombotic complications- swollen lengs, pulmonary embolism
OCPs- Estrogens
Cough
ACE inhibitors
Pulmonary fibrosis
Bleomycin, Amiodarone, Busulfan
Acute cholestatic hepatitis, jaundice
Erythromycin
Focal to massive hepatic necrosis
Halothane, Amanita phalloides, Valproic Acid, APAP
Hepatitis
INH
Pseudomembranous colitis
Clindamycin, Ampicillin, cephalosporin
Pancreatitis
Azathioprene, sulfonamides, corticosteroids
Adrenocortical insufficiency
Glucoroticoid withdrawal due to HPA suppression
Gynecomastia
Spironolactone, digitalis, Cimetidine, Alcohol, Estrogens, Ketoconazole
(Some Drugs Create Awkward Knockers)
Hot flashes
Tamoxifen, clomiphene
Hyperglycemia
Niacin, tacrolimus, protease inhibitors, HCTZ, corticosteroids
Hypothyroidism
Li, Amiodarone, Sulfonamides
Fat redistribution
Glucoccorticoids, Protease inhibitors
Gingival hyperplasia
Phenytoin Verapamil
Gout
Furosemide, Thiazides, Niacin, Cyclosporine
Myopathies
Fibrates, Niacin, Colchicine, Hydroxychloroquine, IFN alpha, penicillamine, statins, glucoccorticoids
Osteoperosis
Corticosteroids, Heparin
Photosensitivity
Sulfonamides, Amiodarone, Tetracycline
Rash- Stevens- Johnson Syndrome
Penicillin, Ehtosuxamide, Carbamazepine, Sulfa drugs, Lamotrigine, Allopurinol, Phenytoin, Phenobarbital
SLE like syndromes
Hydralazine, INH, Procainamide, Phenytoin
Effect kids teeth
Tetracycline
Tendonitis, tendon rupture, cartilage damage
Fluroquinolones
Diabetes Insipidus
Li, demeclocycline
Fanconi’s syndrome
Expired tetracycline
Hemorrhagic Cystitis
Cyclophosphamide, Ifosfamide
Prevent with coadmin of Mesna
Interstitial nephritis
Methicillin, NSAIDs, furosemide
SIADH
carbamazepine, cyclophosphamide
Cinchonism
Quinidine, Quinine
Parkinson like syndrome
Antipsychotis, reserpine, metoclopramide
Seizures
Isoniazid, Burpoprion, Imipenem/Cislastin, Tramadol, Enflurane, Metoclopramide
Tardive Dyskinesia
Antipsychotics
Antimuscarinin
Atropine, TCAs, H1 blockers, neuroleptics
Disulfram like reactions
Metronidazole, cephalosporins, procarbazine, 1st gen sulfonylureas
Nephrotoxicity/ ototoxicity
Aminoglycosides, vancomycin, loop diuretics, cisplatin
CYP 450 Inducers
Modafinil Barbituates St.John's wart Phenytoin Rifampin Griseofluvin Carbamazepine Chronic alcohol use Momma Bard Steals Phen-phen and Refuses Greasy Carbs Chronically
CYP 450 Inhibitors
Macrolides Amiodarone Grape fruit juice Isoniazid Cimetidine Ritonavir Acute alcohol abuse Ciprofloxacin Ketoconozale Sulfonamides Gemfibrozil Quinidine MAGIC RACKS in GQ