Drug Reactions - Name Causal Agent Flashcards
Coronary Vasospasm
Cocaine, Sumatriptan, Ergot Alkaloids
Cutaneous flushing
Vancomycin, Adenosine, Niacin, CC-blockers
“VANC”
Dilated Cardiomyopathy
Doxorubicin (Adriamycin), Daunorubicin
Torsades de pointes
Class III (Sotalol) & Class IA (Quinidine) antiarrhythmics
Agranulocytosis
Clozapine, Carbamazepine, Colchicine, Propylthiouracil, Methimazole, Dapsone
“Agranulocytosis Could Certainly Cause Pretty Major Damage”
Aplastic anemia
Chloramphenicol, Benzene, NSAIDS, Propylthiouracil, Methimazole
Direct Coombs-positive hemolytic anemia
Methyldopa, Penicillin
Gray baby syndrome
Chloramphenicol
Hemolysis in G6PD-deficient patients
Isoniazid (INH), Sulfonamides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
“Hemolysis IS PAIN”
Megaloblastic anemia
Phenytoin, Methotrexate, Sulfa drugs
“having a BLAST w/ PMS”
Thrombotic complications
OCPs (estrogens)
Cough
ACE-inhibitors
Note: ARBs, like Losartan = no cough
Pulmonary Fibrosis
BLeomycin, Amiodarone, Busulfan
“it’s hard to BLAB when you have pulmonary fibrosis”
Acute Cholestatic Hepatitis, Jaundice
Erythromycin
Focal to massive hepatic necrosis
Halothane, Amanita phalloides, Valproic acid, Acetaminophen
“Liver HAVAc”
Hepatitis
INH
Pseudomembranous Colitis
Clindamycin, Ampicillin
Adrenocortical insufficiency
Glucocorticoid w/drawal (HPA suppression)
Gynecomastia
Spironolactone, Digitalis, Cimetidine, Alcohol (chronic use), Estrogens, Ketoconazole
“Some Drugs Create Awkward Effin’ 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-α, Penicillamine, Statins, Glucocorticoids
“Finsh N CHIPS Give you myopathies”
Osteoporosis
Corticosteroids, Heparin
Photosensitivity
Sulfonamides, Amiodarone, Tetracycline
“SAT for a photo”
Rash (SJS)
Penicillin, Ethosuximide, Caramazepine, Sulfa drugs, Lamotrigine, Allopurinol, Phenytoin, Phenobarbital
“Bad rash after a PEC SLAPP”
SLE-like syndrome
Hydralazine, INH, Procainamide, Phenytoin
“It’s not HIPP to have lupus”
Teeth (kids)
Tetracyclines
Tendonitis, tendon rupture, & cartilage damage
Fluoroquinolones
Diabetes Insipidus
Lithium, Demeclocycline
Fanconi’s Syndrome
Expired Tetracycline
Hemorrhagic Cystitis
Cyclophosphamide, Ifosfamide (prevent by coadministering w/ mesna)
Interstitial Nephritis
Methicillin, NSAIDS, Furosemide
SIADH
Carbamazepine, Cyclophosphamide
Cinchonism
Quinidine, Quinine
Parkinson-like syndrome
Antipsychotics, Reserpine, Metoclopramide
Seizures
Isoniazid, Bupropion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
“w/ seizures, I BITE My tongue”
Tardive dyskinesia
Antipsychotics
Antimuscarinic
Atropine, TCAs, H1-blockers, Neuroleptics
Disulfiram-like reaction
Metronidazole, certain Cephalosporins, Procarbazine, 1st generation Sulfonylureas
Nephrotoxicity/Ototoxicity
Aminoglycosides, Vancomycin, Loop Diuretics, Cisplatin