Drug Side Effects Flashcards

0
Q

Coronary vasospasm

A
  • Cocaine
  • Amphetamines
  • Methamphetamines
  • Triptans: sumatriptan
  • Ergotamines
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1
Q

Anticholinergic

A
  • Atropine: prototypical anticholinergic
  • TCAs
  • H1 blockers: diphenhydramine
  • Digoxin
  • Low Potency Neuroleptics
  • Amantadine
  • Promethazine
  • dont give to PTs with potential for confusion/delirium or PTs with BPH, ileus problems or constipationo
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2
Q

Cutaneous flushing

A
  • Vancomycin: red man syndrome
  • Niacin
  • Adenosine: potent vasodilation
  • Dihydropyridine CCBs: via smooth muscle relaxation
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3
Q

Dilated cardiomyopathy

A
  • Doxorubicin

- Daunorubicin

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4
Q

Torsades de pointes

A

Drugs that prolong QT interval:

  • Class III K+ channel blockers
  • Class IA Na+ channel blockers
  • Macrolides
  • Haloperidol
  • Chloriquine
  • Protease inhibitors

*Tx: push IV magnesium

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5
Q

Agranulocytosis

A
  • Clozapine
  • Carbamazepine
  • Colchicine
  • PTU
  • Methimazole
  • Dapsone
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6
Q

Aplastic anemia

A
  • Chloramphenicol
  • Benzene
  • NSAIDs
  • PTU
  • Methimazole
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7
Q

Thrombocytopenia

A
  • Heparin

- H2 blockers: -itidine

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8
Q

Gray baby syndrome

A

Chloramphenicol

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9
Q

Hemolysis in G6PD patients

A
  • INH
  • Sulfonamides
  • Primaquine
  • High dose aspirin
  • Ibuprofen
  • Nitrofurantioin- UTI drug
  • Dapsone
  • Fava beans
  • Naphthalene
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10
Q

Thrombosis

A

Oral Contraceptives

-Esp. If PT is a smoker >35 yrs of age

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11
Q

Pulmonary fibrosis

A
  • Bleomycin
  • Busulfan
  • Amiodarone: PFTs, LFTs, TFTs
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12
Q

Cough

A

ACE inhibitors

-d/t excess bradykinin

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13
Q

Focal to massive hepatic necrosis

A
  • Halothane
  • Acetaminophen
  • Valproic acid
  • Amanita phalloides (mushroom toxin)
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14
Q

Pseudomembranous colitis

A
  • Clindamycin
  • Ampicillin
  • Any antibiotic
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15
Q

Adrenocortical insufficiency

A

Withdrawal of corticosteroids in a PT dependent on exogenous steroids

16
Q

Gynecomastia

A
  • Spironolactone
  • Digitalis
  • Cimetidine
  • Chronic alcohol use
  • Estrogens
  • Ketoconazole
  • Marijuana
17
Q

Hot flashes

A
  • Tamoxifen

- Clomiphene

18
Q

Hypothyroidism

A
  • Amiodarone
  • Lithium
  • Sulfonamides
19
Q

Gingival hyperplasia

A
  • Phenytoin

- Verapamil

20
Q

Gout

A
  • Furosemide
  • Thiazides
  • Niacin
  • Cyclosporine
  • Pyrazinamide
21
Q

Osteoporosis

A
  • Corticosteroids >3 mo

- Heparin

22
Q

Photosensitivity

A
  • Sulfonamides
  • Amiodarone
  • Tetracycline
23
Q

Stevens-Johnson syndrome

A
  • Seizure drugs: Ethosuximide, Carbamazepine, Lamotrigine, Phenytoin, Phenobarbital
  • Sulfa drugs
  • Penicillin
  • Allopurinol
24
Drug-induced SLE
- Sulfonamides - Hydralazine - INH - Phenytoin - Procainamide
25
Tendon rupture/cartilage damage
Fluroquinolones
26
Fanconi syndrome
Proximal tubular defect - Expired tetracycline - Heavy metal exposure Also associated with Wilson's disease
27
Interstitial nephritis
- Methicillin - NSAIDs - Furosemide
28
Dizziness, nausea, headache, vision changes, tinnitus
- Quinidine: Class IA anti-arrhythmic | - Quinine
29
Nephrogenic diabetes insipidus
- Lithium - Demeclocycline *Tx: HCTZ
30
Seizures
- Bupropion - Imipenem/Cilastatin - INH - Tramadol - Metoclopramide - Alcohol withdrawal - Benzo withdrawal
31
Tardive dyskinesia
High potency typical antipsychotics
32
Disulfiram-like reaction
- Metronidazole - certain Cephalosporins - Procarbazine - First generation sulfonylureas - Disulfiram
33
Nephrotoxicity + Neurotoxicity
- Aminoglycosides - Cisplatin - Polymyxins
34
Nephrotoxicity + Ototoxicity
- Aminoglycosides - Vancomycin - Loop diuretics - Cisplatin
35
Hepatitis
INH
36
Hemorrhagic cystitis
- Cyclophosphamide | - Ifosfamide
37
CYP450 inducers
- Phenytoin - Rifampin - St. John's wort - Barbiturates - Griseofulvin - Carbamazepine
38
CYP450 inhibitors
- Cimetidine - Ritonavir - Amiodarone - Ciprofloxacin - Ketoconazole - Acute alcohol use - Macrolides - INH - Grapefruit juice - Omeprazole - Sulfonamides