Drug Side Effects Flashcards
Flushing
niacin, vancomycin (red man syndrome), adenosine, dihydropyridine calcium channel blockers
Coronary artery vasospasm
cocaine, amphetamines, triptans, ergotamine
Dilated cardiomyopathy
doxorubicin, daunorubicin
Torsades de pointes (prolonged QT)
potassium channel blockers (class III), sodium channel blockers (class IA), macrolides, haloperidol, chloroquine, protease inhibitors (ritonavir)
Thrombocytopenia
heparin, cimetidine
Agranulocytosis
clozapine, carbamazepine, colchicine, propylthiouracil, methimazole, dapsone
-think of the C’s + antithyroid drugs
Aplastic anemia
chloramphenicol, benzene, NSAIDs, propylthiouracil, methimazole
Gray baby syndrome
chloramphenicol
Hemolysis in G6PD deficiency
isoniazid, sulfonamides, primaquine, aspirin (high-dose), ibuprofen, nitrofurantoin, dapsone, fava beans, naphthalene
Thrombosis
oral contraceptives
Pulmonary fibrosis
amiodarone, bleomycin, busulfan
Cough
ace inhibitors
Pseudomembranous colitis
clindamycin, amoxicillin/ampicillin
Hepatic necrosis
halothane, acetaminophen, valproic acid, amanita phalloides (mushroom toxin)
Hepatitis
isoniazid
Tertiary adrenal insufficiency
corticosteroid withdrawal
Gynecomastia
“Some drugs cause awesome knockers”
Spirinolactone, Digoxin, Cimetidine, Alcohol, Ketoconazole (and estrogens)
Hot flashes
tamoxifen, clomiphene
Hypothyroidism
amiodarone, lithium, sulfonamides
Gout
diuretics (loop and thiazide), niacin, cyclosporine, pyrazinamide
Gingival hyperplasia
phenytoin, verapamil
Osteoporosis
corticosteroids, heparin
Photosensitivity
Tetracycline, amiodarone, sulfonamides
Stevens-Johnson syndrome
Steve Jobs made APPLE PCS - Allopurinol, Phenytoin, Phenobarbital, Lamotrigine, Ethosuxamide, Penicillin, Carbamazepine, Sulfonamide
Drug-induced lupus
sulfonamides, hydralazine, isoniazid, procainamide, phenytoin (SHIPP)
Tendinitis/cartilage damage
fluoroquinolones
Interstitial nephritis
NSAIDs, furosemide, antibiotics
Diabetes insipidus
lithium, demeclocycline
Fanconi syndrome
expired tetracycline
Hemorrhagic cystitis
cyclophosphamide, ifosfamide
Parkinson-like syndrome
metaclopramide, antipsychotics, reserpine
Cinchonism (dizziness, HA, vision change, tinnitus)
quinidine, quinine
Seizures
bupropion, imipenem/cilastatin, isoniazid, tramadol, metoclopramide, benzos/alcohol withdrawal
Tardive dyskinesia
antipsychotics, metoclopramide
Disulfiram-like rxn
metronidazole, certain cephalosporins, procarbazine, first-generation sulfonylureas, disulfiram
Nephrotoxicity + Neurotoxicity
aminoglycosides, cisplatin, polymixins
Nephrotoxicity + Ototoxicity
aminoglycosides (streptomycin), vanco, loop diuretics, cisplatin
Anticholinergic effects
atropine, TCAs, H-1 blockers, low-potency neuroleptics
Induce Cyp450 enzymes
Coronas, Guiness, and PBRS induce chronic alcoholism - Carbamazepine, Griseofulvin, Phenytoin, Rifampin, St. Johns wort, Chronic alcohol use
SE of Phenytoin
“Phenytoin Has Given MD’S Frustation” - Peripheral neuropathy, Hirsuitism, Gingival hyperplasia, Megaloblastic anemia, Drug-induced lupus, SJS, Fetal hydantoin syndrome
Drugs that can be harmful in sulfa allergy
“Sulfa Pills Frequently Cause Terrible Allergy Symptoms” - Sulfasalazine, Probenicid, Furosemide, Celecoxib, Thiazides/TMP-SMX, Acetazolamide, Sulfonylureas