Drug Side-Effects/Interactions Flashcards
Photosensitivity drugs
SAT: Sulfonamides, Amiodarone, Tetracyclines
Grey baby syndrome, Grey man syndrome, Red man syndrome?
Chloramphenicol; Amiodarone; Vancomycin
What drugs should a patient with a Sulfa allergy avoid?
PFACTSSS: Probenecid, Furosemide, Acetazolamide, Celecoxib, Thiazides, Sulfonamide abx, Sulfasalazine, Sulfonylureas
What drugs cause a disulfiram-like rxn?
Disulfiram (antabuse), certain Cephalosporins, Metronidazole, 1st gen Sulfonylureas, Procarbazine
Drug-induced Lupus
SHIPP: Sulfonamides, Hydralazine, INH, Procainamide, Pheytoin (dX with anti-Histone antibodies)
Drugs that induce P450
BCG PQRS: Barbiturates, Carbamazepine, Griseofulvin, Phenytoin, Quinidine, Rifampin, St. John’s Wart
Drugs that inhibit P450
PICK EGS: Protease inhibitors, INH, Cemitidine, Ketoconazole, Erythromycin, Grapefruit Juice, Sulfonamides
Drugs with anti-muscarinic effects:
- Atropine
- TCAs (e.g., amitriptyline)
- H1 receptor antagonists (e.g., diphenhydramine)
- Neuroleptics
- Antiparkinsonian drugs
Drugs that cause coronary vasospasm
Sumatriptan, ergot alkaloids, cocaine, amphetamines
Drugs that cause cutaneous flushing
VANC: Vancomycin, Adenosine, Niacin, CCBs
Drugs that cause dilated cardiomyopathy
Doxorubicin, Duanorubicin
Drugs that cause torsades de pointes
Class IA (quinidine) and Class III (sotalol) antiarrhythmics, Macrolides, Haloperidol, Risperidone, Antimalarials, Methadone, Protease Inhibitors *Tx with Magnesium sulfate
Drugs that cause agranulocytosis
Clozapine, Carbamazepine, Colchicine, Propylthiouracil, Methimazole, Dapsone
Drugs that cause aplastic anemia
Chloramphenicol, Benzene, NSAIDs, Propylthiouracil, Methimazole
Drugs that cause direct coombs-positive hemolytic anemia
Methyldopa, Penicillin
Drugs that cause gray baby syndrome
Chloramphenicol
Drugs that cause hemolysis in G6PD deficient patients
“Hemolysis IS PAIN”
*Isoniazid, Sulfonamides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin; also Dapsone, Napthelene, Fava beans
Drugs that cause megaloblastic anemia
“Having a blast with PMS”
*Phenytoin, Methotrexate, Sulfa drugs
Drugs that cause thrombotic complications (DVT, PE)
OCPs, especially in smokers, >35, migraine with aura
Drugs that cause thrombocytopenia
Heparin, H2 blockers
Drugs that cause cough
ACE-Is
Drugs that cause pulmonary fibrosis
Bleomycin, Amiodarone, Bisulfan
Drugs that cause acute cholestatic hepatitis and jaundice
Erythromycin (though macrolides are generally safe in pregnancy)
Drugs that cause focal to massive hepatic necrosis
“Liver HAVAc”
*Halothane, Amanita phalloides (alpha-amanitin inhibits RNA polymerase II, causing hepatotoxicity), Valproic acid, Acetaminophen
Drugs that cause hepatitis
INH
Drugs that cause pseudomembranous colitis
Clindamycin, ampicillin, all abx
Drugs that cause adrenal insufficiency (tertiary)
Glucocorticoid withdrawal (HPA suppression)
Drugs that cause gynecomastia
“Some Drugs Create Awkward Knockers”
*Spironolactone, Digitalis, Cimetidine, chronic Alcohol use, Ketoconazole; also Marijuana
Drugs that cause hot flashes
Tamoxifen, Clomiphene
Drugs that cause hyperglycemia
Niacin, Tacrolimus, Protease inhibitors, HCTZ, Corticosteroids
Drugs that cause hypothyroidism
Lithium, Amiodarone, Sulfonamides
Drugs that cause fat redistribution
Glucocorticoids, Protease inhibitors
Drugs that cause gingival hyperplasia
Phenytoin, Verapamil
Drugs that cause gout
Furosemide, Thiazides, Niacin, Cyclosporine
Drugs that cause myopathies
“Fish N CHIPS Give you myopathies”
*Fibrates, Niacin, Colchicine, Hydroxychloroquine, Interferon-alpha, Penicillamine, Statins, Glucocorticoids
Drugs that cause osteoporosis
Corticosteroids, heparin
Drugs that cause rash (Stevens-Johnsons syndrome)
“Bad rash after a PEC SLAPP”
*Penicillin, Ethosuximide, Carbamazepine, Sulfa drugs, Lamotrigine, Allopurinol, Phenytoin, Phenobarbital
(Seizures, Sulfas, -Cillins)
Drugs that cause photosensitivity
“SAT for a photo”
*Sulfonamides, Amiodarone, Tetracycline
Drugs that cause SLE-like syndrome
SHIPP
*Sulfonamide, Hydralazine, INH, Procainamide, Phenytoin
Drugs that affect teeth (kids)
Tetracylines
Drugs that cause diabetes insipidus
Lithium, Demeclocycline
*Tx with Hydrochlorothiazide (plus Ameloride for Lithium-induced NDI)
Drugs that cause Fanconi’s syndrome
*Defective PCT reabsorption:
Expired tetracycline, heavy metal exposure, Wilson’s disease
Drugs that cause tendonitis, tendon rupture, cartilage damage
Fluoroquinolones
Drugs that cause hemorrhagic cystitis
Cyclophosphamide, ifosfamide (prevent by coadministering with Mesna)
Drugs that cause interstitial nephritis
Methicillin, NSAIDs, Furosemide
Drugs that cause SIADH
Carbamazepine, Cyclophosphamide
Drugs that cause Parkinson-like syndrome
Antipsychotics, Reserpine, Metoclopramide, MPTP (toxic metabolite of illegal demerol production)
Drugs that cause seizures
“With seizures, I BITE My tongue”
- INH, Buproprion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
- Also, evening primrose oil and BZD/EtOH withdrawal
Drugs that cause cinchonism
Quinidine, quinine
Drugs that cause tardive dyskinesia
Antipsychotics
Drugs that cause disulfiram reaction
Metronidazole, certain Cephalosporins, Procarbazine, 1st generation Sulfonylureas, Disulfiram
Drugs that cause antimuscarinic symptoms
Atropine, TCAs, H1 blockers, Neuroleptics
Drugs that cause nephrotoxicity/ototoxicity
Aminoglycosides, Vancomycin, Loop diuretics, Cisplatin