Drug toxicities Flashcards
drugs that cause coronary vasospam
- Cocaine
- sumatriptan
- ergot alkaloids (Bromocriptine)
drugs that cause cutaneous flushing
- VANCOMYCIN
- Adenosine
- Niacin
- Ca2+ channel blockers
drugs that cause Dilated cardiomyopathy
Anthracyclines (eg. doxorubicin, daunorubicin)
how to prevent antracyclines mediated dilated cardioyopathy
dexrazoxane
drugs that cause Torsade de pointes
ABCDE
- AntiArrhythmics (class IA, III)
- AntiBiotics (eg. Macrolides)
- AntiCychotices (eg. haloperidol)
- AntiDepressants (eg. TCA)
- AntiEmetics (ondansetron
torsade de pointes - treatment
Magnesium sulfate
other causes of torsade de pointes beside drugs
hypokalemia
hypomagnisemia
drugs that cause HPA adrenocortical insufficinecy
HPA suppression 2ry to glucocorticoid withdrawal
drugs that cause Hot flashes
- Clomiphene
2. Tamoxifen
drugs that cause hyperglycemia
- Tacrolimus
- protease inhibitors
- Niacin
- hydrochlorothiazide
- Corticosteroids
drugs that cause hypothyroidism
- Lithium
- amiodarone
- sulfonamides
drugs that cause acute cholestiatic hepatitis and jundice
Erytrhomycin (Macrolides)
drugs that cause Diarrhea
- Acamprosate -
- Acarbose
- cholinesterase inhibitors
- colchicine
- erythromycin -
- ezetimibe
- metformin
- misoprostol -
- orlistat
- pramlintide -
- quinidine -
- SSRIs
drugs that cause Focal to massive hepatic necrosis
- Halothane
- Amanita phalloides (death cap mushroom)
- Valproic acid
- Acetaminophen
drugs that cause hepatitis
- Rifampin
- Isoniazid
- Pyrazinamide
- Statins
- fibrates
drugs that cause Pancreatitis
Drugs Causing A Violent Abdominal Distress
- Didanosine
- Corticosteroids
- Alchohol
- Valproic acid
- Azathioprine
- Diuretics (furosemide, thiazides)
drugs that cause Pill-induced esophagitis
- Tetracyclines
- biphosphanates
- Potasium chloride
Pill-induced esophagitis - caustic effects minimized with
upright posture and adequate water ingestion
drugs that cause pseudomembranous colitis
- Clindamycin
- ampicillin
- cephalosporne
- PPIs
Drugs that cause dry cough
ACE inhibitors
drugs that cause Pulmonary fibrosis
- Methotrexate
- Bleomycin
- Busulfan
- Amiodarone
- Carmustine
- Nitrofurantoin
drugs that cause thrombotic complications
OCP
Horomne replacement therapy
drugs that cause thrombocytopenia
- Heparin
- Antiarrhythmics class IA
- sulfa
drugs that cause Megaloblastic anemia
- Phenytoin
- Methotrexate
- Sulfa drugs
drugs that cause Hemolysis in G6PD deficinecy
- Isonizid
- Sulfonamies
- Dapsone
- Primaquine
- Aspirin
- Ibuprofen
- Nitrofurantoin
drugs that cause Gray baby syndrome
Chloramphenicol
Direct Coombs-positive hemolytic anemia
- Methyldopa
2. penicillin
drugs that cause aplastic hemolytic anemia
- Carbamazepine
- Methimazole
- NSAID
- Benzene
- Chloramphenicol
- Propylthiouracil
drugs that cause agranulocytosis
- Clozapine
- Carbamazepine
- Propylthuouracil
- Methimaazol
- Colchicine
- Ganciclovir
drugs that cause fat redistribution
- Protease inhibitor
2. Glucocorticoids
drugs that cause gingival hypeplasia
- Phenytoin
- Ca2+ channel blockers
- Cyclosporine
drugs that cause gout
- Pyrazinamide
- Thiazides
- Furosemide
- Niacin
- Cyclosporine
drugs that cause myopathy
- fibrates
- niacin
- colchicine
- Hydrxychloroquine
- interferon α
- penicillamine
- statins
- glucocorticoids
drugs that causeOsteoprosis
- corticosteroids
2. heparin
drugs that cause teeth discoloration
Tetracyclines
drugs that cause Tendonitis, tendon rupture, and cartilage damage
Fluoroquinolones
drugs that cause SLE-like syndrome
- Sulfa drugs
- Hydralazine
- Isoniazid
- Procainamide
- Phenytoin
- Etanercept
drugs that cause Stevens Johnson syndrome
- Anti-epileptic drugs (esp lamotrigine)
- Allopurinol
- sulfa drugs
- penicillin
drugs that cause Photosensitivity
- Sulfonamifes
- amiodarone
- Tetracuclines
- 5-FU
drugs that cause Cinchonism
- Quinidine
2. Quinine
drugs that cause Parkinson like-syndrome
- Antipsychotics
- Reserpine
- Metoclopramide
drugs that cause Tarditve dyskinesia
- Antipsychotics
2. metoclopramide
drugs that cause Seizures
- isoniazid (vit B6 deficinecy)
- Bupropion
- Impipenem/cilastatin
- Tramadol
- Enflurane
drugs that cause antimuscarinic
- atropine
- TCA
- HI-blockers
- Antipsychotics
drugs that cause disulfiram like reaction
- Metronidazole
- certain cephalosporins
- griseofulvin
- procarbazine
- 1st generation sulfonylureas
drugs that cause Nephrotoxicity/ototoxicity
- aminoglycosides
- vancomycin
- loop diuretics
- cisplatin
cisplatin toxicity may respond to
amifostine
Cytochrome P-450 inducers
- Chronic alcohol use
- St John’s wort
- Pheyntoin
- Phenobarbital
- Nevirapine
- Rifampin
- Griseofulvin
- Carbamazepine
Cytochrome P-450 substrates
- Anti-epileptics
- Theophilline
- Warfarin
- OCPs
Cytochrome P-450 inhibitors
- Acute alcohol abuse
- Ritonavir
- Amiodarone
- Cimetidine
- Ciprofloxacin
- Ketoconazole
- Suldonamides
- Isonizid
- Grapefruit juice
- Macrolides (except azithromycin)
Sulfa drugs - drugs?
- Sulfonamide antibiotics
- Sulfasalazine
- Probenecid
- Furosemide
- Acetazolamide
- Celecoxib
- Thiazides
- Suldonylureas
Patients with sulfa allergies may develop
- fever
- UTI
- Steven Johnson syndrome
- hemolytic anemia
- Thrombocytopenia
- Agranulocytosis
- urticaria
SYMPTOMS RANGE FROM MILD TO LIFE THREATENING
drugs that cause SIADH
- carbamazepine
- Cyclophosphamide
- SSRIs
drugs that cause diabetes insibidus
- Lithium
2. Demeclocycline
drugs that cause Fanconi syndrome
- Tendofovir
- Ifosfamide
- cisplatin
- expired tetracycline
- Lead poisoning
drugs that cause interstitial nephritis
- Methicillin
- NSAID
- Furosemide
drugs that cause Hemorrhagic cystitis
- Cyclophosphamide
2. Ifosphamide
drug induced Hemorrhagic cystitis is prevented by
coadministration of mesna