ED: Drug Side Effects Flashcards
ACE Inhibitors
Cough, rash, proteinuria, angioedema, taste changes, teratogenic effects
Amantadine
Ataxia, livedo reticularis
Aminoglycosides
Ototoxicity, nephrotoxicity (acute tubular necrosis)
Amiodarone
Acute: AV block, hypotension, bradycardia. Chronic: pulmonary fibrosis, peripheral deposition leading to bluish discoloration, arrhtyhmias, hypo/hyperthyroidism, corneal deposition
Amphotericin
Fevers/rigors, nephrotoxicity, bone marrow suppression, anemia
Antipsychotics
Sedation, acute dystonic reaction, akathisia, parkinsonism, tardive dyskinesia, NMS
Azoles
Inhibition of P-450 enzymes
AZT
Thrombocytopenia, megaloblastic anemia
Beta Blockers
Asthma exacerbation, masking of hypoglycemia, impotence, bradycardia, AV block, CHF
Benzodiazepines
Sedation, dependence, respiratory depression
Bile acid resins
GI upset, malabsorption of vitamins and medications
Carbamazepine
Induction of P450 enzymes, agranulocytosis, aplastic anemia, liver toxicity
Calcium channel blockers
Peripheral edema, constipation, cardiac depression
Chloramphenicol
Gray baby syndrome, aplastic anemia
Cisplatin
Nephrotoxicity, acoustic nerve damage
Clonidine
Dry mouth; severe rebound headache and hypertension
Clozapine
Agranulocytosis
Corticosteroids
Mania; hyperglycemia (acute), immunosuppression, bone mineral loss, thinning of skin, easy bruising, myopathy, cataracts (chronic)
Cyclophosphamide
Myelosuppression, hemorrhagic cystitis
Digoxin
GI disturbance, yellow visual changes, arrhythmias
Doxorubicin
Cardiotoxicity (cardiomyopathy)
Ethyl alcohol
Acidosis, renal dysfunction, CNS depression
Fluoroquinolones
Cartilage damage in children; achilles tendon rupture in adults
Furosemide
Ototoxicity, hypokalemia, nephritis, gout
Gemfibrozil
Myositis, reversible increase in LFTs
Halothane
Hepatotoxicity, malignant hyperthermia
HCTZ
Hypokalemia, hyponatremia, hyperglycemia, hyperlipidemia, hyperuricemia, hypercalcemia (hyperGLUC)
Statins
Myositis, reversible increase in LFTs
Hydralazine
Drug-induced SLE
Hydroxychloroquine
Retinopathy
INH
Peripheral neuropathy (prevent with pyridoxine/vitamin B6), hepatotoxicity, inhibition of P450s, seizures with overdose, hemolysis in G6PD deficiency
MAOIs
Hypertensive tyramine reaction, serotonin syndrome (with meperidine)
Methanol
Blindness, ion-gap metabolic acidosis
Methotrexate
Hepatic fibrosis, pneumonitis, anemia
Methyldopa
+ coombs test, drug induced SLE
Metronidazole
Disulfiram reaction, vestibular dysfunction, metallic taste
Niacin
Cutaneous flushing
Nitroglycerin
Hypotension, tachycardia, headache, tolerance
Penicillamine
Drug-induced SLE
Penicillin/Beta Lactams
Hypersensitivity Reactions
Phenytoin
Nystagmus, diplopia, ataxia, arrhythmia (in toxic doses), gingival hyperplasia, hirsutism, teratogenic effects
Prazosin
First dose hypotension
Procainamide
Drug-induced SLE
Propylthiouracil
Agranulocytosis, aplastic anemia
Quinidine
Cinchonism (headache, tinnitus), thrombocytopenia, arryhthmias (torsades)
Reserpine
Depression
Rifampin
Induction of P450 enzymes; orange-red body secretions
Salicylates
Fever; hyperventilation with respiratory alkalosis and metabolic acidosis; dehydration, diaphoresis, hemorrhagic gastritis
SSRIs
Anxiety, sexual dysfunction, serotonin syndrome if taken with MAOIs
Succinylcholine
Malignant hyperthermia, hyperkalemia
TCAs
Sedation, coma, anticholinergic effects, seizures, QRS prolongation, arrhythmias
Tetracyclines
Tooth discoloration, photosensitivity, Fanconi’s syndrome, GI distress
Trimethoprim
Megaloblastic anemia, leukopenia, granulocytopenia
Valproic Acid
Teratogenicity leads to neural tube defects; rare fatal hepatotoxicity
Vancomycine
Nephrotoxicity, ototoxicity, red man syndrome (histamine release)
Vinblastine
Severe myelosuppression
Vincristine
Peripheral neuropathy, paralytic ileus