EXAM #3 CIs Flashcards
CIs of Estrogen (5)?
- Estrogen-dependent CA
- Clotting disorders
- Uncontrolled HTN
- Smoker/35+ years
- Pregnancy
CIs of combination contraception (P + E) (7)?
- ASCVD
- Thromboembolic condition
- E-dependent CA
- Pregnancy
- Smoker AND 35+ years
- HTN
- DM
Relative CI of combination contraception (P + E)?
Liver disease
CI of Finasteride (Propecia)?
Pregnancy = teratogenic
CI of Metformin? What other two should be considered?
KIDNEY DISEASE (processed by kidneys and increased risk for lactic acidosis)
- Hepatic disease
- Alcoholism
Three DM drugs/classes that are CI for renal disease?
- Metformin
- SGLT2 Inhibitors
- Sitagliptin (DPP-4 Inhibitor)
DM class that is CI for HF?
TZDs
CIs of GLP-1 Receptor Agonists (2)?
- Acute/hx of pancreatitis
- Thyroid CA
CI of DPP-4 Inhibitors (2 - which is an exception)?
- Acute/hx of pancreatitis
- Renal impairment (except Linagliptin bc not renally excreted)
CI of SGLT2 Inhibitors?
KIDNEY DISEASE/DIALYSIS
CIs of TZDs (2)?
- HF
- Liver disease
CI of Acarbose and Miglitol?
GI disease
CI of SUs?
Allergy to Sulfa drugs
CI of Oxytocin?
Any time vaginal delivery NOT recommended
CI of Ergonovine maleate (2)?
- NEVER use to induce labor (contractions are strong and continuous)
- PVD/CAD (acts on alpha receptors)
Ergot Alkaloids
CI for Radioactive Iodine (131I)?
Pregnancy
CI for Propranolol (2)? Alternative treatment?
- Asthma (use CCBs instead)
- DM
CI of Teriparatide and Abaloparatide?
Osteosarcoma = BLACK BOX warning
CIs of Denosumab (2)?
- Hypocalcemia (TREAT FIRST)
- Pregnancy
CI of Alendronate, Risedronate, Ibandronate, Zoledronic Acid (3 - consider admin)?
- Inability to stand/sit up (oral)
- Esophageal disease (oral)
- Renal disease (IV)
CI of Adrenal Insufficiency?
NONE
- If replacement is needed, give drugs
With Adrenal Insufficiency, what conditions should be considered relatively (7)?
- Infection
- DM
- CVD/HTN
- Osteoporosis
- IC
- Childhood
- Pregnancy
CI of Ketoconazole?
- Pregnancy = teratogenic