Food and Drug Interactions Flashcards
Interaction: Statins and Grapefruit
Effect: Muscle pain and aches
Interaction: Antiplatelet drugs (Clopidogrel) NSAIDs (Aspirin Celecoxib Ibuprofen) Anticoagulant drugs (Warfarin Heparin)
Effects: all of these medications increase the risk of bleeding therefore combining them greatly increases risk of bleeding
Interaction: Multivalent ions (calcium, magnesium, iron, also in milk and antacids) + Levothyroxine Fluoroquinolones (Ciprofloxacin Moxifloxacin) Bisphosphonates (Alendronic acid {fosamax} Pamidronate {aredia}) Tetracyclines (Tetracycline Minocycline)
Effects: reduces the effectiveness of these drugs
Interaction: ACE inhibitors (Ramipril Lisinopril) + Potassium-elevating drugs
Effects: increase the risk of hyperkalemia
Interaction: Alpha-blockers + Antihypertensive drugs
Effect: dangerously low blood pressure.
Interaction: Aminoglycosides + Loop diuretics
Effects: increased risk of ototoxicity and kidney damage
Interaction: Antihistamines + Benzodiazepines SSRIs Antipsychotic drugs
Effects: increases the risk of sedation
Interaction: Beta-blockers + Calcium channel blockers
Effects: increases the risk of heart failure and a slow heart rate (bradycardia)
Interaction: Broad-spectrum antibiotics + Warfarin
Effects: increase the risk of bleeding with warfarin.
Interaction: Corticosteroids (Prednisolone Hydrocortisone) + NSAIDs
Effects: increase the risk of peptic ulceration and GI bleeding
Interaction: Corticosteroids + Beta-2 agonists Albuterol Terbutaline
Effect: increase the risk of hypokalemia
Interaction: Digoxin + Loop or thiazide diuretics
Effects: increased risk of digoxin toxicity
Interaction: Macrolides + Statins
Effect: increase the risk of adverse effects of statins
Interaction: Macrolides Amiodarone SSRIs Fluoroquinolones Quinine Antipsychotic drugs Quinine
Effects: increased risk of arrhythmias
Interaction: MAO inhibitors Isocarboxazid Tranylcypromine Phenelzine + Tyramine
Effect: increases the risk of hypertensive crisis (basically high BP –> stroke)