Geriatric Pharm things Flashcards

1
Q

cardio drugs leading to ADEs

A
digoxin
thiazide diuretics
B-blocker
diltiazem/verapimil
CCBs
ASA
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2
Q

conditions: digoxin ADE

A

w/ impaired renal fxn

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3
Q

conditions: thiazide diuretic ADEs

A

w/ Hx of gout

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4
Q

conditions: B-blocker ADEs

A

w/ COPD

w/ DM + frequent hyperglycemia

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5
Q

conditions: diltiazem/verapamil ADEs

A

w/ class III or IV heart failure

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6
Q

conditions: CCBs ADEs

A

w/ chronic constipation

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7
Q

conditions: dipyridamole ADEs

A

as monotherapy for cardio secondary prevention

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8
Q

conditions: ASA ADEs

A

w/ Hx of PUD w/o H2 antag or PPI
>150 mg
w/o Hx of coronary, cerebral or peripheral vasc sx or occlusive event

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9
Q

CNS drugs leading to ADEs

A

TCA
benzos
neuroleptics
antihistamines

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10
Q

conditions: TCA ADEs

A

w/ dementia
w/ cardiac conductive abnormalities
w/ constipation
w/ prostatism or hx of urine retention

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11
Q

conditions: benzos ADEs

A

long term, long acting

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12
Q

conditions: neuroleptics ADEs

A

long term w/ parkinsonism

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13
Q

conditions: antihis ADEs

A

prolonged use

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14
Q

GI drugs causing ADEs

A

diphenoxylate
loperamide
codeine
PPI

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15
Q

conditions: diphenoxylate/loperamide/codeine phosphate ADEs

A

w/ tx of diarrhea w/ unknown cause

for severe infective gastroenteritis

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16
Q

conditions: PPI ADEs

A

for PUD @ full dose for >8 wks

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17
Q

pulm drugs causing ADEs

A

theophylline

systemic corticosteroids

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18
Q

conditions: theophylline ADEs

A

monotherapy for COPD

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19
Q

conditions: syst corticosteroids ADEs

A

instead of inhaled for COPD

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20
Q

conditions: NSAID ADEs

A

w/ Hx of PUD or GI bleeds (unless w/ H2 ants, PPIs or misoprostol)
w/ mod/severe HTN
w/

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21
Q

conditions: warfarin ADEs

A

w/ NSAIDs

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22
Q

conditions: colchicine ADEs

A

long term for chronic gout w/o CI to allopurinol

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23
Q

GU drugs causing ADEs

A

antimuscarinics

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24
Q

conditions: antimuscarinic ADEs

A

for bladder w/ dementia

w/ chronic prostatism

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25
drugs causing endo ADEs
beta blockers
26
drugs that cause falls
benzos neuroleptics vasodilators long term opiates
27
antiemetics: block dopamine
all but ondansatron | promethazine, prochloperazine, metroclopramide
28
antiemetics: anticholinergics
promethazine | prochloperazine
29
antiemetics: cholinergics
metroclopramide
30
antiemetics: 5HT antagonists
ondansatron
31
antiemetics: alpha blockers
promethazine | prochloperazine
32
anticholinergics: H1 blockers
``` diphenhydramine hydroxyzine scopolamine dimenhydrinate (promethazine from anti-emetics too) ```
33
antichol: central
meclizine | dimenhydrinate
34
antichol: antag 5HT
scopolamine
35
antichol: blocks Ach
scopolamine, oxybutynin
36
antichol: M receptor antag
tolterodine | darifenacin (M3)
37
antichol: inhibit 5HT reuptake
paroxetine | amitriptyline
38
antichol: down GI motility
diphenoxylate (+ atropine) = lomotil
39
psych: SSRIs
citalopram sertraline paroxetine
40
psych: inhibit 5HT, NE and D reuptake
buproprion
41
psych: 5HT and NE reuptake inhibitor
amitriptyline (CNS) trazodone mirtazapine
42
psych: up GABA
alprazolam diazepam lorazepam clonazepam
43
psych: dopamine blocker
haloperidol
44
psych: block D2 and 5HT
risperidone
45
anticholinergic class effects
down cognition, hallucinations, sedation, blurry vision, acute glaucoma, tachycardia, dry mouth, urinary retention, constipation, no sweating
46
DM: stim insulin release
glipizide glyburide repaglinide (sitagliptin too)
47
DM: up insulin sensitivity
metformin | rosiglitazone
48
DM: insulin
glargine
49
DM: inhibit DPP 4
sitagliptin
50
DM: down glucose absorption
metformin
51
DM: down hep glucose production
metformin | glargine
52
DM: slow incretin metab, down glucagon
sitagliptin
53
HTN: CCBs
amlodipine | diltiazem
54
HTN: beta blockers
metoprolol
55
HTN: ACE-Is
lisinopril
56
HTN: ARBs
losartan
57
HTN: loops
furosemide
58
HTN: thiazide
HCTZ
59
cardio: inhibit vit K
warfarin
60
cardio: up intracellular Ca
digoxin
61
cardio: block ADP, prevent aggregation
clopidogrel
62
cardio: HMG Co-A reductase inhibitors
atorvastatin | simvastatin
63
GU: alpha 1 blocker
terazosin | tamsulosin
64
GU: 5 alpha reductase inhibitor
finasteride
65
GU: m receptor blocker
oxybutynin | tolterodine
66
GU: beta 3 agonist
mirabegron
67
alpha agonist
midodine
68
systemic corticosteroid
prednisolone
69
osteo: SERM
raloxifene
70
osteo: bisphosphonates
alendronate risedronate ibandronate
71
osteo: bind to RANKL
denosumab
72
Ach-ase inhibitors
donepezil galantamine rivastigmine
73
NMDA receptor agonists
memantine
74
pain meds
ibuprofen acetaminophen gabapentin (not really pain but whatever)
75
H2 blockers
omeprazole
76
antiemetics: ortho hTN (ADE)
promethazine | prochloperazine
77
EPS (ADE)
``` promethazine prochloperazine metroclopramide haloperidol risperidone (all D blockers) ```
78
antiemetics: dizzy (ADE)
promethazine | prochloperazine
79
antiemetics: torsades
metroclopramide | ondansetron
80
anticholinergics: tremor (ADE)
paroxetine
81
antiach: ortho HTN (ADE)
amitriptyline
82
psych: dizzy
``` SSRIs buproprion trazodone mirtazapine clonazepam ```
83
psych: ortho HTN
``` amitriptyline trazodone mirtazapine alprazolam haloperidol risperidone ```