learning from mistakes Flashcards
Interaction with Allopurinol
can allopurinol be used in renal imapirment?
azathioprine(increased effect of azathioprine)
Yes!
AID- risk of pneumonia- what med is used for prophylaxis
Co-trimoxazole
Atovaquone is C/I
fludrocortisone electrolyte disctubance
what to avoid with
hypokalaemia
methadone- risk of QT/Torsades de pointes
colestyramine timins with food
1 hour before 4 hour after
GTN tabs - how long do they provide symptomatic relief?
30 min
NO COTTON WOOL
DISCARD AFTER 8 WEEKS
H pylori Tx
clarithromycin
Amoxicillin
PPI
if Pen allergic- metronidazole.
Loperamide- max tabs/day
8 Tabs/day (16mg)
Colchicine max G/ course
Time between courses
6g
3 days between acute courses
perindopril dose timing
30-60 min before food
bendroflumethiazide SE
- hypokalaemia
- hyperglycaemia
- hypercalcaemia
- herperuricaemia
- hyponatraemia
high intensity statin
Atorva 20 -YES
Simva 40- NO
metronidazole gel + warfarin
Increased INR
Aminophylline- effect on potassium
HYPOKALAEMIA
Prostaglandin analogues- counselling
Brown pigmentation
Filgrastim- indication
NEUTROPENIA
Commonly used in chemo as it increases production of neutrophils
pregnancy- which vit is advised to take at a dose of 10mcg/day
D
why do we need vit D
To absorb calcium
in renal impairment- use activated form (calcitrol)
levothyroxine dose timing
morning, 30 min before breaky/ caffeine.
what is Oligouria
low vol urine
symptom of AKI
Linezolid- monitoring
OPTIC NEUROPATHY(visual disturbance)
FBC
Risk of long term trimethoprim
blood disorders
watch out for mouth ulcers etc
isotretinoins- avoid which vitamin
VIT A
first line tx for chronic stable plaque psoriasis
coal tar
why are ACE- I cautioned in diabetes
lower glucose
lethal comp of anaesthesia
malignant hyperthermia
chemo- highly emetogenic
cisplatin
cyclophosphamide
least emetogenic
vincristine
vincristine SE
hair loss
clindamycin- diarrhoea
stop
antibiotic associated colitis
macrolides- nausea
normal
MHRA Quinine
QT
isotretinoin- giving blood
avoid
and for 1 month after
threadworms- effect on children
Bed wetting
waking at night
antipsychotic weight gain
olanzapine
clozapine
quetiapine
dithranol (for psoriasis)
staining
CD -patient returns
denature prior to disposal
authorised witness not required.
purpuric skin rash- which AED
phenytoin
HF- Diuretic
NOT K sparing
furosemide best
growth hormones schedual
CD 4 part 2
baclofen ( should they be taken with ACE/B-Blocker?)
NO
Increases hypotensive effect
Ganciclovir. when C/I
Low neut count
bromocriptine (suppression of lactation)- risk when started
hypotensive reaction
febuxostat
tx of gout
prophylaxis and acute episodes
SJS
what schedual is midazolam
3
methotrexate and trimethoprim
avoid
what is in malarone?
when to take
proguanil/atovaquone
1-2 days before
during
1 week after
lithium- how oftern to monitor LFTs
every 6 months
sodium valproate
hepatotoxicity
pancreatitis.
which drugs carry as risk of gingival hyperplasia?
ciclosporin
phenytoin
nifedipine
which drugs increase saliva production
clozapine
neostigmine (anticholinesterase)
which affect can phenobarb have on an infants
inhibits sucking reflex
lorazepam schedual
cd4
Lorazepam
antimilarial to avoid in renal impairment
proguanil
reversal agent for heparin toxicity
protamine sulphate
which anti-diabetic should NOT be stopped during surgery
SGLT2- risk of DKA
is a date legal req for a CD requisition
no
sumatriptan and ssris- whats the risk
serotonin syndrome
