MAIN DRUG INTERACTIONS Flashcards

1
Q

What drugs can cause hepatotoxicity?

A
  • alcohol
  • atorvastatin
  • carbamazepine
  • doxycycline
  • fluclox
  • fluconazole
  • fluvastatin
  • isoniazid
  • itraconazole
  • leflunomide
  • methotrexate
  • mercaptopurine
  • paracetamol
  • pravastatin
  • simvastatin
  • rosuvastatin
  • sulfasalazine
  • valproate
  • vincristine
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2
Q

What drugs can cause nephrotoxicity?

A
  • aciclovir
  • amphotericin B
  • cefalexin and the cephalosporin drug class
  • celecoxib
  • ciclosporin
  • cisplatin
  • diclofenac
  • gentamicin
  • ibuprofen
  • indomethacin
  • meloxicam
  • methotrexate
  • neomycin
  • tacrolimus
  • timethoprim
  • vancomycin
  • zoledronate
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3
Q

What drugs can cause an anticoagulant effect? These drugs can increase the risk of bleeding; concurrent use of drugs with an antiplatelet effect might also increase the risk.

A
  • alteplase
  • DOACs
  • bivalirudin
  • enoxaparin
  • heparin
  • nicotinic acid
  • phenindione
  • streptokinase
  • warfarin
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4
Q

What drugs can cause an antiplatelet effect?

A
  • aspirin
  • celecoxib
  • citalopram
  • clopidogrel
  • diclofenac
  • dipyridamole
  • duloxetine
  • ibuprofen
  • sertraline
  • venlafaxine
  • ticagrelor
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5
Q

What drugs can cause thromboembolism?

A
  • cyclophosphamide
  • doxorubicin
  • darbepoetin alfa
  • fluorouracil
  • methotrexate
  • strontium
  • tamoxifen
  • thalidomide
  • tibolone
  • tranexamic acid
  • tretinoin
  • vinblastine
  • vincristine
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6
Q

What drugs can cause bradycardia?

A
  • alfentanil
  • amiodarone
  • atenolol
  • bisoprolol
  • clonidine
  • digoxin
  • diltiazem
  • donepezil
  • fentanyl
  • flecainide
  • ivabradine
  • methadone
  • neostigmine
  • selegiline
  • timolol
  • verapamil
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7
Q

What drugs can cause FIRST DOSE hypotension?

A
  • alfuzosin
  • ARBs
  • doxazosin
  • ACEi
  • glycerol trinitrate & nitrates
  • tamsulosin
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8
Q

What drugs can cause hypotension?

A
  • alcohol
  • amitriptyline
  • CCB
  • aripiprazole
  • BB
  • ACEi
  • ARB
  • diuretics
  • SGLT2i
  • nitrates
  • haloperidol
  • levodopa
  • nicorandil
  • olanzapine
  • quetiapine
  • phenelzine
  • risperidone
  • sildenafil
  • tamsulosin
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9
Q

What drugs can prolong the QT interval? Increasing age, female sex, cardiac disease, and some metabolic disturbances (notably hypokalaemia) predispose to QT prolongation.

A
  • amiodarone
  • amisulpride
  • citalopram
  • clarithromycin
  • flecainide
  • fluconazole
  • levomepromazine
  • Li
  • methadone
  • ondansetron
  • quinine
  • sildenafil
  • sotalol
  • tolterodine
  • venlafaxine
  • voriconazole
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10
Q

What drugs can cause antimuscarinic effects?

A
  • amantadine
  • amitriptyline
  • atropine
  • baclofen
  • chlorphenamine
  • chlorpromazine
  • clozapine
  • cyclizine
  • clomipramine
  • dosulepin
  • fesoterodine
  • glycopyrronium
  • haloperidol
  • hydroxyzine
  • hyoscine
  • imipramine
  • ipratropium
  • nefopam
  • oxybutynin
  • solifenacin
  • umeclidinium
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11
Q

What drugs can cause CNS depressant effects?

A
  • alcohol
  • amitriptyline
  • aripiprazole
  • baclofen
  • buprenorphine
  • cannabidiol
  • chlordiazepoxide
  • chlorphenamine
  • cinnarizine
  • clobazam
  • clonazepam
  • clonidine
  • codeine
  • clozapine
  • diamorphine
  • gabapentin
  • haloperidol
  • lorazepam
  • mirtazapine
  • quetiapine
  • venlafaxine
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12
Q

What drugs cause peripheral neuropathy?

A
  • amiodarone
  • cisplatin
  • disulfiram
  • doxetaxal
  • isoniazid
  • metronidazole
  • nitrofurantoin
  • phenytoin
  • vincristine
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13
Q

What drugs can cause serotonin syndrome?

A
  • SSRIs
  • fentanyl
  • imipramine
  • Li
  • methadone
  • ondansetron
  • selegiline
  • St John’s Wort
  • sumatriptan
  • venlafaxine
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14
Q

What drugs are antidiabetic drugs? Concurrent use of these can increase the risk of hypoglycaemia.

A
  • Metformin
  • Pioglitazone
  • Acarbose
  • Sulphonylureas - gliclazide
  • DPP-4i
  • Meglitinides
  • SGLT-2i
  • GLP-1 agonists
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15
Q

What drugs can cause myelosuppression?

A
  • azathioprine
  • bleomycin
  • busulfan
  • carboplatin
  • chlorambucil
  • cisplatin
  • cyclophosphamide
  • taxanes
  • fluorouracil
  • methotrexate
  • peginterferon alfa
  • sulfasalazine
  • vincristine
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16
Q

What drugs can cause hyperkalaemia?

A

High K+ is particularly notable when ACEi or A2RA are given with spironolactone or eplerenone.

  • celecoxib
  • cyclosporin
  • diclofenac
  • heparin
  • ibuprofen
  • olmesartan
  • KCL
  • tacrolimus
  • trimethoprim
  • valsartan
17
Q

What drugs can cause hypokalaemia? Low K+ can increase the risk of torsade de pointes, which might be additive with the effects of drugs that prolong the QT interval.

A
  • aminophylline
  • beclometasone
  • bendroflumethiazide
  • budesonide
  • dexamethasoe
  • formoterol
  • hydrocortisone
  • indapamide
  • methylprednisolone
  • salbutamol
18
Q

What drugs can cause hyponatraemia?

A
  • amitriptyline
  • bendroflumethiazide
  • bumetanide
  • carbamazepine
  • SSRIs
  • diclofenac
  • gabapentin
  • sodium picosulfate
  • trimethoprim
19
Q

What drugs can cause ototoxicity?

A
  • bumetanide
  • carboplatin
  • cisplatin
  • furosemide
  • gentamicin
  • neomycin
  • vancomycin
  • vincristine
20
Q

What drugs have neuromuscular blocking effects?

A
  • amikacin
  • botulinum toxicin type A and B
  • gentamicin
  • neomycin
  • streptomycin
  • tobramucin