MBChB List Cautions Flashcards

1
Q

Acyclovir

A

Maintain hydration

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2
Q

Adrenaline

A

Heart disease, Cerebrovascular disease, DM

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3
Q

Alendronate

A

Upper GI conditions, ulcers or bleeding

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4
Q

Allopurinol

A

Can precipitate acute gout flare, not for use in acute gout, ensure adequate fluid intake

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5
Q

Amiodarone

A

Hypokalaemia,
bradycardia,
Pulmonary function tests, LFTs, TFTs,

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6
Q

Augmentin

A

Allergy, leukemias, glandular fevers

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7
Q

Aspirin

A

Under 16 yo, peptic ulcer, heamophilia

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8
Q

Atenolol

A

Asthma, hypotension, cardiogenic shock, uncontrolled HF, prinzmentals angina, AV block, PVD, DM (mask hypoglycemia)

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9
Q

Atropine

A

Angle-closure glaucoma, Myasthenia gravis, ileus, pyloric stenosis, megacolon

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10
Q

Beclamethasone

A

May contain lactulose, infections, LRTI, TB

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11
Q

Bendroflumethiazide

A

Addison’s, hypercalcaemia, hyponatraemia, Diabetes, gout, SLE, hypokalaemia, SLE

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12
Q

Benzatropine

A

Myasthenia gravis, paralytic ileus, Pyloric stenosis, toxic megacolon, psychosis, elderly

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13
Q

Bezafibrate

A

Hypothyroidism,
Hypoalbuminaemia,
gall bladder disease,
nephrotic syndrome

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14
Q

Budesonide

A

Lactulose, infections, LRTI, TB, DM

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15
Q

Benzylpenicilllin

A

allergy

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16
Q

Carbamazepine

A

Cardiac disease

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17
Q

Carbimazole

A

Agranulocytosis and neutropenia, Blood disorders, may worsen intrathoracic goitre

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18
Q

Cefazolin

A

Betalactam antibiotic

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19
Q

Cetrizine

A

epilepsy

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20
Q

Colecalciferol

A

Hypercalcemia

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21
Q

Codeine

A

Acute abdomen, arrhythmias, gall stones, Contraindicated in increased ICP, head injury, coma, impaired respiratory function

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22
Q

Chloramphenicol

A

Avoid prolonged or repeated topical use

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23
Q

Ciprofloxacin

A

prolongued QT, diabetes

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24
Q

Clopidogrel

A

Bleeding risk, discontinue 7 days before elective surgery

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25
Colchicine
Cardiac disease, GI disease
26
Cyclizine
Epilepsy
27
Dabigatran
bacterial endocarditis, bleeding disorders, GORD
28
Diazepam
paradoxical hostility/aggression, avoid prolonged use,
29
Diclofenac
GI bleeding, impaired renal function, dehydration
30
Digoxin
Hypercalcaemia, hypokalaemia, hypomagnesemia, hypoxia, recent MI
31
Diltiazem
Bradycardia, AV block, prolonged PR, impaired LV function
32
Docusate sodium
Avoid in intestinal obstruction
33
Domperidone
Risk of ventricular arrhythmias, gastrointestinal disorders
34
Doxycycline
Tooth staining/hypoplasia in children
35
Formoterol
Hypokalaemia,
36
Ergometrine
not for use in eclampsia, first/second stage of labor, caution in hypertension, cardiac disease, multiple pregnancies
37
Erythromycin
electrolyte distrubance, QT elongation
38
Ethinylestradiol with levonorgestrel
BRCA1 BRCA2, gallbladder disease, VTE risk
39
Felodipine
Cardiac outflow obstruction, aortic stenosis
40
Fluconazole
QT prolongation
41
Flumazenil
use in benzodiazepine dependence can lead to withdrawal
42
Fluoxetine
Cardiac disease, epilepsy, ECT, DM, bleeding
43
Fluticasone
chorioretinopathy
44
Folic Acid
Should not be given alone in pernicious anemia
45
Furosemide
Anuria, renal failure, hypokalaemia, hyponatremia, can exacerbate DM, can exacerbate gout,
46
Gabapentin
Diabetes, history of psychosis
47
Gentamicin
Auditory disorder, Myasthenia Gravis
48
Glipizide
encourages weight gain
49
GTN
Not to use in outflow obstruction (e.g. AS), hypotension
50
Haloperidol
blood dyscrasias, diabetes, Parkinsons, bradycardia
51
Enoxaparin
hypertension, low body weight
52
UF heparin
Elderly, hypertension
53
Topical hydrocortisone
avoid prolonged use
54
Systemic hydrocortisone
caution in congestive heart failure, DM,
55
Hydroxocobalamin
Should not be given before diagnosis is established
56
Ibuprofen
GI bleeding or ulcer, cardiac impairment
57
Ipratropium
bladder outflow obstruction
58
Isosorbide dinitrate
Heart failure due to obstruction
59
Lactulose
intestinal obstruction/perforation, lactose intolerance
60
Lorazepam
Risk of paradoxical effects,
61
Losartan
Outflow obstruction, heart failure
62
Metformin
Lactic acidosis
63
Metoclopramide
asthma, Parkinson's, conduction disease
64
Metoprolol
Diabetes, AV block, COPD, risk of heart block with CCB
65
Misoprostol
CVD
66
Morpine
arrhythmias, pancreatitis
67
N-acetylcysteine
Asthma
68
Naloxone
CVD, pain, dependence
69
Nifedipine
aortic stenosis, angina, heart failure, DM
70
Norethisterone
cardiac dysfunction, DM, breast cancer history
71
Nortriptyline
arrhythmias, CVD, bipolar, psychosis
72
Omeprazole
increased fracture risk, risk of GI infections
73
Ondansetron
Long QT syndrome
74
Oxycodone
pancreatitis, toxic psychosis
75
Oxytocin
Restrict fluid intake (risk of hyponatremia), hx of LSCS
76
Paracetamol
hepatotoxicity, low body weight
77
Pethidine
neurotoxicity, arrhythmias,
78
Prochlorperazine
hypotension
79
Ranitidine
May mask symptoms of gastric cancer
80
Risperidone
dehydration, Lewy body dementia
81
Salbutamol
hypokalemiaia
82
Simvastatin
liver disease, hypothyroidism
83
Sodium valproate
SLE, liver toxicity
84
Streptokinase
cavernous pulmonary disease, recent streptococcal disease
85
Co-trimoxazole
Asthma
86
Sumatriptan
CAD, hypertension
87
Temazepam
hypoalbuminaemia, muscle weakness, paradoxical effects
88
Tenofovir alafenamide
decompensated liver failure, HIV coinfection
89
Alteplase
AF, bleeding risk
90
Tramadol
Excessive bronchial secretions, epilepsy, impaired consciousness
91
Tranexamic Acid
irregular menstrual bleeding, hematuria, oral contraceptive
92
Vitamin K1
slow injection as risk of vascular collapse
93
Warfarin
Bacterial endocarditis, bleeding risk
94
Zopiclone
Chronic pulmonary insufficiency, OSA