Medication contra-indications

Question 1

contra indications of Haloperidol

Answer 1

CNS depression
QT interval prolongation
recent acute myocardial infarction
uncorrected hypokalaemia- low potassium levels

Question 2

contra indications for Lorazepam

Answer 2

CNS depression
compromised airway
respiratory depression

Question 3

contraindications for all benzodiazepines

Answer 3

acute pulmonary insufficiency
neuromuscular respiratory weakness
not for use alone to treat depression or psychosis
obsessional states
sleep apnoea syndrome

Question 4

contra indications for clozapine

Answer 4

alcoholic and toxic psychoses
bone marrow disorders
coma
drug intoxication
history of neutropenia
severe cardiac disorders
severe CNS depression
uncontrolled epilepsy
history of agranulocytosis

Question 5

contra indications of olanzapine

Answer 5

with intramuscular use-
acute myocardial infarction
bradycardia
recent heart surgery
severe hypotension
sick sinus syndrome
unstable angina

Question 6

contra indications of venlafaxine

Answer 6

uncontrolled hypertension

Question 7

cautions of venlafaxine

Answer 7

conditions associated with hugh risk of cardiac arrhythmia
diabetes
heart disease
history of bleeding disorders
history of epilepsy
history of mania

Question 8

contra indications of sertraline

Answer 8

poorly controlled epilepsy
SSRI should not be used if patient enters a manic phase

Question 9

cautions of sertraline

Answer 9

cardiac disease, concurrent electroconvulsive therapy, diabetes, epilepsy, history of bleeding disorders, history of manua,

Question 10

contra indications of salbutamol

Answer 10

when used for uncomplicated premature labour
history of cardiac disease
threatened miscarriage
significant factors for myocardial ischaemia

Question 11

cautions of ipatropium bromide

Answer 11

bladder outflow obstruction, paradoxical bronchospasm (bronchodilator causing airway to constrict instead of relaxing), prostatic hyperplasia, susceptibility to angle closure glaucoma

Question 12

contra indications of Carbocisteine

Answer 12

active peptic ulceration

Question 13

cautions of Amoxicillin

Answer 13

history of allergy/ anaphylaxis

Question 14

contra indications of Prednisolone

Answer 14

with rectal use–> abdominal or local infection, bowel perforation, extensive fistulas, intestinal obstruction

for all corticosteroids
- avoid live virus vaccines in those receiving immunosuppressive doses
- systemic infection

Question 15

contra indications of Mannitol

Answer 15

when used by inhalation - bronchial hyperresponsiveness
impaired lung function

intravenous use- intracranial bleeding, severe cardiac failure, severe dehydration, severe pulmonary oedema