Pharm general Flashcards
Acetaminophen o/d
N-acetylcysteine (replenishes glutathione)
AChE inhibitors, organophosphates o/d
Atropine followed by pralidoxime
Amphetamines (basic) o/d
NH4Cl (acidify urine)
Antimuscarinic, anticholinergic agents o/d
Physostigmine salicylate, control hyperthermia
Benzodiazepines o/d
Flumazenil
β-blockers o/d
Glucagon
Carbon monoxide o/d
100% O2, hyperbaric O2
Copper, arsenic, gold o/d
Penicillamine
Cyanide o/d
Nitrite + thiosulfate, hydroxocobalamin
Digitalis o/d
Anti-dig Fab fragments
Heparin o/d
Protamine sulfate
Iron o/d
Deferoxamine, deferasirox
Lead o/d
EDTA, dimercaprol, succimer, penicillamine
Mercury, arsenic, gold o/d
Dimercaprol (BAL), succimer
Methanol, ethylene glycol (antifreeze) o/d
Fomepizole > ethanol, dialysis
Methemoglobin o/d
Methylene blue, vitamin C
Opioids o/d
Naloxone
Salicylates o/d
NaHCO3 (alkalinize urine), dialysis
TCAs o/d
NaHCO3 (plasma alkalinization)
tPA, streptokinase, urokinase o/d
Aminocaproic acid
Warfarin o/d
Vitamin K, plasma (if active bleeding)
What Rx causes Coronary vasospasm
Cocaine, sumatriptan, ergot alkaloids
What Rx causes Cutaneous flushing
Vancomycin, Adenosine, Niacin, Ca2+ channel blockers
What Rx causes Dilated cardiomyopathy
Doxorubicin, daunorubicin
What Rx cause Torsades de pointes
Class III (e.g., sotalol) and class IA (e.g., quinidine) antiarrhythmics, macrolide antibiotics, antipsychotics, TCAs
What Rx cause Adrenocortical insufficiency
HPA suppression 2° to glucocorticoid withdrawal
What Rx cause Hot flashes
Tamoxifen, clomiphene
What Rx cause Hyperglycemia
Tacrolimus, Protease inhibitors, Niacin, HCTZ,
β-blockers, Corticosteroids
What Rx cause Hypothyroidism
Lithium, amiodarone, sulfonamides
What Rx cause Acute cholestatic hepatitis, jaundice
Erythromycin
What Rx cause Diarrhea
Metformin, Erythromycin, Colchicine, Orlistat, Acarbose
Might Excite Colon On Accident
What Rx cause Focal to massive hepatic necrosis
Halothan, Amanita phalloides (death cap mushroom), Valproic acid, Acetaminophen
Liver “HAVAc”
What Rx cause Hepatitis
INH
What Rx cause Pancreatitis
Didanosine, Corticosteroids, Alcohol, Valproic acid, Azathioprine, Diuretics (furosemide, HCTZ)
What Rx cause Pseudomembranous colitis
Clindamycin, ampicillin, cephalosporins
What Rx cause Agranulocytosis
Dapsone, Clozapine, Carbamazepine, Colchicine, Methimazole, Propylthiouracil
Drugs CCCrush Myeloblasts and Promyelocytes
What Rx cause Aplastic anemia
Carbamazepine, Methimazole, NSAIDs, Benzene, Chloramphenicol, Propylthiouracil
Can’t Make New Blood Cells Properly
What Rx cause Direct Coombs- positive hemolytic anemia
Methyldopa, penicillin
What Rx cause Gray baby syndrome
Chloramphenicol
What Rx cause Hemolysis in G6PD deficiency
INH, Sulfonamides, Dapsone, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
hemolysis IS D PAIN
What Rx cause Megaloblastic anemia
Phenytoin, Methotrexate, Sulfa drugs
having a “blast” w/ PMS
What Rx cause Thrombocytopenia
Heparin, cimetidine
What Rx cause Thrombotic complications
OCPs (e.g., estrogens)
What Rx cause Fat redistribution
Protease inhibitors, Glucocorticoids
Fat PiG
What Rx cause Gingival hyperplasia
Phenytoin, verapamil, cyclosporine, nifedipine
What Rx cause Hyperuricemia (gout)
Pyrazinamide, Thiazides, Furosemide, Niacin, Cyclosporine
Painful Tophi and Feet Need Care
What Rx cause Myopathy
Fibrates, niacin, colchicine, hydroxychloroquine, interferon-α, penicillamine, statins, glucocorticoids
What Rx cause Osteoporosis
Corticosteroids, heparin
What Rx cause Photosensitivity
Sulfonamides, Amiodarone, Tetracyclines, 5-FU
SAT For Photo
What Rx cause Rash (Stevens- Johnson syndrome)
Anti-epileptic drugs (ethosuximide, carbamazepine, lamotrigine, phenytoin, phenobarbital), Allopurinol, Sulfa drugs, Penicillin
Steven Johnson has epileptic Allergy to Sulfa
drugs and Penicillin
What Rx cause SLE-like syndrome
Sulfa drugs, Hydralazine, INH, Procainamide, Phenytoin, Etanercept
having lupus is “SHIPP-E”
What Rx cause Teeth discoloration
Tetracyclines
What Rx cause Tendonitis, tendon rupture, and cartilage damage
Fluoroquinolones
What Rx cause Cinchonism
Quinidine, quinine
What Rx cause Parkinson-like syndrome
Antipsychotics, Reserpine, Metoclopramide
What Rx cause Seizures
INH (vitamin B6 deficiency), Bupropion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
What Rx cause Tardive dyskinesia
Antipsychotics, metoclopramide
What Rx cause Diabetes insipidus
Lithium, demeclocycline
What Rx cause Fanconi syndrome
Expired tetracycline
What Rx cause Hemorrhagic cystitis
Cyclophosphamide, ifosfamide
What Rx cause Interstitial nephritis
Methicillin, NSAIDs, furosemide
What Rx cause SIADH
Carbamazepine, Cyclophosphamide, SSRIs
What Rx cause Dry cough
ACE inhibitors
What Rx cause Pulmonary fibrosis
Bleomycin, Amiodarone, Busulfan, Methotrexate
Breathing Air Badly from Medications
What Rx cause Antimuscarinic
Atropine, TCAs, H1-blockers, antipsychotics
What Rx cause Disulfiram-like reaction
Metronidazole, certain cephalosporins, griseofulvin, procarbazine, 1st-generation sulfonylureas

What Rx causes Nephrotoxicity/ ototoxicity
Aminoglycosides, vancomycin, loop diuretics, cisplatin
What are the inducers of CYP450?
Chronic alcohol use Modafinil St. John’s wort Phenytoin Phenobarbital Nevirapine Rifampin Griseofulvin Carbamazepine
Chronic alcoholic Mona Steals Phen-Phen and Never Refuses Greasy Carbs
What are substrates of CYP450?
Anti-epileptics Antidepressants Antipsychotics Anesthetics Theophylline Warfarin Statins OCPs
Always, Always, Always, Always Think When Starting Others
What are the inhibitors of CYP450?
Acute alcohol abuse Gemfibrozil Ciprofloxacin Isoniazid Grapefruit juice Quinidine Amiodarone Ketoconazole Macrolides Sulfonamides Cimetidine Ritonavir
A cute Gentleman “Cipped” Iced Grapefruit juice Quickly And Kept Munching on Soft Cinammon Rolls
Name the sulfa drugs
Probenecid, Furosemide, Acetazolamide, Celecoxib, Thiazides, Sulfonamide antibiotics, Sulfasalazine, Sulfonylureas.
Popular FACTSSS
-azole
Ergosterol synthesis inhibitor
-bendazole
Antiparasitic/antihelmintic
-cillin
Peptidoglycan synthesis inhibitor
-cycline
Protein synthesis inhibitor
-ivir
Neuraminidase inhibitor
-navir
Protease inhibitor
-ovir
DNA polymerase inhibitor
-thromycin
Macrolide antibiotic
-ane
Inhalational general anesthetic
-azine
Typical antipsychotic
-barbital
Barbiturate
-caine
Local anesthetic
-etine
SSRI
-ipramine
TCA
-triptan
5-HT1B/1D agonists
-triptyline
TCA
-zepam
Benzodiazepine
-zolam
Benzodiazepine
-chol
Cholinergic agonist
-curium or -curonium
Non-depolarizing paralytic
-olol
β-blocker
-stigmine
AChE inhibitor
-terol
β2-agonist
-zosin
α1-antagonist
-afil
PDE-5 inhibitor
-dipine
Dihydropyridine CCB
-pril
ACE inhibitor
-sartan
Angiotensin-II receptor blocker
-statin
HMG-CoA reductase inhibitor
-dronate
Bisphosphonate
-glitazone
PPAR-γ activator
-prazole
Proton pump inhibitor
-prost
Prostaglandin analog
-tidine
H2-antagonist
-tropin
Pituitary hormone
-ximab
Chimeric monoclonal Ab
-zumab
Humanized monoclonal Ab