Pharm side effects Flashcards
adrenocortical insufficiency
HPA suppression secondary to glucorticord withdrawal
hot flashes
tamoxifen, clomiphene
hyperglycemia
tacrolimus, protease inhibitors, niacin, HCTZ, corticosteroids
Taking Pills Necessitates Having blood checked
hypothyroidism
lithium, amiodarone, sulfonamides
gynecomastia
spironolactone, digitalis, cimetidine, alcohol, estrogens, ketoconazole
acute cholestatic hepatitis, jaundice
erythromycin
diarrhea
metformin, erythromycin, colchicine, orlistat, acarbose
focal to massive hepatic necrosis
halothane, amanita phalloides, valproic acid, acetaminophen
hepatits
rifampin, isoniazid, pyrazinamide, statins, fibrates
pancreatitis
didanosine, corticosteroids, alcohol, valproic acid, azathioprine, diuretics
pseudomembranous colitis
clindamycin, ampicillin, cephalosporins
agranulocytosis
gangciclovir, clozapine, carbamazepine, colchicine, methimazole, PTU
aplastic anemia
carbamazepine, methimazole, NSAIDs, benzene, chloramphenicol, PTU
direct coombs positive hemolytic anemia
methyldopa penicillin
gray baby syndrome
chloramphenicol
hemolysis in G6PD deficiency
isoniazid, sulfonamides, dapsone, primaquine, aspirin, ibuprophen, nitrofurantoin
megaloblastic anemia
phenytoin, MTX, sulfa drugs
thrombocytopenia
heparin
thrombotic complications
OTC, HRT, combined with smoking
fat redistribution
protease inhibitors, glucocorticoids
gingival hyperplasia
phenytoin, CCB, cyclosporine
hyperuricemia
pyrazinamide, thiazide, furosemide, niacin, cyclosporine
myopathy
fibrates, niacin, colchicine, hydroxychloroquine, INFa, penicillamine, statins, glucocorticoids
osteoporosis
corticosteroids, heparin
photosensitivity
sulfonamides, amiodarone, tetracyclines, 5-FU
rash (stevens johnson)
anti-epileptic drugs (lamotrigine), allopurinol, sulfa drugs, penicillin
Steven johnson has epileptic allergy to sulfa drugs and penicillin
SLE like syndrome
sulfa, hydralazine, INH, procainamide, phenytoin, etanercept
SHIPPE
teeth discoloration
tetracycline
tendonitis, tendon rupture, cartilage damage
fluoroquinolones
cinchonism
tinnitus, HA, deafness
quinidine, quinine
parksinson like syndrome
antipsychotics, reserpine, metoclopramide
seizures
INH (vitamin b6 deficiency), bupropion, imipenem/cilastatin, enfluane
tardive dyskinesia
antipsychotics, metoclopramide
diabetes insipidus
lithium, demeclocycline
fanconi syndrome
expired tetracycline
hemorrhagic cystitis
cyclophosphamide, ifosfamide
prevent with mesna
interstitial nephritis
methicillin, NSAIDs, furosemide
SIADH
carbamazepine, cyclophosphamide, SSRI
cant concentrate serum sodium
dry cough
ace inhibitors
pulmonary fibrosis
bleomycine amiodarone, busulfan, MTX
antimuscarinic
atropine, TCA, H1 blockers, antipsychotics
disulfram like reaction
metronidazole certain cephalosporin, griseofulvin, procarbazine, first gen sulfonylureas
nephrotoxicity/ototoxicity
aminoglycosides, vancomycin, loop diuretics, cisplatin
cisplatin might respond to amifostine
sulfa drugs
probenecid, furosemide, acetazolamide, celecoxib, thiazides, sulfonamide antibiotics, sulfasalazine, sulfaonylureas
CYP450 inducers
guinness, coronas, PBRS induce chronic alcoholism griseofulvin carbamazepine phenytoin/phenobarbital rifampin st. johns wort nevirapine
CYP450 substrates
anti-epileptics
theophylline
warfarin
OCPs
CYP450 inhibitors
CRACK AMIGOS cirpo ritonavir amiodarone cimetidine ketoconazole acute alcohol abuse macrolides (except azithromycin) INH grapefruit jiuce sulfonamides quinidine
coronary vasospasm
cocaine, sumatriptan, ergot
cutaneous flushing
VANC vancomycin adenosine niacin CCB
dilated cardiomyopathy
anthracyclines (doxo/daunor)
prevent with dexrazoxane
torsades de pointes
Class III and Ia macrolides antipsychotics TCA Tx with Mg