Pharmacology Flashcards
What are the side effects of sodium valproate?
Teratogenic - Spina bifida
Liver damage and hep
Hair loss
Tremor
What are the side effects of carbamazepine?
Agranulocytosis
Aplastic anaemia
Induces P450 so drug interactions
Side effects of phenytoin?
Folate and Vit D deficiency
Megaloblastic anaemia
Osteomalacia
Ethosuximide side effects?
Night terror
Rashes
What are the side effects of Lamotrigine?
SJS
Leukopenia
What are the features of opioid misuse?
Rhinorrhoea Needle track marks Pinpoint pupils Drowsiness Watering eyes
What is the management of opioid overdose?
IV orIM naloxone
What is the management of paracetamol overdose?
Within 1 hour: activated charcoal
Acetylcysteine after 4 hours infused over 1 hour by looking at graph
What is the clinical features of paracetamol overdose?
Acute liver failure
Young person
What are the teratogenic effects of anti-epileptic drugs in pregnancy?
Fetal hydantoin syndrome: Microcephaly IUGR Clef palate/lip Mental retardation Hypoplastic fingernails Distal limb deformities
What are the signs of opioid withdrawal?
Yawning
Dilated pupils
Rhinorrhea
Epiphora
What are the side effects of the tuberculosis drugs?
Rifampicin - red/orange pee
Isoniazid - peripheral neuropathy
Pyrazinamide - hyperuricaemia (gout)
Ethambutol - colour blindness
All cause hepatotoxicity
What is a non-sedating antihistamine?
Loratidine
What are the side effects of the rheumatic drugs?
Methotrexate: pulmonary fibrosis
Leflunomide: HTN and peripheral neuropathy
Sulfasalazine: male infertility
Hydroxychloroquinine: nightmares and reduced visual acuity
Anti-TNF meds: reactivation of TB or Hep B
Rituximab: night sweats and thormbocytopenia
Reversal of heparin?
Protamine
Side effect of ACEi?
Dry cough
Lichen planus
Angioedema
What is the side effect of statin?
High CK
Muscle cramps
Transaminitis
What is the treatment for hypersalivation caused by clozapine?
Hycoscine
What is the antidote for opioid toxicity?
400mcg naloxone boluses
What is the dose for folic acid in well controlled type 1 diabetic mothers?
5mg pre conception until 12 week gestation