Pharmacology: Drug Reactions Flashcards
Coronary vasospasm
Cocaine
Sumatriptan
Cutaneous flushing
VANC Vancomycin Adenosine Niacin CCB
Dilated cardiomyopathy
Doxorubicin (Adriamycin): intercalates DNA
Daunorubicin
Torsades de pointes
Class III (sotalol) Class IA (quinidine)
Agranulocytosis
Agranulocytosis Could Certainly Cause Pretty Major Damage Clozapine CBZ Colchicine PTU Methimazole Dapsone
Aplastic anemia (BM failure)
Chloramphenicol Benzene NSAIDs PTU Methimazole Microtubule inhibitors: Vinblastine, paclitaxol Antimetabolites: 5-FU, 6-MP, MTX Antitumor abx: Etoposide Other chemo: hydroxyurea
Hemolysis in G6PD pts
Hemolysis IS PAIN in g6pD or Hemolysis IS a PAIN in the Dierriere! Isoniazid Sulfonamides Primaquine/Chloroquine Aspirin Ibuprofen Nitrofurantoin Dapsone
Direct Coombs positive hemolytic anemia
Methyldopa
Megaloblastic anemia
having a blast with PMS
Phenytoin
MTX
Sulfa drugs
Gray baby syndrome
Chloramphenicol
Thrombotic complications
OCPs
Cough
ACE inhibitors (NOT ARBs)
Pulmonary fibrosis
tough to BLAB when you have pulmonary fibrosis
BLeomycin
Amiodarone
Busulfan
Acute cholestatic hepatitis
Erythromycin
Focal to massive hepatic necrosis
liver HAVAc
Halothane (inhaled anesthetic, also risk for malignant hyperthermia)
Acetominophen
VPA
Amantia phallodies (death cap mushroom, inhibits RNA pol II)
Hepatitis
INH
Pseudomembranous colitis
Clindamycin
Ampicillin (AMPed up PCN, HELPSS kill Enterococci)
Adrenocortical insufficiency
Glucocorticoid withdrawal (HPA suppression)
Gynecomastia
Some Drugs Create AwesomE Knockers Spirnolactone Digoxin Cimetidine Alcohol Estrogen Ketoconazole
Hot flashes
Tamoxifen: anti-estrogen in breast, pro-estrogen in uterus (partial on endometrium) and bone
Clomiphene
Hypothyroidism
Lithium
Amiodarone
Sulfonamides
Hyperglycemia
Niacin
Tacrolimus (immunosuppressant, also causes PRES!)
Protease inhibitors
Fat redistribution
Glucocorticoids Protease inhibitors (NAVIR tease a protease!)
Gingival hyperplasia
Phenytoin
Verapamil
Gout
Furosemide Thiazides Niacin Cyclosporine Pyrazinamide (anti-TB, inhibits mycolic acid production by inhibiting fatty acid synthase I)
Myopathies
Fish N CHIPS Give you myopathies
Fibrates
Niacin
Colchicine
Hydroxychloroquine (aka Plaquenil): for RA, lupus
Interferon-alpha: block viral replication, used for Hep B/C, and Kaposi’s
Penicillinamine: heavy metal chelator (Pb, As, Au, Cu – vs. Fe is deferoxamine)
Statins
Glucocorticoids
Osteoporosis
Corticosteroids
Heparin
Photosensitivity
SAT for a photo
Sulfonamides/sulfa drugs
Amiodarone
Tetracycline
Rash (SJS)
bad rash after a PEC SLAPP Penicillin Ethosuximide CBZ Sulfa drugs Lamotrigine Phenytoin Phenobarbital
SLE-like syndrome
it's not HIPP to have lupus Hydralazine INH Procainamide Phenytoin Also: quinidine, minocycline, dapsone
Tendonitis, tendon rupture, and cartilage damage (kids)
Fluoroquinolones
Diabetes insipidus
Lithium (nephrogenic)
Demeclocycline (a tetrocycline abx - used to treat SIADH!)
Fanconi’s syndrome
Expired tetracycline
Interstitial nephritis
Methicillin
NSAIDs
Furosemide
Rifampin
Hemorrhagic cystitis
Cyclophosphamide
Ifofosamide
(Give mesna)
SIADH
CBZ: increases and potentiates ADH
Cyclophosphamide: direct effect on renal tubules, incr H2O retention
Cinconchism (flushed, sweaty skin, tinnitus, blurred vision, lichenoid photosensitivity)
(AKA quinism, a pathological condition in humans caused by an overdose of quinine or its natural source, cinchona bark)
Quinidine
Quinine
Parkinson-like syndrome
Anti-psychotics (DA antag)
Reserpine (inhibits VMAT)
Metoclopramide (dopamine D2 R antagonist in in the chemoreceptor trigger zone [CTZ], prevents N/V)
Seizures
Bupropion (in bulimic patients)
Imipenem/cilastin (CNS toxicity at high levels)
Isoniazid
Tardive dyskinesia
Antipsychotics
Antimuscarinic (Hot/Red/Dry/Mad)
Atropine
TCAs
H1 blockers
Neuroleptics
Disulfiram-like reaction
Metronidazole
certain Cephalosporins
Procarbazine (when combined with EtOH)
1st generation Sulfonylureas (tolbutamide, chlorpropamide)
Nephrotoxicity/ototoxcity
Aminoglycosides
Vancomycin
Loop diuretics
Cisplatin
Cholinergic
Digoxin
Organophosphates
Lactic acidosis
Metformin
Check LFTs
Statins
TZDs (Pioglitazone, rosiglitazone)
Sulfa drugs
Popular FACTSSS Probenecid (incr uric acid excretion) Furosemide Acetazolamide Celecoxib Thiazides Sulfonamide antibiotics Sulfasalazine Sulfonylureas