pharmacology new deck Flashcards

1
Q

5-Flurorouracil

A

Pyrimidine antagonist
For : cancer of colon, rectum, breast, stomach, pancreas
SE: HF, arrhythmias, angina , MI , vomiting, alopecia, dermatitis
Interacts: anticoagulants

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2
Q

acetaminophen

A

for pain and fever
CI: liver disease

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3
Q

adalimumab

A

TNF alpha blocker , monoclonal antibody
For: rheumatic conditions
SE: increased risk of infection, may worsen heart failure, reactivate TB , HA , sinusitis

Interacts with : cyclosporine , warfarin

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4
Q

albuterol

A

beta adrenergic agonist
For asthma, acute response
SE: tachycardia, nausea, palpitations, HA, tremor, UTI
Interactions: beta blockers, CNS stimulants

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5
Q

alendronate

A

Bisphosphonate
Osteoporosis
CI: hypocalcemia, immobility, parathyroid hormone
Must correct calcium and vitamin D before starting
SE: osteonecrosis of jaw, esophageal damage, HF

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6
Q

allopurinol

A

xanthine oxidase inhibitor
Prevents gout and stone formation
caution with warfarin and anti cancer drugs

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7
Q

alprazolam

A

benzodiazepine/ CNS
For: anxiety, and panic
CI: acute narrow angle glaucoma
CYP3A inhibitors, beers criteria , liver disease

DO NOT GIVE WITH ANTIFUNGALS

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8
Q

amantadine

A

Anticholinergic, anti infective
For: parkinsons, viral infections,
SE: suicidality, hypotension, constipation, dizziness,

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9
Q

amiodarone

A

class 3 anti arrhythmic - lengthens cardiac AP
Emergency use only - most don’t tolerate it
CI: iodine allergy, bradycardia, heart block
SE: arrhythmia, bradycardia, heart block, LUNG AND LIVER TOXICITY

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10
Q

amitriptyline

A

Tricyclic antidepressant
CI: MAOI , MI recently
SE: wt gain, blurred vision, arrhythmias, MI, bone marrow depression, suicidality, mania

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11
Q

amlodipine

A

calcium channel blocker
HTN, angina
SE: dizziness, CHF, edema, HA, weakness, nausea
capsules are passed in stool

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12
Q

amoxicillin

A

antibiotic
inhibits cell wall
some gram positive and negative - dental prophylaxis
not against beta lactimase unless mixed with clavulanate

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13
Q

anastrozole

A

aromatase inhibitor
breast cancer in menopause
SE: elevated cholesterol, decrease bone density, DVT, chest pain

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14
Q

aripiprazole

A

ANTISPYCHOTIC / CNS
SE: hyperglycemia, pancreatitis, agranulocytosis , scuicidality, angioedema

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15
Q

aspirin

A

blocks TA2, PG2 in clotting cascade
Reduces risk of stroke, MI
SE: GI bleed, tinnitus, rash, occult blood

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16
Q

atenolol

A

Beta 1 blocker
HTN, angina
SE: fatigue, vertigo, bradycardia, bronchospasm, CHF
NEVER WITH digitalis
TAPER

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17
Q

atomoxetine

A

SNRI /CNS
ADHD
CI: narrow angle glaucoma, pheochromocytoma, severe cardiac disease
SE: increased BP, liver failure, mania, suicidality priapism

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18
Q

atorvastatin

A

Lipid lowering via HMGcoA reductase
-monitor liver: ALT, AST at start and 6wks
-give with CoQ10 atleast 100mg
-discontinue if muscle pain / liver enzymes spike

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19
Q

azithromycin

A

macrolide, interferes with DNA synthesis
bronchitis, non gonococcal uti or STI
fewer GI effects, less medication needed
safer in pregnancy
this is a Zpak

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20
Q

atezolizumab

A

monoclonal antibody
Cancer - of lung
SE: HTN, alopecia, GI upset, pain, UTI,
INTERACTION: never with PPI

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21
Q

apixiban

A

blocks FXA - anti coagulant
CI: active bleeding, crCL <25, liver dz,
SE: bleeding gums, hemorrhage, liver damage, hematuria

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22
Q

atropine

A

muscarinic antagonist
emergency bronchodilation
SE: dry mouth tachycardia

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23
Q

benzoyl peroxide

A

oxidizing agent
acne rosacea - topical
SE: contact derm, photosensitivity , angioedema

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24
Q

bromocriptine

A

sympatholytic dopamine agonist - antidiabetic- CNS
Lowers blood glucose , tx parkinsons, prolactin blocker
CI: lactating, post partum, HTN uncontrolled, thiazide diuretics
SE: hypotension, ulcer, hallucination, thickening of pleura

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25
bupropion
anti depressant depression and smoking cessation SE: increased risk of seizures, with dc of dependent substances CI: eating disorders, seizure disorder, substance abuse discontinuation suddenly
26
buspirone
anti anxiety CI: liver damage, kidney damage SE: CHF
27
calcipotriol
synthetic vitamin D analog psoriasis CI: use on face, high calcium, vitamin D toxicity
28
caffeine
Stimulant, respiratory agent SE: arrhythmias, palpitations, tachycardia,
29
canagliflozin
SGLT2 inhibitor urinary glucose excretion in Diabetes CI: dialysis, hypotension, liver damage SE: UTI, polyuria, ketoacidosis, hypoglycemia, pancreatitis, bone fracture, necrotizing fascitis
30
cannabis
sedative, analgesic opiod blockers
31
capsaicin
32
carbamazepine
anticonvulsant, analgesic for Trigeminal neuralgia, antimanic CI: bone marrow depression, tricyclic sensititivity, MAOI use, SE: arrythmias, hypotension, syncope, pancreatitis, liver damage, renal failure
33
carisoprodol
muscle relaxant CI: intermittent porphyria SE: dizziness, HA, seizure, substance abuse
34
carvedilol
alpha and beta adrenergic blocker HTN, angina CI: asthma, heart block, bradycardia, liver damage SE: heart block, anemia, floppy iris, bronchospasm
35
ceftriaxone
bactericidal gram positive and negative, beta lactamases CI: cephalosporin allergy , CA, lactated ringers SE: C. diff, hemolytic anemia, kidney failure, lung damage
36
cefuroxime
bactericidal good if amoxicillin doesn't work 2nd gen cephalosporin SE: C. diff , vaginitis
37
ceftaroline
Cephalosporin staph aureus and strep SE: rash, diarrhea, C. Diff, hepatic levels rise, encephalopathy
38
celecoxib
NSAID, antiinflamatory , anti pyretic CI: sulfonamide allergy SE: MI, rash, high potasium, GI ulcer, hemorrhage, kidney damage, bronchospasm
39
cephalexin
bactericidal , cephalosporin SE: diarrhea, C. Diff, seizure, renal failure, angioedema
40
ciprofloxacin
fluoroquinolone antibiotic stops bacterial DNA formation Wide spectrum: URI, UTI, bone infections, GI SE: GI, seizures, achilles tendon rupture , stop growth plate development NEVER IN KIDS UNDER 18
41
clarithromycin
macrolide, stops bacterial DNA formation Bronchitis, urinary STI that is not gonorrhea caution in pregnancy
42
clindamycin
lincosamide antibiotic gram positive cocci alternative for penacillin better absorbed more active
43
clonidine
alpha 2 central agonist in brain stem HTN - used for rapid drop in BP over 4 hrs relaxes vessels and renal system TAPER OFF- can cause rebound HTN
44
clopidogrel
blocks TA2 adn PG2 in clotting cascade For reducing risk of stroke, MI SE: salicylism, GI bleed, tinnitus, rash, occult blood, tenderness to palpation
45
cocaine
local anesthetic , ester type CI: vasoconstrictors SE: HTN, CNS depression, MI, tachycardia, vasoconstriction high risk of abuse
46
codeine
narcotic analgesic opiate agonist antitussive, pain management CI: <12yo, respiratory depression, asthma, MAOI, GI obstruction SE: cardiac arrest, adrenal insufficiency, pancreatitis, serotonin syndrome, sweating, dizziness, SOB
47
colchicine
anti-inflammatory gout CI: p-glycoprotein, kidney or liver impairment SE: myalgia, myelosuppression, diarrhea
48
cyclobenzaprine
muscle relaxant , targets brain stem CI: post MI, arrhythmias, MAOI, CHF, heart block, hyperthyroidism SE: dizziness, MI, dysrhythmia, bone marroe depression, hepatitis, serotonin syndrome
49
cyclosporine
immune suppressant , anti inflammatory CI: eye infection , organ transplant SE: high potassium and magnesium, liver toxicity, HTN, HA, gingival hyperplasia,
50
deferoxamine
heavy metal chelator iron CI: anuria, kidney disease SE: anemia, heart problems, blurry vision, renal failur e
51
dexamethasone
adrenocortical steroid CI: eye infection, glaucoma, fungal infection SE: pancreatitis, hyperglycemia, osteoporosis,
52
dextroamphetamine
amphetamine CI: heart /vascular dz, hyperthyroidism, glaucoma, drug abuse HIGH RISK OF ABUSE SE: MI, decreased body growth, seizure, mania,
53
dextromethorphan
cough suppressant CI: MAOI SE: dizziness, fatigue
54
DHEA
steroid hormone Addisons disease precursor to androgens and estrogens CI: clotting disorders, hormone disorders, diabetes
55
Diazepam
anti anxiety, muscle relaxant, anticonvulsant, benzodiazepine CI: acute narrow angle glaucoma, myasthenia gravis, <6month sold, sleep apnea, respiratory or hepatic insufficiency HIGH RISK OF ABUSE, suicidality, nose bleeds altered taste HA, ataxia
56
dicyclomine
antispasmodic , anticholinergic for GI IBS CI: <6,months, lactating, glaucoma, myasthenia gravis, esophagitis, UC, SE: paralytic ileus, syncope, sweating, seizure, SOB
57
digoxin
antiarrhythmic CI: Vfib SE: dysrhythmia, heart block, HA, nausea, vomiting
58
diphenhydramine
Antihistamine blocks H 1 receptor Allergic reactions from Type 1 response or insomnia SE: DROWSINESS, nausea, seizures, thrombocytopenia, agranulocytosis NEVER with CNS depressants or MAOI's
59
DMPS
metal chelation, mercury, gold, arsenic
60
DMSA
heavy metal chelation
61
docusate
stool softening laxative CI: obstruction in GI SE: liver toxicity, diarrhea, cramping NEVER WITH LICORICE
62
donepezil
cholinesterase inhibitor alzheimers SE: heart block , itching, GI pain, HA, spasm
63
doxorubicin
antineoplastic agent leukemia CI: myelosuprresion, recent MI, liver disease, SE: nausea, alopecia, pancreatitis, cell abnormalities
64
doxycycline
antibiotic - tetracycline stops bacterial protein synthesis Gram positive and negative, chlamydia, lyme acne- prophylaxis SE: intracranial HTN, GI upset, rash, increased pigmentation, NEVER IN PREGNANCY, <9YO, lactation
65
dulaglutide
GLP-1 CI: family hx of thyroid cancer SE: abdominal pain, Nausea, thyroid cancer, pancreatitis, retinopathy, renal failure
66
edetate calcium disodium
lead chelation CI: anuria, hepatitis, renal disease
67
epinephrine
Direct sympathomimetic - vasoconstriction of alpha1, vasodilate beta 2 Anaphylaxis,bronchoconstriction and local anesthesia SE: cerebral hemorrhage, CVA, HTN, Vfib, shock , N/V, drowsiness IV: 1:10,000 0.1-0.2mg/mL 2 ml every 5 minutes IM 1:1,000 0.5-1mg/mL 1 ml NOT IN CLOSED ANGLE GLAUCOMA
68
escitalopram
SSRI Antidepressant , anti anxiety CI: MAOI SE: scuicidal thought, fatigue, dizziness, sweating, GI problems
69
esomeprazole
PPI CCI: elderly, clopidogrel SE: GI pain, constipation, AI trigger, fracture
70
estradiol
hormone For: menopause, low estrogen, adrogen dep3endant prostate cancer, CI: hx of stroke or MI, breast cancer, DVT, cancer, liver dz, pregnancy, SE: MI, edema, wt gain, abdominal pain,HA, breast tenderness, DVT, dementia, cancer
71
estriol
form of estrogen, vaginal atrophy/itching not FDA approved
72
estrone
estrogen
73
exenatide
GLP-1 Diabetes CI: hx of thyroid cancer SE: GI upset, pancreatitis, renal failure, angioedema,
74
finasteride
5 alpha reductase inhibitor For: BPH, alopecia, male fertility, derm CI: pregnancy, SE: abnormal ejaculation, breast tenderness, ED, reduced libido , prostate cancer breast cancer
75
fluconazole
antifungal systemic kill need breaks if using long term
76
fluoxetine
SRI, antidepressant For: body dismorphia, bulimia, bipolar, depression, dythymia, anxiety, raynauds CI: MAOI SE: scuicidality, anxiety, influenza, dizziness, insomnia, loss of appetite
77
fluticasone
steroid nasal or oral once daily
78
furosemide
loop diuretic For: edema, HTN CI: anuria, liver cirrhosis SE: photosensitivity, loss of appetite, hypotension, pancreatitis, ototoxicity
79
gabapentin
anticonvulsant , analgesic For: withdrawl from alcohol, fibromyalgia, neuropathy, partial seizure, neuralgia SE: edema, N, V, viral illness, ataxia, hypoglycemia, mood swings, scuicidal
80
gemfibrozil
antihyperlipidemic For: familial hyperlipidemia CI: simvastatin , gallbladder dz, kidney damage SE: appendicitis, GI pain, indigestion, increase liver enzymes, myopathy,
81
glyburide
Sulfonylurea diabetes CI: ketoacidosis, type 1 diabetes , elderly SE: wt gain, heartburn, Hypoglycemia, cholestatic jaundice
82
guaifenesin
expectorant CI: <2yo, chornic persistant cough with underlying dz, MAOI SE: nausea , vomiting,
83
haloperidol
butyrophenone antipsychotic / dopamine antagonist For: alcohol withdrawl, tourettes, schizophrenia CI: parkinsons , coma, SE: hypotension, constipation, blurred vision, prolong QT, hyponatremia, priapism, paralytic ileus
84
heparin
inhibits clotting factors via AT3 prevention of DVT, Emboli, DIC SE: hemorrhage, cutaneous necrosis, chills, fever, itching Caution: menstruating female, liver dz, blood dz
85
heroin
opiod SE: respiratory depression, pulmonary edema, asthma, alveolar hemorrhage
86
HAV
INACTIVATED CI: allergy to neomycin
87
HBV
Recombinant vaccine CI: yeast allergy Safe in breast feeding
88
HPV
minimum age 9yo safe with immune compromise CI: pregnancy
89
hydrochlorothiazide
HCTZ or diuretic -For HTN / Edema -inhibits sodium and chloride reuptake in distal tubule to reduce GFR -SE: low potassium, high calcium, high glucose, renal failure NEVER IN SULFONAMIDE OR THIAZIDE INTOLERANCE
90
hydrocodone
cough suppressant
91
hydrocortisone
glucocorticoid For: CI: systemic fungal infection, ileocolostomy, SE: HTN, fluid retention, wt gain, cushings, osteoporosis, glaucoma, TB
92
hydroxychloroquine
antimalarial malaria, amebiasis, sle ,ra ci: g6pd deficiency, eye disease, long term use SE: HA, dizziness, pruritis, seizures, retinal change, ototoxicity
93
hydroxyzine
histamine antagonist, CNS, antianxiety 3 For: anxiety, allergies, nausea CI: elderly, pregnancy, prolong QT
94
ibuprofen
NSAID, analgesic, anti migraine CI: aspirin allergy, SE: HF, high potassium, GI perforation/bleed, aseptic meningitis, hearing loss, depression, renal failure , REYES SYNDROME
95
insulin glargine
insulin- basal insulin once daily DIABETES 1 AND2 CI: hypoglycemia SE: infections, edema, breast cancer, nocturnal hypoglycemia
96
insulin lispro
rapid acting insulin ( meal time insulin) CI: hypoglycemia SE:
97
insulin regular
rapid acting insulin - meal time SE: hypoglycemia, wt gain, hypokalemia
98
interferon alpha
anti viral, antineoplastic , immunomodulating For: chronic HBV, HCV, HDV, HPV, wet nile , aids
99
interferon beta
immunomodulator For:MS SE: liver toxicity , CHF, depression,
100
ipilimumab
monoclonal antibody antineoplastic Cancer of liver, lung, melanoma, colon
101
ipatropium bromide
cholinergic antagonist / bronchodilator FOR: COPD, asthma acute, nasal discharge CI: atropine allergy SE: bitter taste in mouth, bronchitis, MI, bronchospasm
102
isoniazid
bactericidal/ anti TB CI: liver dz, SE: liver damage, neurotoxicity, hepatitis, SLE, muscle damage
103
isotretinoin
retinoid/ antiacne CI: vitamin A allergy , pregnancy MUST BE ON CONTRACEPTIVE SE: alopecia, dermatitis, elevated lipids, dry eyes, DVT, optic neuritis, hearing loss , bronchospasm
104
ketamine
NMDA antagonist / analgesic, anesthetic For: alcohol dependance general anesthesia, pain, depression, epilepsy CI: HTN, SE: HTN, tachycardia, dysrhythmia, apnea, respiratory depression
105
latanoprost
prostaglandin F2- alpha analogue For: ocular HTN, open angle glaucoma SE: blurred vision, burning, foreign body sensation hyperemia, iris color change, itching , bacterial keratitis
106
levodopa/carbidopa
increase in dopamine For: parkinsons CI: narrow angle glaucoma, hx melanoma , MAOI SE: B6 deficiency, nausea, dizziness, MI, melanoma, depression, hallucinations
107
levonorgestrel
progestogen/ progestin For: OCP, PLAN b CI: liver disease, PID, endometriosis, breast cancer, fibroids, abnormal pap, pregnancy, UTI, SE: acne, MI, breast cancer, cholecystitis, DVT , depression, cysts of ovary
108
levothyroxine
T4 CI: MI, goiter, nodular thyroid disease, thyrotoxicosis SE: palpitations, alopecia, sweating, weight loss, insomnia, anxiety, angina, SOB Interactions: furosemide
109
liothyronine
synthetic thyroid hormone CI: adrenal cortical insufficiency , thyrotoxicosis SE: arrythmia, MI, hyperthyroid, osteoporosis, slipped femoral epiphysis,
110
liraglutide
GLP-1 Diabetes CI: thyroid cancer, preganncy SE: thyroid or breast cancer, gall bladder issues, renal failure, GI upset ,URI
111
lisinopril
ACE inhibitor HTN, heart failure SE: dry persistent cough , tachycardia, rash, renal dysfunction, HA, high potassium NEVER IN PREGNANCY
112
lithium
antimanic for bipolar CI: cvd, diuretic, debilitation, dehydration, renal disease, sodium depletion SE: hypothyroid, acne, bradycardia, diabetes, angioedema, coma, blurred vision, tinnitus, polyuria, fatigue, dizziness
113
loperamide
slow GI transit Anti diarrheal CI: <2yo, GI pain, enterocolitis, or GI infection, acute dysentery, colitis, UC SE: GI pain, nausea, vomiting, necrotizing enterocolitis in fetus , cardiac arrest
114
loratadine
Antihistamine blocks H1 receptor seasonal allergies non sedating NEVER USE WTIH erythromycin, ketoconazole, itraconazole- causes fatal arrythmia
115
lugol solution
iodine solution
116
mebendazole
broad spectrum anthelmintic For: giardea, pinworms, hookworms, whipworms, SE: GI pain, diarrhea, gas, N/V, hepatitis, seizure, angioedema caution with high dose=necrolysis
117
medroxy progesterone
OCP, antineoplastic For: endometrial cancer, breast cancer, OCP, renal cell carcinoma CI: DVT, MI, breast cancer, pregnancy, liver disease SE: decreased bone density, sclerosis, weight change, abdominal pain, HA
118
melatonin
Sleep aid, CNS For: cancer, jet leg, insomnia SE: hypothermia, HA, fatigue, angina , palpitations
119
menningococcal vaccine
safe for everyone , dont give with cyclosporine 10+yo
120
metformin
antidiabetic , stops liver glucose production CI: ketoacidosis, coma, renal impairment SE: B12 deficiency, diarrhea, gas, malabsorption, nausea, vomiting, HA , lactic acidosis
121
methadone
synthetic opioid analgesic For pain, substance abuse CI: bronchial asthma, paralytic ileus, GI obstruction, respiratory depression SE: Hypotension, sweating, constipation, prolonged QT, respiratory arrest, dizziness
122
mesalazine
aminosalicylate UC and crohns by reducing inflammation take with steroid
123
methotrexate
folate analgog antineoplastic, antirheumatic CI: alcoholism, liver disease, immunodeficiencies, pregnancy
124
methylphenidate
amphetamine related CNS stimulant For: ADHD CI: MAOI, glaucoma, anxiety, tics, tourette SE: raynauds, dermatitis, decreased growth, mania, dependance
125
methylprednisolone
glucocorticoid , corticosteroid CI: systemic fungal infection SE: HTN, edema, cataract, CHF, pancreatitis, liver toxicity, glaucoma, psychotic disorder,
126
metoclopramide
GI stimulant For: GERD, gastroparesis CI: epilepsy, hemorrhage, GI obstruction, pheochromocytoma SE: edema, Nausea, vomiting, HA, tardive dyskinesia
127
metoprolol
Beta 1 blocker HTN, angina SE: fatigue, vertigo, bradycardia, bronchospasm, CHF NEVER with digitalis TAPER
128
metranidazole
antiprotozoal inhibits DNA synthesis Amoebas, trich, giardia SE: GI distress, seizure, ataxia, rash, joint pain DO NOT DRINK ALCOHOL , Potentiates p450 drugs
129
misoprostol
Anti ulcer, prostaglandin CI: pregnancy SE: GI pain, diarrhea, arrythmia, hemorrhage, rupture of uterus
130
MMR vaccine
live virus vaccine CI: gelatin allergy, pregnant and 3 months after vaccination, immunosuppressants, immunodeficiency, SE: pancreatitis, optic neuritis, seizure, arthralgia,
131
modafinil
CNS amphetamine stimulant For: narcolepsy, OSA, shift work SE: Rash, nausea, HA, insomnia, anxiety, HTN, mania
132
mometasone
corticosteroid, anti asthma CI: milk protein sensitivity, acute asthma episode SE: candida infection, HA, dysmenorrhea, nose bleed, cough, URI, dermatitis, bronchospasm
133
montelukast
Respiratory agent SABA For: asthma, allergic rhinitus SE: HA, URI, insomnia, agitation, anxiety, scuicidal
134
morphine
anesthetic, opiod, analgesic CI: Respiratory depression, MAOI, GI obstruction, SE: pruritus, constipation, nausea, dizizness, HA, miosis, urinary retention
135
mupirocin
antibacterial Impetigo SE: burning at site, C.diff infection.
136
naloxone
Opioid antagonist, antidote For overdose IV 0.4mg up to 2mg , Nasal 4mg every 3 minutes alternate sides SE: abdominal pain, dizziness, HA, HTN, tachycardia, sweating, N/V
137
naltrexone
Opioid antagonist for substance dependency CI: opioid use, opiate withdrawal, SE: GI pain, diarrhea, nausea, vomiting, anxiety, dizziness, DVT, depression , hepatitis
138
naproxen
NSAID Pain CI: aspirin allergy SE: edema , GI pain, HA, tinnitus, ototoxicity, renal failure, bronchospasm
139
nicotine patch
smoking cessation SE: local skin reaction , HA, insomnia, vivid dreams, CI: unstable angina, arrhythmias
140
nitrofurantoin
antibiotic CI: anuria, liver disfunction, labor, <1month old, 3rd trimester pregnancy, renal impairment SE: hemolytic anemia, liver damage, neuropathy, pneumonia, do not give with methotrexate or fluconazole
141
nitroglycerin
Nitrate, vasodilator For: angina, anal fissures CI: allergy to corn, PDE5 inhibitors, MI, increased intracranial pressure, tamponade, anemia. SE: hypotension, flushing, dizziness, HA,
142
norelgesteromin/ ethyl patch
Contraceptive CI: smoker over 35yo , DVT, coagulopathies, CARD, HTN, diabetes, liver disease, pregnanyc, breast cancer, SE: GI pain, HA, migraine, mood swings, breast pain, dysmenorrhea, amenorrhea, HT, MI, DVT, pancreatitis
143
norgesteromin ethyl oral
Contraceptive Acne SE: anxiety, change in vision , chest pain, constipation, dark urine, dizziness, HA, hives,
144
ondansetron
Antiemetic for chemotherapy CI: apomorphine use SE: constipation, diarrhea, HA, Hypoxia, fatigue, abnormal ECG
145
oseltamivir
Antiviral For influenza SE: arrhythmia, GI hemorrhage, HA, vomiting, nausea, seizure, delirium DO NOT GIVE WITH WARFARIN
146
oxycodone
opioid analgesic CI: acute asthma, GI obstruction, respiratory depression
147
oxymetazoline
decongestant, opthalmic agent For: congestion, rosacea, ptosis SE: dermatitis, pruritis, HA, insomnia, blurred vision, dry eyes, rebound congestion
148
oxytocin
Pituitary hormone, uterine stimulant CI: complicated preganncy, obstetric emergency, hypertonic uterus, SE: nausea, vomiting, arrythmia, water intoxication syndrome, jaundice, retinal hemorrhage, hematoma, death
149
paclitaxel
antineoplastic AIDS, breast cancer, gastric cancer, lung cancer, ovarian, CI: neutrophills less than 1500cells, SE: alopecia, diarrhea, anemia, arthralgia, neuropathy, AFIB, GI perforation,
150
pembrolizumab
monoclonal antibody anti cancer: anal, bladder, cervical, colorectal, endometrial, esophageal, gastric, H/N, liver, melanoma, most camcers
151
penicillamine
heavy metal antagonist wilsons disease - binds extra copper CI: breastfeeding, rheumatoid arthritis, pregnancy SE: rash, diarrhea, pancreatitis, liver damage, myasthenia gravis, optic neuritis, goodpastures
152
penicillin
Antibiotic Erysipelas, skin infection, otitis media, URI, SE: hairy tongue, diarrhea, GI pain, N/V
153
pentoxifylline
xanthine, hemorheologic FOr: CHF, vascular disorders, diabetes CI: cerebral hemorrhage, retinal hemorrhage SE: N/V, angina, anemia, jaundice,
154
permethrin
Scabicide For lice and scabies SE: swelling of heart, erythema, pruritis, rash, tinging, burning sensation. SAFE IN BREAST FEEDING
155
phenazopyradine
urinary analgesic dysuria CI: renal insufficiency SE: hemolytic anemia, liver toxicity, renal toxicity, HA
156
phenelazine
antidepressant, MAOI For depression and bulimia CI: use with other MAOI, SSRI, bupropion, buspirone, CNS depressants, sympathomimetics, CHF, liver dz, pheochromocytoma SE: GI pain, liver damage, HA, ED, fatigue, seizure, suicidal, edema of glottis
157
phenytoin
anticonvulsant CI: liver disease, SE: rash, constipation, confusion, cardiac arrest, liver damage, suicidal thoughts, renal damage
158
phenterimine
Antiobesity / appetite suppressant CI: CVD, MAOI use, drug abuse, glaucoma, hyperthyroidism, nursing or lactating, pregnancy SE: xerostomia, insomnia, ischemia, psychotic disorder, HTN
159
phenylephrine
sympathomimetic FOr: glaucoma, hypotension, nasal congestion, CI: narrow angle glaucoma, arteriosclerosis, HTN, peds, ventricular tachy SE: angina, MI, necrosis, abdominal angina, pulmonary edema
160
pioglitazone
thiazolindinedione antidiabetic agent CI: HF SE: edema, wt increase, fracture, CHF, bladder cancer
161
pneumococcal vaccine
everyone
162
polio vaccine
163
potassium chloride
electrolyte CI: GI block SE: diarrhea, Nausea, vomiting, cardiac arrest, hyperkalemia , ulcer
164
PPD skin test
For latent TB infection INTRADERMAL
165
pramipexole
dopamine agonist for parkinsons, and restless leg SE: hypotension, constipation, confusion , amnesia, HA, hallucinations, melanoma, HF
166
prednisolone
corticosteroid CI: systemic fungal infections 3 SE: same as all steroid s
167
prednisone
corticosteroid SE: same as all steroids
168
pregabalin
anticonvulsant, pain agent SE: edema, increased appetite, nausea, constipation, dizziness, diplopia, nasopharyngitis, jaundice, blurred vision, suicidal
169
pregnenolone
For : back pain, bipolar, schixophrenia, steroid
170
prochlorperazine
antiemetic, CNS CI: children <2yo, coma, peds surgery, substance abuse SE: Prolonged QT, tardive dyskinesia,
171
progesterone micronized
contraceptive, HRT CI: peanut allergy, DVT, breast cancer, ectopic pregnancy, genital cancer, live disease, pregnancy, SE: DVT, breast cancer, dementia, emobli, cancer
172
propranolol
Beta 1 and 2 blocker HTN, angina, arrythmias, migraines essential tremors SE: fatigue, bradycardia, hypotension, N/V, CHF ALWAYS TAPER
173
propylthiouracil
thionamide thyrotoxicosis from graves, thyroid storm SE: Rash, vasculitis, hepatotoxicity, nephritis
174
pseudophedrine
decongestant cold and congestion s CI: CAD, HTN, MAOI SE: HTN, tachyarrythmia, insomnia, anxiety, AFIB.
175
raloxifene
antineoplastic selective estrogen receptor modulator CI: nursing moms, DVT, pregnancy SE: hot sweats, leg cramps, DVT, embolism
176
RGE vaccine
177
rifamipin
anti TB Tb GIVE WITH B-6 hepatotoxic
178
risperidone
antispychotic SE: prolonged QT, pancreatitis, ketoacidosis, pneumonia, angioedema
179
rivastigimine
cholinesterase inhibitor alzheimers, dementia SE: seizure, pneumonia, dehydration, UTI, falls
180
salmeterol
LABA asthma increased risk of asthma related death
181
selenium sulfide
antiseborrheic dandruff, seborrheic dermatitis SE: skin irritation
182
sildenafil
ED agent, anti HTN CI: Not with HIV meds, SE: HA, visual disturbance, bleeding nose, MI, decreased hearing, priapism
183
sitagliptin
dipeptidyl peptidase 4 inhibitor diabetes SE: pancreatic cancer, arthralgia, renal damage, HA , hypoglycemia
184
sodium phosphate enema
for fecal impaction
185
spironolactone
aldosterone antagonist HTN, Edema, PCOS SE: high potassium, breast diformity
186
sucralfate
anti ulcer FOr: GI SE: aluminum poisoning, hyperglycemia, constipation
187
sulfasalazine
Sulfonamide, salicylate For:US and colitis,RA CI: obstruction of urinary or GI SE: myocarditis, liver damage, kidney damage, SLE, pneumonia, sepsis
188
sumatriptan
serotonin receptor agonist CI: arrythmias, MAOI, basilar migraine, TIA, ischemic bowel, CAD, liver disease SE: blindness, hemorrhage, CAD , dizziness,
189
tamoxifen
antineoplastic antiestrogen breast cancer CI: coumarins, anticoagulants, DVT, embolus SE: breast cancer, DVT, liver damage, cataract, pneumonia
190
tamsulosin
andrenergic blocker BPH SE: infection, dizziness, HA, rhinitis, retinal detachment
191
tdap vs DTAP
192
terbinafine
antifungal topical and oral mainly onychomycosis of nails
193
testosterone
Androgen CI: breast cancer, pregnancy, prostate cancer, SE: acne, gynecomastia, HA, URI, MI, DVT, liver damage, BPH, emboli, aggression
194
tiotropium bromide
anticholinergic bronchodilator maintenance of bronchospasm in COPD and asthma SE: arrhythmias, palpitations, anxiety, nausea NOT FOR SINGLE USE
195
tofacitinib
196
tolterodine
197
thyroid USP
198
trastuzumab
199
trazadone
serotonin antagonist For: anxiety, depression, aggression, eating disorders, dementia SE: sedating, hypotension, ci: mI, seizure, pregnancy - bupropione, buspirone, dextromethorphan, MAOIS, TCAS,
200
triamcinolone
201
trimethorprim sulfamethoxasole
202
triple antibiotic
203
valacyclovir
antiviral, stops replication HSV1 and 2, varicella, herpes, encephalitis SE: nausea, rash
204
valsartan
HTN for those with ACE intolerance SE: renal dysfunction, high potassium, hypotension
205
varenicline
smoking cessation agent, SE: GI, N/V, dream disorder, insomnia, cough, throat irritation, MI, night blindness, depression DONT give with bupropion
206
varicella vaccine
Live vaccine, 1+ yo 2 doses NOT IF IMMUNOSUPPRESSED, corticosteroids, preganncy
207
venlafaxine
208
warfarin
blocks vitamin K and factors 2,7,9,10 For: thrombosis, rheumatic heart disease, emboli, ischemic heart disease SE: prolonged bleeding, hemorrhage, rash, fever, diarrhea Monitor PTT
209
zidovudine
iv OR oral reverse transcriptase inhibitor/ anti viral HIV SE: hemotologic toxicity, liver damage
210
zolpidem
211
zoster vaccine