Pharmacology--Toxicities Flashcards
Antidote: acetaminophen
N-AC (replenishes glutathione)
Antidote: AChE inhibitors, organophosphates
Atropine followed by pralidoxime
Antidote: amphetamines (basic)
NH4Cl (acidify urine)
Antidote: antimuscarinic, anticholinergic agents
physostigmine salicylate, control hyperthermia
Antidote: benzodiazepines
flumazenil
Antidote: b blocker
glucagon
Antidote: carbon monoxide
100 % Oxygen, hyperbaric O2
Antidote: Cu, As, Au
Penicillamine
Antidote: cyanide
nitrite + thiosulfate, hydroxocobalamin (forms stable cyanocobalamin)
Antidote: digitalis
Anti Dig Fab fragments
Antidote: heparin
protamine sulfate
Antidote: iron
Deferoxamine, deferasirox
Antidote: lead
EDTA, dimercaprol, succimer, penicillamine
Antidote: mercury, arsenic, gold
Dimercaprol (BAL), succimer
Antidote: methylene glycol, ethylene glycol
Fomepezole > ethanol or dialysis
Antidote: methemoglobin
methyline blue, vitC
Antidote: opioids
naloxone
Antidote: salicylates
NaHCO3 (alkalinize urine), dialysis
Antidote: TCAs
NaHCO3 (plasma alkalinization)
Antidote: tPA, streptokinase, urokinase
Aminocaproic acid
Antidote: warfarin
VitK, plasma (fastest reversal for active bleeding)
Coronary vasopasm
cocaine, sumatriptan, ergot alkaloids
cutaneous flushing
VANC: vancomycin, adenosine, Niacin, Ca2+ channel blockers
dilated cardiomyopathy
danorubicin, doxirubicin
Torsades de points
Class 3 antiarrhythmics (sotalol) and class IA (quinidine); macrolid antibiotics, antipsychotics, TCAs
adrenocortical insufficiency
HPA suppression 2nd to glucocorticoid withdrawal
hot flashes
tamoxifen, clomiphene
hyperglycemia
tacrolimus, protease inhibitors, niacin, HCTZ, B blockers, corticosteroids (taking pills necessitates having blood checked)
hypothyroidism
lithium, amiodarone, sulfonamides
acute cholestatic hepatitis, jaundice
erythromycin
diarrhea
Might Excite Colon On Accident: metformin, erythromycin, colchicine, orlistat, acarbose
Focal to massive hepatic necrosis
liver HAVAc: halothane, amanita phalloides (mushroom), valproic acid, acetaminophen
hepatitis
INH
pancreatitis
Drugs Causing A Violent Abdominal Distress: didanosine, corticosteroids, alcohol, valproic acid, azathioprine, diuretics (furosemide, HCTZ)
agranulocytosis
Drugs CCCrush Myeloblasts and Promyelocytes: Dapsone, clozapine, carbamezepine, colchicine, methimazole, PTU
aplastic anemia
Cant Make New Blood Cells Properly: carbamazepine, methimazole, NSAIDs, Benzene, chloramphenicol, PTU
direct coombs+ hemolytic anemia
methydopa, penicillin
gray baby syndrome
chloramphenicol
hemolysis in G6PD deficiency
hemolysis IS D PAIN: INH, sulfonamides, dapsone, primaquine, aspirin, ibuprofen, nitrofurantoin
Megaloblastic anemia
have a blast with PMS: phenytoin, methotrexate, sulfa drugs
thrombocytopenia
heparin, cimetidine
thrombotic complications
OCPs (estrogens)
fat redistribution
Fat PiG: protease inhibitors, glucocorticoids
gingival hyperplasia
phenytoin, verapamil, cyclosporine, nifedipine
hyperuricemia (gout)
Painful Tophi and Feet Need Care; pyrazinamide, thiazides, furosemide, niacin, cyclosporine
myopathy
fibrates, niacin, colchicine, hydroxychloroquine, IFN alpha, penicillamine, statins, glucocorticoids
Osteoporosis
corticosteroids, heparin
Photosensitivity
sulfonamides, amiodarone, tetracyclines, 5 FU (SAT For Photo)
Stevens Johnson’s syndrome
Steven Johnson has epileptic Allergy to Sulfa drugs and Penicillin: anti epileptic drugs (carbamazepine, ethosuximide, lamotrigine, phenytoin, phenobarbital), allopurinol, sulfa drugs, penicillin
SLE like syndrome
lupus is “SHIPP-E”: sulfa drugs, hydralazine, INH, procainamide, phenytoin, etanercept
teeth discoloration
tetracyclines
tendonitis, tendon rupture, cartilage damage
tetracyclines esp in elderly
cinchonism
quinidine, quinine
parkinson-like snydrome
cogwheel rigidity of ARM: antipsychotics, reserpine, metoclopramide
seizures
I BITE My tongue: INH (B6 deficiency), buproprion, imipenem/cilastatin, tramadol, enflurane, metoclopramide
tardive dyskinesia
antipsychotics, metoclopramide
diabetes insipidus
lithium, demclocycline
fanconi syndrome
Expired tetracycline
hemorrhagic cystitis
cyclophosphamide, ifosfamide (prevent with mesna)
intersitial nephritis
methicillin, NSAIDs, furosemide
SIADH
Can’t Concentrate Serum Sodium: carbamazepine, cyclophosphamide, SSRIs
Dry cough
ACE inhibitors
Pulmonary fibrosis
Breathing Air Badly from Meds: bleomycin, amiodarone, busulfan, methotrexate
Antimuscarinic
atropine, TCAs, H1 blockers, antipsychotics
Disulfiram like reaction
metronidazole, certain cephalosporins, griseofulvin, procarbazine, 1st gen sulfonyureas
nephrotoxicity/ototoxicity
aminoglycosides, vancomycin, loop diuretics, cisplatin
P450 inducers
Chronic alcoholic Mona steals Phen-Phen and Never REfuses Greasy Carbs: chronic alcohol, modafinil, St Johns wort, Phenytoin, phenobarbital, nevirapine, rifampin, griseofulvin, carbamazepine
P450 substrates
Always (X4) think when starting others: anti epileptics, antidepressants, antipsychotics, anesthetics, theophylline, warfarin, statins, OCPs
P450 inhibitors
A cute Gentleman “Cipped” Iced Grapefruit juice Quickly And Kept Munching on Soft Cinammon Rolls: Acute alcohol abuse, gemfibrozil, ciprofloxacin, INH, grapefruit juice, quinidine, amiodarone, ketoconazole, macolides, sulfonamides, cimetidine, ritonavir
Sulfa drugs:
probenecid, furosemide, acetazolamide, celecoxib, thiazides, sulfonamide anbx, sulfsalazine, sulfonylureas (Popular FACTSSS)