Pharmacy foundations Flashcards
Common CYP inhibitors
G ❤️ PACMAN
Grapefruit
Protease inhibitors
Azole antifungals
Cyclosporine, Cobicistat
Macrolides (not azithromycin)
Amiodarone (and dronedarone)
Non-DHP CCBs
Common CYP inducers
PS PORCS
Phenytoin
Smoking
Phenobarbital
Oxcarbazepine
Rifampin (+ rifabutin, rifapentine)
Carbamazepine
St. Johns Wort
Tyramine-rich food
aged cheese, air-dried meats, sauerkraut
Drugs with additive ototoxicity
Aminoglycosides
Cisplatin
Loop diuretics (Esp rapid IV admin)
Salicylates
Vancomycin
Drugs that are nephrotoxic
Anti-infectives: aminoglycosides, amp B, polymyxins, vanco
Cisplatin
CNIs
Loops
NSAIDs
Contrast dye
Drugs that cause immune-mediated hemolytic anemia (positive Coombs test)
PCNs & cephalosporins
Isoniazid
Levodopa
Methyldopa
Quinidine
Quinine
Rifampin
Sulfonamides
Drugs that increase uric acid
Diuretics
Niacin
Low dose aspirin
Pyrazinamide
Cyclosporine, Tacrolimus
Pancreatic enzyme products
Chemotherapy (d/t TLS)
Drugs to be careful of with TPMT (Thiopurine S-methyltransferase) deficiency
Azathioprine
Mercaptopurine
Low doses
Carbamazepine: therapeutic range
4-12 mcg/mL
Digoxin: therapeutic range
0.8–2 ng/mL (AF)
0.5-0.9 ng/mL (HF)
Gentamicin (traditional dosing): therapeutic range
Peak: 5-10 mcg/mL
Trough: < 2 mcg/mL
Lithium: therapeutic range
0.6–1.2 mEq/L (up to 1.5 mEq/L for acute symptoms)
Phenytoin/Fosphenytoin: therapeutic range
Total: 10-20 mcg/mL
Free: 1-2.5 mcg/mL
Procainamide: therapeutic range
4-10 mcg/mL
NAPA (active metabolite): 15–25 mcg/mL
Combined: 10-30 mcg/mL
Theophylline: therapeutic range
5-15 mcg/mL
Tobramycin (traditional dosing): therapeutic range
Peak: 5-10 mcg/mL
Trough: < 2 mcg/mL
Valproic acid:therapeutic range
50-100 mcg/mL (up to 150 mcg/mL in some patients)
Vancomycin therapeutic range
Trough: 15-20 mcg/mL for most serious infections
Trough: 10-15 mcg/mL for less serious (e.g. SSTIs)
Orange book (FDA)
List of approved drugs that can be interchanged with generics
Pink book (CDC)
information on epidemiology & vaccine-preventable diseases
Red Book, Pharmacy
Drug pricing information