Prescription review Flashcards

1
Q

Drugs causing hyperglycaemia

A

steroids, antipsychotics, thiazides, beta blockers, tacrolimus

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1
Q

Drugs causing hypoglycaemia

A

insulin, sulphonureas

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2
Q

Drugs causing constipation

A

Opioids,
CCBs (amlodipine, verapamil), diuretics,
anti-emetics (ondansetron, metoclopramide),
anti-epileptics,
Parkinsons meds,
antacids + Ca
anticholinergics

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3
Q

Drugs causing diarrhoea

A

ABx (c.diff)
colchicine
metformin
PPIs
antacids + Mg
laxatives

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4
Q

Drugs causing urinary retention

A

opioids
anticholinergics

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5
Q

Drugs causing urinary incontinence

A

alpha blockers
diuretics
anti cholinesterase inhibitors
clozapine

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6
Q

Drugs causing confusion

A

opioids
sedatives
anticholinergics

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7
Q

Drugs causing falls

A

benzos
antidepressants (TCAs, SNRI) MAO
antipsychotics
opiates
anti-HTN
parkinsons meds (ropinirole, selegiline)
anti epileptics
(in theory those that cause hypoglycaemia)

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8
Q

Drugs causing gout

A

diuretics

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9
Q

Drugs causing osteoporosis

A

steroids
PPI
LNRH agonists (Breslin, goreslin)

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10
Q

Drugs causing HTN

A

NSAIDs
steroids
oral contraceptives
mirabegron

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11
Q

Drugs causing high cholesterol

A

steroids
thiazides

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12
Q

Drugs causing hypokalaemia

A

loop diuretics
thiazides
steroids
salbutamol

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13
Q

Drugs causing hyperkalaemia

A

K+ sparing diuretics
ACE inhibitors
ARBs
unfractionated heparin/LMWH
blood transfusion

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14
Q

Drugs causing hyponatraemia

A

SSRI
TCA
carbamazapine
opiates
PPI

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15
Q

Drugs causing hypernatraemia

A

lithium
demeclocyline

16
Q

steroids in illness

A

double the dose

17
Q

which drugs should be stopped if intercurrent illness

A

metformin, statins, -gliflozins

18
Q

which drugs should be stopped if trying to conceive

A

antiepileptics, antipsychotics
isotretinoin, methotrexate, warfarin

19
Q

stopping drugs prior to surgery

A

DOACs- 48hrs
clopidogrel- 7d
warfarin- bridging plan

20
Q

most likely to worsen Parkinsons

A

antipsychotics (haloperidol)
antiemetics (metoclopramide)
anti-depressants

21
Q

most likely to worsen myasthenia gravis

A

ABx
beta blockers
local anaesthetic
sedating drugs

22
Q

most likely to worsen psoriasis

A

beta blockers
lithium
some Abx

23
Q

most likely to worsen HF

A

NSAIDs
CCB
thiazolidinediones (pioglitazone)

24
Q

steroids at night/morning

A

morning

25
Q

statins at night/morning

A

night

26
Q

zopiclone night/morning

A

night

27
Q

furosemide night/morning

A

morning

28
Q

drugs that impair renal function

A

stop the DAMN drugs:
diuretics
ACEi/ARB
Metformin
NSAIDs

29
Q

drugs causing oral candidiasis

A

steroids
ABx
immunosuppressants

30
Q

drugs that impair hepatic function

A

statins