Prescription review Flashcards
Drugs causing hyperglycaemia
steroids, antipsychotics, thiazides, beta blockers, tacrolimus
Drugs causing hypoglycaemia
insulin, sulphonureas
Drugs causing constipation
Opioids,
CCBs (amlodipine, verapamil), diuretics,
anti-emetics (ondansetron, metoclopramide),
anti-epileptics,
Parkinsons meds,
antacids + Ca
anticholinergics
Drugs causing diarrhoea
ABx (c.diff)
colchicine
metformin
PPIs
antacids + Mg
laxatives
Drugs causing urinary retention
opioids
anticholinergics
Drugs causing urinary incontinence
alpha blockers
diuretics
anti cholinesterase inhibitors
clozapine
Drugs causing confusion
opioids
sedatives
anticholinergics
Drugs causing falls
benzos
antidepressants (TCAs, SNRI) MAO
antipsychotics
opiates
anti-HTN
parkinsons meds (ropinirole, selegiline)
anti epileptics
(in theory those that cause hypoglycaemia)
Drugs causing gout
diuretics
Drugs causing osteoporosis
steroids
PPI
LNRH agonists (Breslin, goreslin)
Drugs causing HTN
NSAIDs
steroids
oral contraceptives
mirabegron
Drugs causing high cholesterol
steroids
thiazides
Drugs causing hypokalaemia
loop diuretics
thiazides
steroids
salbutamol
Drugs causing hyperkalaemia
K+ sparing diuretics
ACE inhibitors
ARBs
unfractionated heparin/LMWH
blood transfusion
Drugs causing hyponatraemia
SSRI
TCA
carbamazapine
opiates
PPI
Drugs causing hypernatraemia
lithium
demeclocyline
steroids in illness
double the dose
which drugs should be stopped if intercurrent illness
metformin, statins, -gliflozins
which drugs should be stopped if trying to conceive
antiepileptics, antipsychotics
isotretinoin, methotrexate, warfarin
stopping drugs prior to surgery
DOACs- 48hrs
clopidogrel- 7d
warfarin- bridging plan
most likely to worsen Parkinsons
antipsychotics (haloperidol)
antiemetics (metoclopramide)
anti-depressants
most likely to worsen myasthenia gravis
ABx
beta blockers
local anaesthetic
sedating drugs
most likely to worsen psoriasis
beta blockers
lithium
some Abx
most likely to worsen HF
NSAIDs
CCB
thiazolidinediones (pioglitazone)
