RR Contraindications Flashcards
PDE-5 inhibitors
Alfuzosin, doxazosin,
tamsulosin, and
terazosin
potent inhibitors of P450 enzymes (e.g., ketoconazole)
Alfuzosin, doxazosin,
tamsulosin, and
terazosin
calcium channel blockers (diltiazem and
verapamil)
Dutasteride
anticoagulants or 2. hormone therapy
Saw palmetto
oral
contraceptive and hormone replacement
therapy
Saw palmetto
Severe hepatic impairment
Antiandrogens
Bicalutamide &
flutamide
Nilutamide
respiratory insufficiency
Nilutamide
methotrexate, 6-
mercaptopurine, and azathioprine–> bone
marrow suppression
Trimethoprim-
Sulfamethoxazole
Bacteriostatic agents (e.g., TCN)
Penicillins
Ceftriaxone
pregnancy; may cause hemolytic anemia in neonate
Nitrofurantoin
Sulfonamide allergies
TMP-SMX
Dorzolamide; acetazolamide
FUROSEMIDE
Thiazide diuretics
COPD
CA inhibitors; dorzolamide; acetazolamide
Propranolol
Pulmonary congestion
Mannitol
Heart failure
Mannitol
Severe renal disease
Mannitol
Aminoglycosides (ototoxicity
Loop diuretics
NSAIDs (decreases efficacy)
Loop diuretics
Thiazide diuretics
Oral hypoglycemics (efficacy decreased)
Loop diuretics
Thiazide diretics
Anuria
Thiazide diuretics
K sparing diuretics
other potassiumsparing
diuretics, potassium supplements
K sparing diuretics
Angiotensin Receptor Blockers (losartan etc)
K sparing diuretics
ACEIs (hyperkalemia)
K sparing diuretics
antacids
Ferrous sulfate and
ferric gluconate
proton-pump inhibitors
Ferrous sulfate and
ferric gluconate
Interferes with absorption of other drugs
including oral iron
Calcium acetate &
calcium carbonat
Oral iron
Calcium acetate &
calcium carbonat
Cholestyramine (reduces absorption)
Calcitriol, paricalcitol
Nitrates (severe hypotension)
Sildenafil, tadalafil,
vardenafil
pts at risk of ophthalmologic problems
Sildenafil, tadalafil,
vardenafil
airplane pilots
Sildenafil, tadalafil,
vardenafil
Sickle cell disease (risk of priapism)
Lymphoproliferative disorders (risk of
priapism)
Alprostadil
Thrombocytopenia
Alprostadil
Anticoagulants
Alprostadil
Saw Palmetto
Prostate cancer
BPH
Testosterone
replacement
asthma patients
Propranolol
Verapamil and Diltiazem
Dutasteride
Pregnancy
ACE inhibitors;ARBs; Alisikren
TMP-SMX
Floroquinolones
Nitrofurantoin
Finasteride/Dutasteride
Take with FOOD
cinacalcet
Take without food
Penicillins;
Ferrous sulfat and Ferric gluconate