Side effects Flashcards

1
Q

What are the side effects of gentamicin/vancomycin?

A

Nephrotoxicity
Ototoxicity

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2
Q

What is a common side effect of most abx, particularly broad-spectrum abx?

A

Clostridium difficile colitis

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3
Q

What are the side effects of ACEi?

A
  • Hypotension
  • Electrolyte abnormalities
  • AKI
  • Dry cough
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4
Q

What are the side effects of beta blockers?

A
  • Hypotension
  • Bradycardia
  • Wheeze in asthmatics
  • Worsens acute HF (helps chronic HF)
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5
Q

What are the side effects of calcium channel blockers?

A
  • Hypotension
  • Bradycardia
  • Peripheral oedema
  • Flushing
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6
Q

What are the side effects of diuretics?

A
  • Hypotension
  • Electrolyte abnormalities
  • AKI
  • Sub-class dependent effects e.g. spironolactone causes gynaecomastia
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7
Q

What are the side effects of digoxin?

A
  • N+V+D
  • Blurred vision
  • Confusion and drowsiness
  • Xanthopsia - disturbed yellow/green visual perception including halo vision
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8
Q

What are the side effects of amiodarone?

A
  • Interstitial lung disease (pulmonary fibrosis)
  • Thyroid disease
  • Skin greying
  • Corneal deposits
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9
Q

What are the side effects of lithium?

A
  • Early: tremor
  • Intermediate: tiredness
  • Late: arrhythmias, seizures, coma, renal failure, diabetes insipidus
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10
Q

What are the side effects of haloperidol?

A

Dyskinesias e.g. acute dystonic reactions, drowsiness

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11
Q

What are the side effects of simvastatin?

A
  • Myalgia
  • Abdominal pain
  • Increased ALT/AST
  • Rhabdomyolysis
  • Risk of myalgias in order: simvastatin, atorvastatin, pravastatin, fluvastatin
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12
Q

What medications cause ototoxicity?

A
  • Genamicin
  • Bumetanide
  • Furosemide
  • Vancomycin
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13
Q

What are the causes of C.Diff?

A
  • Clindamycin
  • Co-amoxiclav
  • Ciprofloxacin
  • Cephalosporins e.g. ceftriaxone, cefalexin
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14
Q

What are the symptoms of opioid overdose?

A
  • Pinpoint pupils
  • Coma
  • Respiratory depression
  • Antidote is naloxone IM 400 micrograms every 2-3 mins
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15
Q

What is the treatment for drug-induced parkinsonism?

A

Procyclidine hydrochloride

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16
Q

What are the side effects of atypical antipsychotics?

A

e.g. quetiapine, olanzapine
- Weight gain
- Diabetes
- Rise in serum lipids

17
Q

What are the side effects of the typical antipsychotics?

A

e.g. chlorpromazine, haloperidol
- Acute dystonia - sustained muscle contraction
- Akathisia restlessness
- Tardive dyskinesia - facial grimacing, lip smacking

18
Q

What are side effects of quinolones?

A

e.g. ciprofloxacin
- Increase risk of tendon rupture
- Prolong QT syndrome
- Increase risk of seizures