Side effects Flashcards
“Central Alpha Agonists”
Sedation/drowsiness
Xerostomia
Orthostatic hypotension
Hyperkalemia
Lisinopril (ACE-I)
extrapyramidal symptoms/tardive dyskinesia
Metoclopramide
Kills healthy intestinal flora, leading
to C. difficile infections
Clindamycin
Non-selective Beta blockers
Bronchospasm worsen CHF raise lipids impaired glucose tolerance fatigue decreased libido/impotence depression insomnia
Possible serotonin syndrome if combined with other serotonergic drugs
Tramadol/Nucynta
Ondasetron (Zofran)
Calcium Carbonate
Hypercalcemia
blue-black hyperpigmentation
Minocycline
Disulfiram like reaction
flagyl
Osmotic laxatives SE
GI discomfort, bloating
caution:
Mg-containing laxatives and hypermagnesemia in pts with renal insufficiency
Cardioselective beta blockers
Reduced SE but not eliminated
Raise lipids
QT prolongation / Torsades
Methadone
Buprenorphine patch
Ondansetron (Zofran)
Quinolones
Adverse reactions to anti-diarrheals
Ileus
Toxic megacolon
Mirtazapine (Remeron) SE
↑ appetite, weight gain
↑ cholesterol
constipation
dry mouth
Ototoxicity
Loop diuretics, especially ethacrynic acid
URIs
Montelukast
Red man syndrome
Vancomycin
ICS SE
Thrush
Hoarseness
Digoxin toxicity
Cardiac arrhythmias
GI→ N/V/D/A, abdominal pain,
Neuro→ Confusion, weakness, lethargy, fatigue, delirium, disorientation
Visual disturbances
Mesalamine
Increased appetite and weight gain increased risk of infection low bone density/osteoporosis worsening diabetes PUD cataracts adrenal insufficiency
infections
hepatotoxicity
malignancies
Immunomodulators and Biologics
Vancomycin SE
Nephrotoxicity and hearing loss (esp. with aminoglycoside use)
Red man syndrome with rapid infusion
Montelukast SE
URIs headache abdominal pain mood changes*
Magnesium containing antacids
Diarrhea
Nitrates
Orthostatic hypotension
tachycardia
throbbing HA
Black tongue, mouth, stool
Pepto-bismol
Dicyclomine (Bentyl)
Anticholinergic SE