Side Effects Flashcards
antipsychotics
first generation - extrapyramidal
increased prolactin weight gain hyperglycaemia sexual dysfunction tachycardia arrhythmia hypotension neuroleptic malignant syndrome/oculogyric crisis/acute dystonic reactions blood dyscrasia
bisphosphonates
reflux
atypical fractures
osteonecrosis jaw
osteonecrosis external auditory canal
sulphonylureas
hypoglycaemia
weight gain
avoid in pregnancy and breast feeding
metformin
GI upset
lactic acidosis - liver or renal failure
CI; CKD tissue ischaemia - MI, sepsis contrast alcohol
if develop side effects - consider modified release
pioglitazone
weight gain liver impairment fluid retention fractures bladder cancer
enzyme inducers
PC BRAS phenytoin carbamazepine barbiturates rifampicin alcohol chronic sulphonylureas
enzyme inhibitors
AO DEVICES allopurinol omeprazole disulfiram ethanol acute valproate isoniazid clarithromycin erythromycin sulphonamides
metronidazole
amiodarone
SSRIs
steroids
STEROIDS stomach ulcers think skin edema right and left heart failure osteoporosis Infection diabetes syndrome - cushings
proximal muscle weakness
psychiatric - psychosis, insomnia
NSAIDs
NSAIDS no urine - renal failure systolic dysfunction asthma Indigestion dyscrasia - clotting
ACEi
cough
electrolytes
hypotension
BB
hypotension
bradycardia
wheeze
worsens acute heart failure (improves chronic)
CCB
hypotension
peripheral oedema
flushing
don’t combine verapamil with BB - bradycardia
Diuretics
potassium
renal failure
loop
gout
K sparing
gynaecomastia