Side Effects Flashcards
1
Q
What are anti-cholinergic side effects?
A
- Dilated pupils
- Blurred vision
- Dry mouth
- Flushed skin
- Urinary retention
- Constipation
Eg. TCAs, antihistamines, hyposcine, atropine, antipsychotics, incontinence meds
2
Q
What are anti-histaminergic side effects?
A
- Weight gain
- Sedation
eg. TCAs, anti-psychotics, antihistamines
3
Q
What are anti-alpha-adrenergic side effects?
A
- Postural hypotension
- Sexual dysfunction
- Nasal congestion
- Headache
Eg. TCAs, antipsychotics, a-blockers
4
Q
What are anti-dopaminergic side effects?
A
- Extrapyramidal side → tardive dyskinesias, parkinsonism
- Hyperprolactinaemia → galactorrhoea, oligomenorrhoea, subfertility
- Neuroleptic malignant syndrome
- Oculogyric crisis
Eg. metoclopramide, anti-psychotics
5
Q
Rifampicin
A
- Orange-red tears/urine
- Hepatitis
6
Q
Isoniazid
A
- Neuropathy
- Hepatitis
7
Q
Pyrazinamide
A
- Gout
- Hepatitis
8
Q
Ethambutol
A
- Colour blindness
- Optic neuritis
9
Q
Phenytoin
A
- Toxicity (→ cerebellar syndrome)
- Acne
- Coarse face
- Gum hypertrophy
- Hirsuitism
- Inhibits COCP
10
Q
Carbamazepine
A
- Rash
- Dizziness
- Hyponatraemia
- Hair thinning
- Inhibits COCP
11
Q
Sodium Valproate
A
- Tremor
- Weight gain
- Hair thinning
- Teratogenic (avoid if child-bearing age)
12
Q
Lamotrigine
A
Rash (Stevens-Johnson syndrome)
13
Q
SSRI
A
Eg. fluoxetine, citalopram, sertraline
- Nausea
- Low libido
- Withdrawal
- Insomnia
- Hyponatraemia
14
Q
TCAs
A
eg. amitryptiline
- Anti-cholinergic effects
- Anti-histaminergic effects
- Anti-a-adrenergic effects
- Hyponatraemia (SIADH)
- Arrhythmias
15
Q
MAOIs
A
eg. selegiline
- Hypertension
- Hepatocellular jaundice
- Hyperthermia
16
Q
ACEi
A
- Dry cough
- Postural hypotension
- Renal failure in renal artery stenosis (check U+Es before + 2wks after)
- Angioedema of tongue
- Hyperkalaemia
- Profound hypotension when started
17
Q
CCBs
A
- Ankle oedema
- Headache
- Flushing
- Dizziness
18
Q
B-blockers
A
- Diabetes risk
- Impotence
- Bradycardia
- Fatigue
- Cold peripheries
- Sleep disturbance