SIDE EFFECTS Flashcards

1
Q

Cutaneous Flushing

A
Vancomycin
Adenosine
Niacin
Ca2+ channel blockers
Echinocandins
Nitrates 

VANCEN

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2
Q

Coronary Vasospasm

A

Cocaine
Amphetamines
Sumatriptan
Ergot alkaloids

(CASE)

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3
Q

Dilated Cardiomyopathy

A

Alcohol
Anthracycline (eg, doxorubicin, daunorubicin; prevent with dexrazoxane)
Trastuzumab

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4
Q

Torsade de Pointes

A
  • AntiArrhythmics (class IA, III)
  • AntiBiotics (eg, macrolides, fluoroquinolones)
  • Anti“C”ychotics (especially ziprasidone, iloperidone, haloperidol, risperidone, thioridazine)
  • AntiDepressants (eg, TCAs (e.g., nortriptyline, -amitriptyline))
  • AntiEmetics (serotonin receptor antagonists antiemetics (e.g., ondansetron), metoclopramide)
  • Azoles (eg, fluconazole)
  • Antimalarials (e.g., artemether/lumefantrine, quinine, chloroquine)
  • Methadone
  • Electrolyte abnormalities (eg, hypomagnesemia)
  • Antivirals (protease inhibitors (eg, saquinavir, atazanavir))
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5
Q

Agranulocytosis

A
Dapsone 
Clozapine
Carbamazepine
Propylthiouracil
Methimazole
Colchicine
Ticlopidine
Ganciclovir
Chemotherapeutics

Drugs Can Cause Pretty Major Collapse To Granulocytes

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6
Q

Aplastic Anemia

A
Carbamazepine
Methimazole
NSAIDs
Benzene
Chloramphenicol
Propylthiouracil
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7
Q

Autoimmune Hemolytic Anemia (Positive Coombs Test)

A

Penicillin
Methyldopa
Cephalosporins

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8
Q

Drug reaction with eosinophilia and systemic symptoms (DRESS)

A

Allopurinol
Anticonvulsants
Antibiotics
Sulfa drugs

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9
Q

Gray Baby Syndrome

A

Chloramphenicol

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10
Q

Hemolysis in G6PD Deficiency

A
Isoniazid
Sulfonamides
Dapsone
Primaquine 
Aspirin
Ibuprofen
Nitrofurantoin
Fava beans 
Naphthalene
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11
Q

Megaloblastic Anemia

A

Hydroxyurea
Phenytoin
Methotrexate
Sulfa drugs

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12
Q

Thrombocytopenia

A
Indinavir
Heparin
Quinidine
Ganciclovir
Vancomycin
Linezolid
Abciximab
Cimetidine

I Have Quickly Gotten Very Low Amounts

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13
Q

Thrombotic complications

A

Combined oral contraceptives
Hormone replacement therapy
SERMs (eg, tamoxifen, raloxifene, clomiphene)

This side effect is mediated by increased estrogen level

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14
Q

Dry Cough

A

ACE inhibitors

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15
Q

Pulmonary Fibrosis

A
Methotrexate
Nitrofurantoin
Carmustine
Bleomycin
Busulfan
Amiodarone
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16
Q

Diarrhea

A
Acamprosate
Antidiabetic agents (acarbose, metformin, pramlintide)
Colchicine
Cholinesterase inhibitors
Lipid-lowering agents (eg, ezetimibe)
Orlistat
Niacin
Macrolides (eg, erythromycin)
SSRIs
Chemotherapeutic drugs (e.g., irinotecan, topotecan, erlotinib)
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17
Q

Hepatic Necrosis

A

Halothane
Amanita phalloides (death cap mushroom)
Valproic acid
Acetaminophen

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18
Q

Hepatitis

A
Rifampin
Isoniazid
Pyrazinamide
Statins
Fibrates
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19
Q

Pancreatitis

A
Didanosine
Corticosteroids
Alcohol
Valproic acid
Azathioprine
Diuretics (furosemide, HCTZ)
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20
Q

Pill-Induced Esophagitis

A
Bisphosphonates
Oral iron supplementation (eg, ferrous sulfate)
NSAIDs
Potassium chloride
Tetracyclines

Caustic effect minimized with upright posture and adequate water ingestion.

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21
Q

Pseudomembranous Colitis

A
Ampicillin
Cephalosporins
Clindamycin
Fluoroquinolones
PPIs
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22
Q

Acute Cholestatic Hepatitis (jaundice)

A

Macrolides

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23
Q

Adrenocortical Insufficiency

A

Corticosteroids (especially when discontinued suddenly after chronic intake)

24
Q

Diabetes Insipidus

A

Lithium

Demeclocycline

25
Q

Hot Flashes

A

Selective estrogen receptor modulators (e.g., tamoxifen, raloxifene, clomiphene)

26
Q

Hyperglycemia

A
Tacrolimus
Protease inhibitors
Niacin
HCTZ
Corticosteroids
27
Q

Hyperprolactinemia

A
Typical antipsychotics (eg, haloperidol)
Atypical antipsychotics (especially risperidone and amisulpride)
Metoclopramide
Methyldopa
Reserpine
Verapamil
28
Q

Hyperthyroidism

A

Amiodarone
Lithium
Iodine or other iodine-containing drugs

29
Q

Hypothyroidism

A

Amiodarone
Sulfonamides
Lithium

30
Q

SIADH

A

Carbamazepine
Cyclophosphamide
SSRIs

31
Q

Drug Induce Lupus (DILE)

A
Methyldopa
Minocycline
Sulfa drugs
Hydralazine
Isoniazid
Procainamide
Phenytoin
Etanercept
32
Q

Fat Redistribution

A

Protease inhibitors

Glucocorticoids

33
Q

Gingival Hyperplasia

A

Cyclosporine
Ca2+ channel blockers
Phenytoin

34
Q

Hyperuricemia (gout)

A
Pyrazinamide
Thiazides
Furosemide
Niacin
Cyclosporine
35
Q

Myopathy

A
Statins
Fibrates
Niacin
Colchicine
Daptomycin
Hydroxychloroquine
Interferon-α
Penicillamine
Glucocorticoids
36
Q

Osteoporosis

A
Corticosteroids
Depot medroxyprogesterone acetate
GnRH agonists
Aromatase inhibitors
Anticonvulsants
Heparin
PPIs
37
Q

Photosensitivity

A
Sulfonamides
Amiodarone
Tetracyclines
Thiazides
5-FU 
Fluoroquinolones
38
Q

Stevens-Johnson Syndrome

A

Anti-epileptic drugs:

  • Lamotrigine
  • Carbamazepine
  • Ethosuximide
  • Phenytoin
  • Phenobarbital

Allopurinol

Sulfa drugs

Penicillin

39
Q

Teeth Discoloration

A

Tetracyclines

40
Q

Tendon/Cartilage Damage

A

Fluoroquinolones

41
Q

Fanconi Syndrome

A
Cisplatin
Ifosfamide
Expired tetracyclines
Tenofovir
Exposure to heavy metals (eg, Wilson disease)
42
Q

Hemorrhagic Cystitis

A

Cyclophosphamide
Ifosfamide

Prevent by coadministering with mesna

43
Q

Interstitial Nephritis

A
Diuretics (eg, furosemide)
NSAIDs
Penicillins 
Cephalosporins
Proton pump inhibitors
Rifampin
Sulfa drugs
44
Q

Cinchonism

A

Quinidine

Quinine

45
Q

Parkinson-like Syndrome

A

Antipsychotics
Reserpine
Metoclopramide

46
Q

Peripheral Neuropathy

A
lsoniazid
Phenytoin
Platinum agents (eg, cisplatin)
Vincristine 
Paclitaxel
47
Q

Pseudotumor Cerebri

A

Growth hormones
Tetracyclines
Chronic Vitamin A toxicity
Danazol

48
Q

Seizures

A
Isoniazid (vitamin B6 deficiency)
Bupropion
Imipenem/cilastatin
Tramadol
Enflurane
49
Q

Tardive Dyskinesia

A

Antipsychotics
Reserpine
Metoclopramide

50
Q

Visual Disturbance

A

Topiramate (blurred vision/diplopia, haloes)
Digoxin (xanthopsia [yellow-tinged vision])
Isoniazid (optic neuropathy/color vision changes)
Vigabatrin (bilateral visual field defects)
PDE-5 inhibitors (cyanopsia; blue-tinged vision)
Hydroxychloroquine (visual acuity, visual field defects)
Ethambutol (color vision changes)
Carbamazepine (diplopia)

51
Q

Antimuscarinic

A

Atropine
TCAs
H1-blockers
Antipsychotics

52
Q

Disulfuram-like Reaction

A
1st-generation Sulfonylureas
Procarbazine
Some cephalosporins
Griseofulvin
Metronidazole
53
Q

Nephrotoxicity

A
Loop diuretics
Aminoglycosides
Cisplatin
Vancomycin
Amphotericin B

Cisplatin toxicity may respond to amifostine.

54
Q

Ototoxicity

A
Loop diuretics
Aminoglycosides
Cisplatin
Vancomycin
Amphotericin B

Cisplatin toxicity may respond to amifostine.

55
Q

Mydriasis (increase pupil size)

A
  • Anticholinergics (atropine, tropicamide, scopolamine)
  • Antipsychotics (haloperidol, risperidone, olanzapine)
  • Antihistamines with anticholinergic activity (diphenhydramine, doxylamine, chlorpheniramine)
  • Opioids with anticholinergic activity (meperidine)
  • Antidepressants with anticholinergic activity (TCAs)
  • Sympathomimetics (epinephrine, amphetamines, LSD, cocaine)
56
Q

Miosis (decrease pupil size)

A
  • Sympatholytics (eg, α2-agonist [clonidine, methyldopa])
  • Opioids (heroin, morphine)
  • Parasympathomimetics (pilocarpine, carbachol, organophosphates, physostigmine, echothiophate)
  • α-blockers (tamsulosin, phenoxybenzamine)
57
Q

Gynecomastia

A
  • Antiandrogens (e.g., finasteride, bicalutamide, cyproterone acetate, flutamide)
  • High-dose cimetidine (H2 receptor blocker)
  • Ketoconazole
  • Spironolactone
  • Chemotherapy drugs (e.g., cyclophosphamide, methotrexate, bleomycin, cisplatin, vincristine) (may cause Leydig cell failure → ↓ testosterone production)
  • Exogenous androgens and androgenic steroids (aromatase enzyme converts testosterone to estrogen. High levels of testosterone (e.g., in androgen misuse in athletes) can cause high levels of estrogen)
  • Estrogen receptor stimulators (estrogens, digitalis compounds)
  • Marijuana
  • HAART drugs (The exact mechanism by which HAART causes gynecomastia is unknown. HAART can cause peripheral body fat redistribution, which may result in the increased aromatization of androgens to estrogens)