Teratogenesis Flashcards
Aminoglycosides
Ototoxicity CN 8
Fluoroquinolones
Cartilage damage “qunioLONEs hurt the BONES”
Tetracyclines
Discolored teeth
Cyclophosphamide
Ear and facial anomalies, limb hypoplasia, absence of digits
MTX
Neural tube defects and abortion
ACE Inhibitors
Renal malformations
Carbamazepine
Neural tube defects- spina bifida, facial dysmorphism, developmental delay, phalanx/fingernail hypoplasia
Valproic acid
Neural tube defects- spina bifida
Inhibition of maternal folate absorption
ValproATE inhibits folATE absorption
Phenytoin
Fetal hydantoin syndrome- cleft palate, cardiac defects, phalanx/fingernail hypoplasia
Lithium
Mood stabilizer, cause Ebstein anomaly (atrialized right ventricle)
Statins
CNS and limb abnormalities, interfere with cholesterol synthesis
Warfarin
Facial/limb/CNS anomalies, spontaneous abortions
Bone deformities, fetal hemorrhage, abortion, ophthalmologic abnormalities
Do not wage WARFARe on the baby; keep it HEPpy with HEParin (does not cross placenta)
Isotretinoin
Spontaneous abortions, birth defects
Diethylstilbestrol (DES)
Clear cell vaginal adenocarcinoma
Thalidomide
Phocomelia (limb deformities)
Micromelia- flipper limbs
LIMB defects with “tha-LIMB-domide”