Walden Flashcards
Contraindicate in asthma/copd//emphysema, masks signs of hypoglycemia, bradycardia, exercise intolerance, fatigue
Beta blockers
Side effect is edema in ankles, arrhythmias, hypotension, headache, dizziness, constipation, flushing, weakness, migraine prophylaxis, drug reaction with grapefruit, preferred for isolated systolic hypertension
CCB
Lower Hgb levels in pts with chronic diseases preferred in CHF/diabetes patients, asses renal function, avoid in renal stenosis, hypotension, hyperkalemia
ARBS/ACEI
Perform liver function tests, side effect myalgias, myopathy, rhabdomyolysis. Contraindicated with grape fruit juice
Atorvastatin
Largest studied drug, lowers potassium, increases gout, increase digoxin toxicity
Thiazides
Side effect of gynecomastia
Spironolactone
hyperglycemia, hyperuricemia, hypertriglyceridemia,
hypokalemia. Hyponatremia, hypomagnesemia
Diuretic side effects
for headaches
Butterbur
Help with memory, circulatory disorders, contraindicated with aspirin/warfarin
Ginkgo bilba
for BPH
Saw Palmetto
for depression and menopause symptoms
St John Wort
anxiety or insomnia affects liver
Kavakava/valerian root
Reduce stress, weight loss, sexual dysfunction, lower blood sugars
Ginseng
Anti-inflammatory
Ginger
Migraines and menstrual cramps
Feverfew
Builds immunity
Echinacea
Effect on platelets irreversible 15- 20 days, monitor for bleeding, tinnitus, tarry stools, GI irritation
Aspirin
Affect GI, renal, cardio, blunts diuretics
NSAIDs
NSAID for menstrual pain
Ponstel (Mefenamic acid)
Long term use associated with lung, hepatitis, renal
insufficiency, and neuropathy
Macrobid/nitrofurantoin
Affects liver enzymes, weight loss, avoid in alcohol drinkers, watch for lactic acidosis, diarrhea and flatulence
Metformin
Side effects osteopenia, cataracts
Steroids
Benadryl, glipizide, glyburide,
benzodiazepines, thioridazine, mesoridazine, Seroquel, Zyprexa, Elavil, trofanil,
NSAIDS, Ambien, Reglan, mineral oil, PPI’s.
Potentially inappropriate drugs for elderly
Tetracyclines, sulfa is iffy, fluoroquinolones, ACE, NSAID, aspirin, any hormonal drugs, Accutane,
Potentially inappropriate drugs for pregnant females