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OI
Opportunistic Infections
| Infection | PPX/Tx | Generic | Brand | Side Effects | Monitoring |
|---|---|---|---|---|---|
| PCP | TX | Pentamidine | Pentam | leukopenia, hypotension, thrombocytopenia, sterile abscess, metallic taste, hypocalcemia, phosphate (hypo or hyper), Intense nephrotocin, pancreatitis, hypo/hyperglycemia | SCr/BUN, Amylase/Lipase, serum glucose, CBC (rare) |
| PCP | Tx | Primaquin/Clindamycin | Primaquin/Clindamycin | n/v/d, ab pain, pseudomembranous colitis, rash, granulocytopenia, hemolytic anemia, methehmoglobinemia | CBC, Methemaglobin G6PD, diarrhea (BUN/SCr, electrolytes, toxic megacolon) |
| CMV | Tx | Ganciclovir | Cytovene | granulocytopenia, thrombocytopenia, neutropenia, anemia, ha, confusion, renal | SCr (dosing), CBC |
| CMV | Tx | Valganciclovir | Valcyte | granulocytopenia, thrombocytopenia, neutropenia, anemia, ha, confusion, renal | SCr (dosing), CBC |
| CMV | Tx | Foscarnet | Foscavir | renal, hypokalemia, hypomagnesemia, hyponatremia, phosphate, hypocalcemia, n/v, anemia, ha, cns | SCr/BUN, Na, K, Mg, Ca, Phos, CBC |
| CMV | Tx | Cidofovir | Vistide | nephrotoxic! | Scr/BUN, urine, proteinuria |
| Toxoplasmosis | coktail w/ leucovin and (sulfadiazine OR clinda OR azithro OR atovaquone) | Pyrimethamine | Pyrimethamine | leuko/thrombocytopenia, pancytopenia, n/v, ha, malaise | (must use w/ leucovin) CBC |
| Toxoplasmosis | cocktail w/ pyri & leuco | Sulfadiazine | Sulfadiazine | rash, n/a, anemia, neutropenia, peripheral neuropathy | CBC, SCr |
| Toxoplasmosis | cocktail w/ (pyri & leuco) OR azithro | Clindamycin | Clindamycin | pseudomembranous colitis, n/v/d, rash | diarrhea (BUN/SCr, electrolytes, toxic megacolon) |
| Toxoplasmosis | cocktail w/ pyri & leuco | Azithromycin | Azithromycin | diarrhea, tinnitus, ab cramping, nausea | |
| Toxoplasmosis | cocktail w/ pyri & leuco | Atovaquone | Atovaquone | tastes bad, n/v/d | |
| Toxoplasmosis | PPX/Tx | Sulfa/Trimeth | Bactrim | rash, n/v, hyperkalemia, renal dysfunction, bone marrow | CBC, SCr/BUN, K, Na, Albumin |
| Mycobacterium (MAC) | PPX/Tx | Azithromycin | Azithromycin | diarrhea, tinnitus, ab cramping, nausea | |
| MAC (Mycobacterium) | PPX | Rifabutin | Mycobutin | rash, discolored urine/feces/tears/saliva, n/v, neutropenia, leukopenia | LFT, CBC |
| MAC | PPX/Tx | Clarithromycin | Clarithromycin | n/d, loss of hearing, dyspepsia, bad taste | |
| MAC | Tx | Ethambutol | Ethambutol | anorexia, n/v, fever, malaise, ha, dizziness, peripheral/opic neuritis | SCr, CBC |
| MAC | Tx | Amikacin or Streptomycin | Amikacin or Streptomycin | renal dysfunction, ototoxicity, pain on injection | SCr |
| MAC | Tx | FQ's (cipro, levo, moxi) | FQ's | nausea, confusion, dizziness, hyper/hypo glycemia, QT prolongoation | |
| Cryptosporidium | Tx | Paromomycin | Hymatin | (doesn't really work) | |
| Crypto | Tx (DOC) | Nitazoxanide | Alinia | n/v/d, ab pain, ha | |
| Kaposi Sarcoma (KS) | Tx | HAART | |||
| PCP (Pneumocystis Carnii Pneumonia) | PPX (DOC) | Sulfa/Trimeth | Bactrim (DS daily, SS daily, or DS TIW) | rash, n/v, diarrhea, anemia, thrombocytopenia, agranulocytosis, hyperkalemia | CBC, SCr/BUN, K, Na, Albumin |
| PCP | Tx | Sulfa/Trimeth | Bactrim (15-20mg/kg/dy q6-8h | rash, n/v, diarrhea, anemia, thrombocytopenia, agranulocytosis, hyperkalemia | CBC, SCr/BUN, K, Na, Albumin |
| PCP | PPX/Tx | Dapsone | Dapsone | agranulocytosis, aplastic anemia, methemoglobinemia | CBC, SCr/BUN, K, Methemaglobin G6PD |
| PCP | PPX/Tx | Atovaquone | Mepron | tastes bad, n/v/d |