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PT 201
DRUGS CONT. WK 1
CLASS | Side Effects | Cautions & Considerations | Auxiliary Labels |
---|---|---|---|
TCA | Drowsiness, anticholinergic effects (dry mouth, blurred vision, constipation, and urinary retention Priapism (erection lasting longer than 4 hours) | Cardio toxicity and heart arrhythmias. Postural hypotension, liver toxicity. Should not be taken with MAOIs, must wait two week before taking an MAOI | May cause DROWSINESS use caution while driving |
MAOI | heart palpitations and postural hypotension, dizziness, Ha, tremors, insomnia, anxiety, restlessness, agitation, and anticholinergic effects | MAOIs interact with tyramine, a substance found in aged and pickled foods. This interaction causes serotonin syndrome, a life-threatening condition involving a rapid heart rate, high blood pressure, Ha, and fever | |
Retinoid | Topical Agents: burning, peeling, dry skin, redness, and itching. Oral Agent: depression, psychosis, pancreatitis, high triglycerides, and hepatotoxicity | Isotretinoin cannot be used by women who are or might become pregnant | |
TCN | Stomach upset, nausea, and vomiting, photosensitivity | Tetracyclines will bind with metals and ions, such as calcium, aluminum, and magnesium, children under eight year old and pregnant women cannot use tetracyclines because permanent teeth problems could occur | Avoid sun exposure Do not take with dairy products do not take with antacids |
K Sparing/thiazide | Thiazide: hypotension, dizziness, Ha, rash, hair loss, stomach upset, diarrhea, and constipation Potassium-sparing: gynesmastia | Thiazide depletes potassium levels in the body . They also interact with alcohol to contribute to drops in blood pressure | |
SERM | Dizziness, hot flashes, tingling, chest tightness, muscle aches, weakness, increased blood pressure, and sweating | Patients with high blood pressure, heart disease, or angina should not take triptans because these drugs can worsen these conditions. MAOIs and ergotamine should not be taken with SERMs | May cause dizziness |
SNRI | Nausea, Vomiting, Dry Mouth, Drowsiness, insomnia, Ha, and diarrhea, sexual dysfunction, including decreased libido, | Serotonin syndrome occurs when too much serotonin is present, causing changes in cardiovascular function and even heart attack, in severe cases | |
SNRI | inability to achieve orgasm, or impaired ejaculation . Fluoxetine can aslo cause weight loss, and is sometimes used for eating disorders, including bulimia | If patients experience the combination of racing heart rate, fever, high blood pressure, and Ha, which may be signs of serotonin syndrome, the should seek immediate medical attention |