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Adverse effects of medications

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Question
Answer
What drugs cause Cardiovascular Atropine-like side effects   Tricyclics  
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What drugs cause Cardiac toxicity   Doxorubicin (Adriamycin), daunorubicin  
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What drugs cause Coronary vasospasm   Cocaine  
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What drugs cause Cutaneous flushing   Niacin, Ca2+ channel blockers, adenosine, vancomycin  
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What drugs cause Torsades des pointes   Class III (sotalol), class IA (quinidine), cisapride  
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What drugs cause Agranulocytosis   Clozapine, carbamazepine, colchicine  
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What drugs cause Aplastic anemi   Chloramphenicol, benzene, NSAIDs  
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What drugs cause Gray baby syndrome   Chloramphenicol  
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What drugs cause Hemolysis in G6PD-deficient patients   IS PAIN isoniazid (INH), Sulfonamides, primaquine, aspirin, ibuprofen, nitrofurantoin  
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What drugs cause Thrombotic complications   OCPs (e.g., estrogens and progestins)  
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What drugs cause Cough   ACE inhibitors  
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What drugs cause Pulmonary fibrosis   Bleomycin, amiodarone, busulfan  
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What drugs cause Acute cholestatic ;hepatitis   Macrolides  
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What drugs cause Focal to massive ;hepatic necrosis   Halothane, valproic acid, acetaminophen, Amanita phalloides  
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What drugs cause Hepatitis   INH  
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What drugs cause Pseudomembranous ;colitis   Clindamycin, ampicillin  
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What drugs cause Gynecomastia   (Some Drugs Create Awesome, Excellent Knockers) Spironolactone, Digitalis, Cimetidine, Alcohol chronicuse, Estrogens, Ketoconazole  
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What drugs cause Hot flashes   Tamoxifen  
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What drugs cause Gingival hyperplasia   Phenytoin  
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What drugs cause Osteoporosis   Corticosteroids, heparin  
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What drugs cause Photosensitivity   (SAT for a photo) Sulfonamides, Amiodarone, Tetracycline  
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What drugs cause SLE-like syndrome   (it’s not HIPP to have lupus)  
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What drugs cause Tendonitis, tendon rupture, and cartilage damage (kids)   Fluoroquinolones  
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What drugs cause Fanconi’s syndrome   Expired tetracycline  
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What drugs cause Interstitial nephritis   Methicillin  
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What drugs cause Hemorrhagic cystitis   Cyclophosphamide, ifosfamide  
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What drugs cause Cinchonism   Quinidine, quinine  
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What drugs cause Diabetes insipidus   Lithium, demeclocycline  
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What drugs cause Tardive dyskinesia   Antipsychotics  
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What drugs cause Disulfiram-like reaction   Metronidazole, certain cephalosporins, procarbazine, sulfonylureas  
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What drugs cause Nephrotoxicity & neurotoxicity   Polymyxins  
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What drugs cause Nephrotoxicity & ototoxicity   Aminoglycosides, loop diuretics, cisplatin  
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P-450 Inducers   "Queen Barb takes Phenphen ;and Refuses Greasy Carved Steak" Quinidine (can inhibit too), Barbiturates, Phenytoin, Rifampin, Griseofulvin, Carbamazepine, St. John’s wort  
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P-450 Inhibitors   Inhibitors Stop CyberKids from Eating Grapefruit. Isoniazid; Sulfonamides; Cimetidine; Ketoconazole; Erythromycin; Grapefruit juice  
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Iron Poisioning Mech   Cell death due to peroxidation of membrane lipids  
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Iron Poisioning Symps   acute gastric bleeding chronic metabolic acidosis, scarring (leading to GI obstruction)  
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Inhibited by Disulfiram   Acetaldehyde dehydrogenase  
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Competitive substrates for Alcohol dehydrogenase   Ethylene glycol, Methanol, Ethanol  
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Ethylene glycol toxicity   Acidosis, nephrotoxicity  
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Methanol toxicity   Severe acidosis, retinal damage  
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Ethanol toxicity   Nausea, vomiting, headache, hypotension  
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The toxicity of which alcoholic compound causes Acidosis, nephrotoxicity   Ethylene glycol  
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The toxicity of which alcoholic compound causes Severe acidosis, retinal damage   Methanol  
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The toxicity of which alcoholic compound causes Nausea, vomiting, headache, hypotension   Ethanol  
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Too much Ethylene glycol can cause what compound to build up?   Build up of Oxalic acid  
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Too much Methanol can cause what compound to build up?   Build up of Formaldehyde;and formic acid  
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Too much EtOH can cause what compound to build up?   Build up of Acetaldehyde  
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If you have a buildup of Oxalic acid, what type of alcohol toxicity is it?   Ethylene glycol  
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If you have a buildup of formaldehyde, what type of alcohol toxicity is it?   Methanol  
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If you have a buildup of acetaldehyde, what type of alcohol toxicity is it?   Ethanol  
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Drugs that cause problems in patients with sulfa allergies   Celecoxib, furosemide, thiazides, TMPSMX, sulfonyureas, sufasalazine  
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Herbal agents Clinical uses and Toxicities Echinacea   Common cold; no major toxicities  
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Herbal agents Clinical uses and Toxicities Ephedra   Same as ephedrine; CNS and cardiovascular stimulation; arrhythmias, stroke, and seizures at high doses  
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Herbal agents Clinical uses and Toxicities Feverfew   Used for migraine. Adv: mouth ulcers, antiplatelet actions  
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Herbal agents Clinical uses and Toxicities Ginkgo   Used for Intermittent claudication. Adv: anxiety, insomnia, antiplatelet actions  
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Herbal agents Clinical uses and Toxicities Kava   Used for Chronic anxiety. Adv: sedation, ataxia, hepatotoxicity, phototoxicity, dermatotoxicity  
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Herbal agents Clinical uses and Toxicities Milk thistle   Used for Viral hepatitis. Adv: Loose stools  
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Herbal agents Clinical uses and Toxicities Saw palmetto   Used for Benign prostatic hyperplasia. Adv: ↓ libido, hypertension  
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Herbal agents Clinical uses and Toxicities St. John’s wort   Used for Mild to moderate depression. Adv: phototoxicity; serotonin syndrome;with SSRIs; induces P450 system  
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Herbal agents Clinical uses and Toxicities Dehydroepiandrosterone   Used for Symptomatic improvement in females with SLE or AIDS Androgenization (premenopausal women), estrogenic effects (postmenopausal), feminization (young men)  
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Herbal agents Clinical uses and Toxicities Melatonin   Used for Jet lag and insomnia. Adv: Sedation, suppresses midcycle LH, hypoprolactinemia  
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