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27 Cards in this Set

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What is potentiation
a drug which has no effect enhances the effect of a second drug
What other drugs do Aminoglycosides interact with
Cephalosporins(inc nephro toxicity), PCN (inactivates some aminoglycosides), Loop diuretics (inc irreversible hearing loss..synergistic)
Imidazole antifungals (keto and itraconazole)
H2 antagonists and Phenytonin inactivate the antifungals
Macrolides (Clindamycin, Erythromycin)
anticoagulants (inc activity/hemorrhage), Kaopectate dec absorption of Clinda
Metronidazole
with EtOH causes Disulfurim rxn (N/V, hypotension, poss coma)
Ampicillin
with oral anticoagulants, inc anticoagulant activity (like Erythromycin)
Drugs that interact with anticoagulants, inc activity
Aspirin, Erythromycin, Cephalosporins, H2 antagonists, Phenytonin
Drugs that interact with anticoags, dec activity
Barbituates, Griseofulvin
Insulin reacts with
alcohol, beta blockers, MAOI, Salicylates, Steroids (all cause hypoglycemia). Beta blockers blunt the sympa response to hypoglycemia
Sulfonylureas (inc insulin release from beta cells) interact with
alcohol, anticoagulants, MAOI, NSAIDS…all cause hypoglycemia
What happens with sulfonylureas and Thiazide diuretics
Hyperglycemia (HCTX dec insulin secretion)
What other drug does Indomethacin interact with
ACE inhibitors, decreases the hypotensive effect of ACE
NSAIDS interact with
Anticoagulants (inc bleeding), Beta blockers (impairs anti HTN effects),
Which “FOOT” drug can interact with oral contraceptives
Griseofulvin
What abx can displace uric acid and cause a gouty attack
Oxacillin/cloxacilin/dicloxacillin/nafcillin
list some drugs that alter Vit K levels (reduce Vit K levels, therfore increase anticoag activity)
Abx (PCN, ampicillin, erythromycin, tetracycline)
what drugs can cause Hypokalemia (Low K)
digoxin, thiazide, furosemide diuretics, corticosteroids
Sprionolactone , triamterene, amiloride are K sparing
what effect does thiazide diuretics have on BG levels
elevate BG levels
name a K sparing diuretic
-spironolactone (Aldactone)
Neprho/Oto toxic abx
Aminoglycosides (gent, tobra, amikacin)
rank the following systemic glucocorticoids in order of potentcy (low to high)
Dexametasone, Betamethasone, Cortisol, Triamcinoline, Prednisone
Cortisol, Prednisone, Triamcinolone, Betamethasone, Dexamethasone
Long acting steroid
Dexamethasone ACETATE (Decadron -LA), Tramcinolone ACETALOG (Kenalog), Metyhlprednisone ACETATE (Depo-medrol)
Short acting steroids
Betamethasone soidum phosphate (Celestone), Dexamethasone sodium phosphate (Decadron)
MOI of probenecid
-inhibits renal absorption of urate, thus increasing its excretion
-a uricosuric agent
treats acute gout
Colchicine
-0.5-1.0 mg per 1-3 hours, max 4 mg per day
List xanthine osidase inhibitors to tx gout (XO converts X into UA)
Allopurinol (contraindicated in an acute attack)
centrally acting muscle relaxants
-Skelaxin (metazolone)
-Soma (Carisoprodol)
-Flexeril (Cyclobenzaprine)
-Norflex
-Paraflex