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