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155 Cards in this Set

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Penicillin-G
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
Penicillin-V
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
naficillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
oxacillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
cloxacillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
dicloxacillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
methicillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
amoxicillin (amino penicillin)
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
ampicillin (amino penicillin)
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
ticarcillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
piperacillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
mezlocillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
carbenicillin
Allergic hypersensitivity - iImmediate response mediated by IgE (hives and anaphylactic shock), delayed hypersensitivity (hepatitis and rash); Seizures with high IV doses
sulbactam
clavulanic acid
cephalexin
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
cefazolin
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
cefaclor
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
cefuroxime
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
cefexime
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
ceftazidime
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
ceftriaxone
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
cefepime
some allergic cross-reactivity with penicillins; "superinfection" with C.difficile
imipenem
seizures in patients with epilepsy; anemia; thrombocytopenia
meropenem
seizures in patients with epilepsy; anemia; thrombocytopenia
ortapenem
seizures in patients with epilepsy; anemia; thrombocytopenia
doripenem
seizures in patients with epilepsy; anemia; thrombocytopenia
aztreonam
seizures; leukopenia
vancomycin
nephrotoxicity; ototoxicity; "Red Man/ Red Neck" Syndrome due to rapid IV infusion causing histamine release leading to rash, flushing and itching
bacitracin
very nephrotoxic
fosomycin
cycloserine
Name
side effects/toxicity
erythromycin
GI upset (°Ë°Ë motility); inhibits P-450; ototoxicity; hepatotoxic
clarithromycin
GI upset (°Ë°Ë motility); inhibits P-451; ototoxicity; hepatotoxic
azithromycin
GI upset (°Ë°Ë motility); inhibits P-452; ototoxicity; hepatotoxic
telithromycin
GI upset (°Ë°Ë motility); inhibits P-450; ototoxicity; hepatotoxic + severe liver toxicity; can worsen myasthenia gravis
streptomycin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage)
gentamycin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage) + irreversible effects on blance
tobramycin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage)
neomycin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage) + °Ë°Ë nephrotoxicity
amikacin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage)
kanamycin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage)
metilmicin
ototoxic (hearing loss, loss of balance); nephrotoxic (esp. in pt. with kidney dysfunction); most common cause of drug-induced renal failure; °ÈACH receptors on muscle - at hight doses leads to neuromuscular blockade (reversible paralysis); pregnancy category D (fetal damage)
tetracycline
binds to cations esp. Ca (also Fe, Al), binds to Ca in teeth leads to permanent "mottling", bone deformation, pregnancy cat. D, renal toxicity, hepatotoxicity, GI upset, allergic photosensitivity
doxycycline
binds to cations esp. Ca (also Fe, Al), binds to Ca in teeth leads to permanent "mottling", bone deformation, pregnancy cat. D, renal toxicity, hepatotoxicity, GI upset, allergic photosensitivity
minocycline
binds to cations esp. Ca (also Fe, Al), binds to Ca in teeth leads to permanent "mottling", bone deformation, pregnancy cat. D, renal toxicity, hepatotoxicity, GI upset, allergic photosensitivity
tigecycline
binds to cations esp. Ca (also Fe, Al), binds to Ca in teeth leads to permanent "mottling", bone deformation, pregnancy cat. D, renal toxicity, hepatotoxicity, GI upset, allergic photosensitivity
chloramphenicol
inhibits P450; aplastic anemia; not well metabolized by newborns which leads to increased concentrations and vasomotor collapse ("gray baby syndrome"); hemolytic anemia in pt. with G6PDH deficiency; pregnancy cat. C
clindamycin
severe superinfection with C. difficile
lincomycin
severe superinfection with C. difficile
quinupristin
inhibit P450, cause some joint and muscle pain
dalfopristin
inhibit P451, cause some joint and muscle pain
linezolid
anemia, thrombocytopenia
Name
side effects/toxicity
daptomycin
possible effect on muscle
ciprofloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
ofloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
gatifloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
moxifloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
levofloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
gemifloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
norfloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
lomefloxacin
damage developing cartilage, tendonitis, achilles tendon rupture
sulfonamides
allergic rash including Stevens Johnson Syndrome
sulfisoxazole
allergic rash including Stevens Johnson Syndrome
sulfacetamide
allergic rash including Stevens Johnson Syndrome
sulfadiazine
allergic rash including Stevens Johnson Syndrome
trimethoprim
megaloblastic anemia; leukopenia, granulocytopenia; prevented by use of folinic acid
metronidazole
high IV doses = seizures
nitrofurantoin
cough, chest pain, brown urine, hemolytic anemia in G6PDH def. pt.
polymixin
neurotoxic, nephrotoxic, neuromuscular blockade
gramicidin
neomycin
mupirocin
retapamulin
neosporin solution
polysporin
polytrim
isoniazid
slow acetylators have more side effects; increased excretion of vitamin B6°Ê niacin deficiency°Ê pellegra; optic neuritis; hepatotoxicity
rifampin
hepatotoxicity; red color in all body fluids; induces p450
pyrazinamide
hepatitis
ethambutol
optic neuritis, altered color vision
dapsone
hemolytic anemia, rash
nystatin
amphotericin B
natamycin
tolnaftate
ciclopirox
terbinafine
miconazole
clotrimazole
"azoles"
griseofulvin
rash dervied from penicillin species; induces p450
terbinafine
inhibits p450
amphotericin B
"amphoterrible B"; >80% have impaired renal function; >50% fever, convulsions, vomiting, headache, anemia
ketoconazole
also inhibits human p450 - causes side effects; decrease adrenal, gonadal steroids in humans
clotrimazole
also inhibits human p451 - causes side effects; decrease adrenal, gonadal steroids in humans
fluconazole generic
itraconazole generic
strong p450 inhibitor; cause heart problems
posaconazole
voriconazole
flucytosine
can be converted to 5FU in humans by bacteria in gut; side effects of any anti-cancer agent - gi-upset, bone marrow depression
terbinafine
liver damage
caspofungin
fetal damage
micafungin
fetal damage
anidulafungin
fetal damage
Name
side effects/toxicity
metronidazole
high doses - neuronal effects (peripheral neuropathy, seizures); inhibits ethanol metabolism
tinidazole
fewer side effects
nitazoxanide
makes eyes yellow
metronidazole
chloroquine
high doses - dizziness, headache, phychosis, rash, haemophilius in G6PDH def. pt.
mefloquine
quinine
blurred vision, hearing loss, cardiovascular effects (decreased myocardial contraction), nausea, hemolysis
primaquine
hemolysis in G6PDH def. pt
progunail pyrimethamine
sulfadoxine
atovaquone
artimisinins (artesunate artemether)
acyclovir
renal damage; enters CNS- delirium
valacyclovir
famciclovir
ganciclovir
neutropenia, thrombocytopenia, teratogen
valganciclovir
cidofovir
nephrotoxic
foscarnet
renal damage
fomivirsen
lamivudine
adefovir
renal, liver problems
entecavir
liver problems, lactic acidosis
Name
side effects/toxicity
ribavirin
mutagenic - pregnancy cat. C; hemolytic anemia; decreased pulmonary function; cardiac arrest
amantadine
renal failure; teratogen; enters CNS- dizziness, slurred speech, confusion
rimantadine
fewer side effects
zanamivir
oseltamivir
recombinant interferon alpha
didanosine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
abacavir
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
zidovudine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
zalcitabine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
lamivudine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
emtricitibine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
stavudine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
telbivudine
all can cause: anemias, neutropenias, muscle pain and damage; some can cause: pancreatitis, lactic acidosis
nevirapine
Steven's-Johnson syndrome
delaviridine
Steven's-Johnson syndrome; hepatotoxicity
efavirenz
CNS toxicity; hallucinations
saquinavir
nausea, inhibit p450; alter fat distribution
ritonavir
nausea, inhibit p451; alter fat distribution
indinavir
nausea, inhibit p452; alter fat distribution
nelfinavir
nausea, inhibit p453; alter fat distribution
amprenavir
nausea, inhibit p454; alter fat distribution
enfuvirtide