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