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55 Cards in this Set

  • Front
  • Back
niacin
cutaneous flushing/vasodilation, tachyphylaxis. Hepatotoxicity can occur
fibrates
bile stones, nausea, liver failure, myopathy, rhabdomyolysis, bile stones
resins
bloating, constipation, impaired absorption of vitamin K, dietary folates and drugs (digitialis, thiazaides, warfarin, pravastatin, fluvastatin)
ezetimibe
well tolerated
thiazide diuretics
hypokalemia, hyperuricemia, hypercalcemia, hyperglycemia, hyperlipidemia. Alkylates the body pH
loop diuretics
hypokalemia, hypocalcemia, hypomagnesemia, renal failure. Alkalyates the body pH
potassium sparing diuretics
hyperkalemia, renal failure. Acidifies body pH
clonidine
constipation, rebound hypertension, sexual dysfunction
methyldopa
positive coomb's test, orthostatic hypotension
guanethidine
diarhea, orthostatic hypotension, sexual dysfunction
reserpine
depression, parkinson-like syndrome
beta blockers
asthma in asthmatics, nightmares, vivid dreams, masks symptoms of hypoglycemia
alpha blockers
orthostatic hypotension
mixed blockers
orthostatic hypotension
ganglionic blocker (trimethaphan)
sympathoplegia (excessive orthostatic hypotension and sexual dysfunction)
minoxidil
hypertrichosis (hair growth)
hydralazine
lupus like syndromes
diazoxide
hyperglycemia
sodium nitroprusside
psychosis, muscle spasms, convulsions (related to thiocyante) and hypotension, metabolic acidosis, arrhythmias (related to cyanide due to metabolism of drug)
Nifedipine
large reflex tachycardia because it is not cardiodepressant
verapamil
no refelx tachycardia because it is very cardiodepressant = never use with beta blockers
diltiazem
some reflex tachycardia because it is only a little cardiodepressant
ACE inhibitors
dry cough, angioedema, hyperkalemia
Aliskiren
edema, elevated uric acid = gall and renal stones, gastroesophageal erflux
acetazolamide
allergy - drowsiness. Acidifies body pH
thiazides + loop diuretics
increased risk of renal carcinoma
Spironolactone
estrogen/testosterone mediated side effects (gynecomastia, antiandrogenic)
nitrates
tachycardia, orthostatic hypertension, interact with ED drugs, cause methemoglobinemia at high doses
bepridil
can produce torsades de pointes
adenosine
coronary steal in presence of CAD
dipyridamole
coronary steal in presence of CAD
digoxin
yellow green halos, blurred vision, narrow therapeutic window - prolong PR, slurr ST, widen QRS
dobutamine
angina pectoris, ventricular arrhythmias, increased TPR, restlessness
dopamine
angina pectoris, ventricular arrhythmias, increased TPR, restlessness
amrinone
reversible thrombocytopenia, ventricular arrhythmias
beta-2 agonists
body tremor
systemic corticosteroids
moon face, buffalo hump, abnormal glucose metabolism, mood changes
inhaled corticosteroids
dysphonia (myopathy of vocal cords), oral thrush (candidiasis), cough, C. pneumoniae infections
histamine release inhibitors
irritant effect of powder and safety issues
Zileuton
reversible heaptitis, can inhibit metabolism of warfarin = bleeding
methylxandthine
seizures at high doses, anorexia, nausea vomiting
Omalizumab
anaphylactic shock possible
Class IA antiarrhythmics
torsades de pointes (potentiated by hypokalemia), precipitation of heart failure, antichoinergic action = precipitation of acute glaucoma, urinary retention, dry eyes and mouth, blurred vision
Class IB antiarrhythmics
neurologic sequelae - muscle tremors, restlessness, blurred vision, insomnia. Large doses - grand mal seizures, respiratory depression, hypotension
Class IC antiarrhythmics
precipitate recurrent ventricular tachycardia, sudden death, worsening heart failure, CNS - dizziness, visual disturbances, headache
amiodarone
corneal microdeposits (photophobia), photosensitivity reactions, alterations of thyroid hormone metabolism, pulmonary fibrosis, peripheral neurophathy, ocular neuritis, liver damage
myeloid growth factors
pleural effusions
ED drugs
priapism
heparin
unwanted bleeding, osteoporosis in pt in renal dialysis
warfarin
bleeding, serious birth defects, can cause necrosis of intestines, breast tissue and other fatty tissue
lipirudin
bleeding, can cause anaphylatic shock
aspirin, clopidogrel
epigastric pain, gastrointestinal bleeding
ticlopidine
epigastric pain, gastrointestinal bleeding, thrombocytopenia, neutropenia
streptokinase
bleeding - antibodies to streptokinase are common must be cautious if pt has antibodies
quinidine
cinchonism