adverse effects Flashcards

(42 cards)

1
Q

“glutides”

+

exenatide

(liraglutide, dulaglutide, abiglutide, lixisenatide)

A

acute pancreatitis

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2
Q

estradiol

estrone

estriol

A

dose dependent:

thromoboembolism

increased blood clotting

gall bladder dz

migraines

HTN

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3
Q

sudden ovarian enlargement

increased vascular permeability

rapid accumulation of fluids (peritoneal, pleural, pericardial)

hypovolemia

fever

shock

A

ovarian hyperstimulation syndrome

adverse effect of ART

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4
Q

oxytocin

A

water intoxication at high concentration

uterine rupture in large dose

sinus bradycardia of the fetus

anaphylaxis

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5
Q

acarbose, miglitol

(alpha glucosidase inhibitors)

A

flatulence

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6
Q

clomiphene

(anti-estrogen)

A

multiple pregnancies

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7
Q

danazol

(antiprogestin)

A

“very unpleasant”

weight gain, edema, acne, oily skin, HA

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8
Q

nifedipine

A

hypotension

don’t combo with mag sulfate

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9
Q

insulin

A

hypoglycemia

weight gain

cough/ bronchospasm (inhaled)

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10
Q

exemestane

anastrozole

letrozole

(aromatase inhibitors)

A

menopausal sxs

(hot flashes)

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11
Q

tamoxifen

(anti-estrogen)

A

increased risk of uterine CA

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12
Q

“gliptins”

(sitagliptin, saxagliptin, linagliptin, alogliptin)

A

acute pancreatitis

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13
Q

levothyroxine sodium

liothyronine sodium

A

hyperthyroidism

(tx by decreasing dose or take a day off)

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14
Q

drugs that have interactions with thyroid hormones

A

WEST

warfarin

estrogen

steroids

tamoxifen

not mentioned but bolded in HO:

CRAP SIA

carbemazepine, rifampin, antacids, phenytoin, salicylates, iodine, anti-DM drugs

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15
Q

carbost tromethamine

dinoprostone

(prostaglandins)

A

vomiting

diarrhea

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16
Q

combo oral contraceptives drug interactions

A

3 antis + hypoglycemic + warfarin

antibiotics

warfarin

anticonvulsants

tricyclic antidepressants

oral hypoglycemic agents

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17
Q

finasteride

dutasteride

(5 alpha reductase inhibitors)

A

gynecomastia

ED

18
Q

“glitazones”

(pioglitazone, rosiglitazone)

A

edema –> increased risk of HF

hypoglycemia

weight gain

bone fractures

19
Q

fulvestrant

A

hot flashes

GI sxs

HA

20
Q

anti DM drugs with the biggest hypoglycemia risk

A

sulfonylureas

meglitinides

21
Q

fertility tx

A

*** ovarian hyperstimulation syndrome ***

multiple births

gynecomastia

22
Q

Hormone Replacement Therapy

A

endometrial/ uterine/ breast CA

hyperplasia

gallbladder dz

thromboembolism

23
Q

the only DM drugs that are not oral and are SC instead

A

GLP-1 agonists (glutides, exenatide)

pramlintide

24
Q

sulfonylureas with the worst hypoglycemia

A

glyburide

then first gens

25
repaglinide nateglinide
(same as sulfonylureas but no sulfa allergy) low hypoglycemia effects
26
**tolbutamide, chlorpropamide, tolazamide**
**hypoglycemia-** highest risk of any noninsulin tx weight gain sulfa allergy
27
**"gliflozin"** (canagliflozin, dapagliflozin, empagliflozin)
vag infections (fungal, UTI) polyuria AKI increased LDL
28
norethindrone/ norgestrel/ levonorgestrel ---- estradiol/ mestranol
**thromboembolic and blood clotting disorders** weight gain nausea edema depression HTN migraine MI
29
sulfonylurea with the least hypoglycemic effects
glipizide
30
propylthiouracil
Black Box Warning: liver injury acute liver failure
31
mag sulfate
hypotension don't combo with nifedipine
32
metformin
lactic acidosis diarrhea B12 deficiency
33
ergonovine maleate methylergonovine maleate (ergots)
fetal hypoxia DO NOT GIVE TO INDUCE LABOR
34
alendronate risendronate ibandronate zolendronate
**upper GI irritation** (why you need to be upright for 30 mins after taking orally) **osteonecrosis of the jaw** abdominal pain renal toxicity (IV)
35
indomethacin
closure of fetal ductus arteriosus
36
hydrocortisone, cortisone, prednisone, prednisolone, dexamethasone, fluticasone
**iatrogenic adrenal insufficiency** infection susceptibility peptic ulcers hyperglycemia eye effects (cataracts, increased IOP, glaucoma) CNS (restlessness, insomnia) osteoporosis muscle wasting and weakness
37
GnRH agonists (leuprolide, goserelin) GnRH antagonists (cetrorelix, ganirelix)
menopausal sxs (hot flashes, amenorrhea, decreased bone density) testicular atrophy
38
corticosteroids
ulcers **hyperglycemia** osteoporosis **chronic tx (more than 1-2 weeks) depresses HPA axis so you CANNOT DC abruptly, taper off**
39
raloxifene | (anti-estrogen)
hot flashes DVT
40
testosterone methyltestosterone
decrease testosterone (in men) masculinization (in women) pseudohermatphroditism (in fetus) both: oily skin decreased HDL psych changes
41
ketoconazole
gynecomastia libido decrease impotence
42
glyburide, glipizide, glimepiride
hypoglycemia- highest risk of any noninsulin tx weight gain sulfa allergy