Coronary vasospasm
cocaine, sumatriptan (serotonin agonist), ergot alkaloids
Cutaneous flushing
“VANC”
vancomycin, adenosine, niacin, CCB
Dilated cardiomyopathy
doxorubicine, daunorubicin
TdP
class III and IA antiarrhyhmics, macrolides, antipsycotics, TCAs
Adrenocortical insufficiency
glucocorticoid withdrawal (creates 2ndary HPA suppression)
Hot flashes
tamoxifen, clomiphene
Hyperglycemia
“Taking Pills Necessitates Having Blood Checked”
Tacrolimus, Protease inhibitors, Niacin, HCTZ, B-blockers, Corticosteroids
Hypothyroidisim
lithium, amiodarone, sulfonamides
Acute cholestatic hepatitis, jaundice
erythromycin
Diarrhea
“Might Excite Colon On Accident”
Metformin, Erythromycin, Cholchicine, Orlistat, Acarbose
Focal/massive hepatic necrosis
“liver HAVAc”
Halothane, Amanita phalloides (death cap mushroom), Valproic acid, Acetaminophen
Hepatitis
INH
Pancreatitis
“Drugs Causing A Violent Abdominal Distress”
Didanosine, Corticosteroids, Alcohol, Valproic acid, Azathioprine, Diuretics (furosemide, HCTZ)
Pseudomembranous colitis
Clindamycin, ampicillin, cephalosporins
Agranulocytosis
“Drugs CCCrush Myeloblasts and Promyelocytes”
Dapsone, Clozapine, Carbamazepine, Colchicine, Methimazole, Propylthiouracil
Aplastic anemia
“Can’t Make New Blood Cells Properly”
Carbamazepine, Methimazole, NSAIDs, Benzene, Chloramphenicol, Propylthiouracil
Direct Coombs + hemolytic anemia
Methyldopa, penicillin
Gray baby syndrome
Chloramphenicol (toxic accumulation of metabolites)
Hemolysis in G6PD deficiency
“hemolysis IS D PAIN”
INH, Sulfonamides, Dapsone, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
Megaloblastic Anemia
“having a blast with PMS”
Phenytoin, Methotrexate, Sulfa drugs -> all interfere with folate
Thrombocytopenia
heparin, cimetidine
Thrombotic complications
OCPs
Fat redistribution
“Fat PiG”
Protease inhibitor, glucocorticoids
Gingival hyperplasia
phenytoin, verapamil, cyclosporine, nifedipine
Hyperuricemia (gout)
“Painful Tophi and Feet Need Care”
Pyrazinamide, Thiazides, Furosemide, Niacin, Cyclosporine
Myopathy
fibrates, niacin, colchicine, hydroxychloroquine, interferon-a, penicillamine, statins, glucocorticoids
Osteoporosis
corticosteroids, heparin
Photosensitivity
“SAT For Photo”
Sulfonamides, Amiodarone, Tetracycline, 5-FU
Rash (Stevens-Johnson syndrome)
“Steven Johnson has epileptic Allergy to Sulfa drugs and Penicillin”
anti-epileptic drugs (ethosuximide, carbamazepine, lamotrigine, phenytoin, phenobarbital), Allopurinol, Sulfa drugs, Penicillin
SLE-like syndrome
“having lupus is SHIPP-E”
Sulfa drugs, hydralazine, INH, Procainamide, Phenytoin, Etanercept
Also minocycline and quinidine
Teeth discoloration
Tetracyclines
Tendonitis, tendon rupture, cartilage damage
fluoroquinolones
Cinchonism
quinidine, quinine
Parkinson-like syndrome
“cogwheel rigidity of ARM”
Antipsychotics, Reserpine, Metoclopramide
Seizures
“with seizures, I BITE My tongue”
INH (vit b6 deficiency), Bupropion, Imipenem/cilastatin, Tramadol, Enflurane, Metoclopramide
Also clozapine and ciprofloxacin
Tardive dyskinesia
Antipsychotics, metoclopramide
DI
lithium, demeclocycline
Fanconi syndrome
expired tetracycline
Hemorrhagic cystitis
cyclophosphamide, ifosfamide
prevent by coadministering with mesna
Interstitial nephritis
methicillin, NSAIDs, furosemide
SIADH
“Can’t Concentrate Serum Sodium”
Carbamazepine, Cyclophosphamide, SSRIs
Dry cough
ACEi
Pulmonary fibrosis
“Breathing Air Badly from Medications”
Bleomycin, Amiodarone, Busulfan, Methotrexate
Antimuscarinic
atropine, TCAs, H1-blockers, antipsychotics
Disulfiram-like rxn (increased acetaldehyde leading to n/v, headache)
metronidazole, certain cephalosporine, griseofulvin, procarbazine, 1st-gen sulfonylureas
Nephrotoxicity/ototoxicity
aminoglycosides, vancomycin, loop diuretics, cisplatin
P450 Inducers (“Chronic alcoholic Mona Steals Phen-Phen and Never Refuses Greasy Carbs”
Chronic alcohol use, Modafinil, St. John’s wort, Phenytoin, Phenobarbital, Nevirapine, Rifampin, Griseofulvin, Carbamazepine
P450 Substrates (“Always Always Always Always Think When Starting Others”)
Anti-epileptics, Antidepressants, Antipsychotics, Anesthetics, Theophylline, Warfarin, Statins, OCPs
Also metronidazole
P450 Inhibitors (“A cute Gentleman “Cipped” Iced Grapefruit juice Quickly And Kept Munching on Soft Cinnamon Rolls”)
Acute alcohol abuse, Gemfibrozil, Ciprofloxacin, Isoniazid, Grapefruit juice, Quinidine, Amiodarone, Ketoconazole, Macrolides, Sulfonamides, Cimetidine, Ritonavir
Also omeprazole, SSRIs
Sulfa drugs
“Popular FACTSSS”
Probenecid, Furosemide, Acetazolamide, Celecoxib, Thiazides, Sulfonamide antibiotics, Sulfasalazine, Sulfonylureas
QT Prolongation
"Some Risky Meds Can Prolong QT" Sotalol, Risperidone (antipsychotics), Macrolides, Chloroquine, Protease inhibitors, Quinidine (class Ia, also III), Thiazides
Hepatic granulomatosis
Methyldopa, hydralazine, quinidine
Pill-induced esophagitis
Tetracycline, potassium chloride, bisphosphonates
Cholesterol gallstone
Fibrates, octreotide, ceftriaxone
Cold extremities resulting in Raynaud’s phenomenon
B-blockers, ergotamine
Gynecomastia
“Some Dope Drugs Easily Create Awkward Hairy DD Knockers”
Spironolactone, marijuana, Digitalis, Estrogen, Cimetidine, Alcohol, Heroin, Dopamine, D2 antagonists, Ketoconazole
Transitional cell carcinoma
“Pee SAC”
Phenacetin, Smoking, Aniline dyes, Cyclophosphamide