Key points Flashcards
Aminosalicylates
Blood dyscrasias
Eluxolidine
Pancreatitis with/without Oddi spasm
Hyoscine butylbromide
Cardiac problems
PPI
Subacute cutaneous lupus erythematosus - rare
Loperamide
Risk of abuse/misuse, cardiac reaction
4-7 years - 3 days 1mg
8years - 5 days 2mg
Amiodarone
Photosensitivity, pulmonary toxicity, liver toxicity, thyroid disorder, corneal microdeposits, antivirals and bradycardia
Dronedarone
Hepatotoxicity, heart failure, pulmonary toxicity
Sotalol
QT interval prolongation
Tranexamic acid
Discontinue if visual disorders
Reduce dose - diarrhoea
Warfarin
Calciphylaxis
Beta blockers
Dry eye/rash - reversible on discontinuation, bradycardia
ACE inhibitor
Dry cough, angioedema, metallic, hepatotoxic
Statins
Interstitial lung disease, correct hypothyroidism before initiation, myopathy and myalgia
Thiazides
Gout, lupus, diabetes, eGFR under 30
Ivabradine
Do not initiate under 75bpm, stop below 50bpm
Nicorandil
Skin, mucosal and eye ulceration
Tiotropium
Capsule inhalation
OTC cough and cold
not under 6 and restricted 6 to 12 years
Desensitising vaccines
Anaphylaxis, specialist only
Hydroxyzine hydrochloride
QT interval prolongation and torsade de pointes
Leukotriene receptor antagonist
Churg strauss syndrome
Beclomethasone
Brand prescribing - vary in potency and particle size
Inhaled corticosteroid
Spacer, candidiasis, paradoxical bronchospasm, serous chorioretinopathy
LABA
Restricted prescribing
Opioids
Pinpoint pupils, naloxone, dependence
Metoclopramide
Dystonic reaction - 10mg TDS up to 5 days only
Domperidone
Cardiac reactions - 10mg TDS treatment only up to 7 days
Ergot derived dopamine agonist
Fibrotic reaction - ECG
Levodopa related
Impulse disorders
Lithium
Hypothyroidism, benign intracranial hypertension
Lisdexamfetamine
Cardiac function
Atomoxetine
Suicidal thoughts and growth
Dexamfetamine
Tics and tourettes - discontinue
Drug free period - growth catch up
Seizure - discontinue
Clozapine
Intestinal obstruction, agranulocytosis, cardiomyopathy, myositis, neutropenia