side effects Flashcards

1
Q

anti cholinergic i.e. antimuscarinic side effects

A
dry eyes, blurred vision
dry mouth
constipation, urinary retention 
dilated pupils
flushed skin
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2
Q

patient with dry eyes/mouth, dilated pupils

A
TCA, 
H1R (chlorphenamine, PROMETHAZINE), 
hyoscine, 
atropine, 
antipsychotics (olanzapine, clozapine, chlorpromazine),
Oxybutinin
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3
Q

Chlorpromazine side effect?

A

weight gain
sedation
also with TCA and other antihistamines and antipsychotics
CHLORPROMAZINE - CHOLESTATIC JAUNDICE

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4
Q

alpha blockers side effects

A

postural hypotension
sexual dysfunction
nasal congestion
headache

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5
Q

anti-dopaminergic side effects e.g. metoclopramide

A

extra pyramidal - tardive dyskinesia and parkinsons
hyperprolactinarmia - oligomennhora
neuroleptic malignant syndrome
oculogyric crisis

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6
Q

rifampicin side effects

A

orange urine and tears HEPATITIS

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7
Q

isoniazid side effects

A

peripheral neuropathy HEPATITIS

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8
Q

ethambutol side effects

A

optic neuritis HEPATITIS

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9
Q

phenytoin side effects

A
hepatotoxic
coarse facial features
acne 
cerebellar syndrome 
hirsutism 
gum hyperplasia 
CHACHG
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10
Q

carbamazepine side effects

A

SIADH hyponatraemia, rash, dizzy

hair thinning

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11
Q

sodium valproate side effects

A

tremor
weight gain
hair thinning

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12
Q

lamotrigine side effects

A

SJS, safe in pregnancy

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13
Q

SSRI side effects

A
serotonin syndrome - everything runs - tears, sweat, urine, diarrhoea 
nausea
low libido
insomnia
hyponatraemia
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14
Q

TCA side effects

A
anticholinergic 
anti-alpha adrenergic
anti - histaminic 
SIADH
arrythmia
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15
Q

MOA inhibitors side effects e.g. seleginine

A

Hypertension
Hyperthermia
Hepatocellular jaundice
esp with cheese

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16
Q

ACE inhibitor side effects

A

dry cough
renal impairment
hyperkalaemia
POSTURAL HYPOTENSION
must start at night to avoid hypotension problems
angioedema of the tongue may take few weeks to show

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17
Q

causes of postural hypotension

A

tacrolimus
ACEis
anti alpha adrenergic
levodopa

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18
Q

CCB side effects

A

flushing
oedema of hands and feet
headache
dizziness

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19
Q

B Blocker side effects

A
BRONCHOSPASM
B1 blockers - cold hands and feet, fatigue 
bradycardia
impotence
CENTRAL SYMPTOMS - sleep disturbance 
diabetes risk?
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20
Q

Beta blockers for heart failure?

A

Beta-blockers licensed to treat heart failure in the UK include bisoprolol, carvedilol, and nebivolol.

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21
Q

diuretics side effects?

A

hypotension, dehydration
REDUCED K, Mg, Na
Increased Urea

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22
Q

Loop diuretics side effects?

A

hypocalcaemia

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23
Q

potassium sparing diuretics side effects?

A

hyperkalaemia, gynaecomastia

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24
Q

causes of gynaecomastia?

A
DISCO MTV
Digoxin
Isoniazid
Spirinolactone 
Cimetidine
Oestrogen
Methyldopa/metronidazole
TCA
Verapamil
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25
Sulphasalazine side effects?
``` myelosuppression oligospermia hepatitis SJS/erythema nodosum renal failure urine coloured, tears coloured and contacts stained lung fibrosis ```
26
Methotrexate side effects
``` myelosuppression hepatotoxic pneumonitis/fibrosis muscositis = GI and oral inflammation renal failure ```
27
Chloroquine side effects
Bulls eye retinopathy tinnitus myopathy
28
Penicillamine side effects
Nephritis | Triggers myasthenia
29
TNF alpha blockers side effects
reactivate TB infusion reactions (anaphylaxis) autoimmune reactions dyscrasia
30
Cyclophosphamide side effects
haemorrhagic cystitis myelosuppression alopecia
31
Insulin side effects
lipohypertrophy hypos hypokalaemia weight gain
32
metformin side effects
``` lactic acidosis weight loss Don't commence with GFR <30 metallic taste GI disturbance B12 deficiency ```
33
Gliclazide (sulphonylurea) side effects
hypoglycaemia | weight gain
34
Pioglitazone side effects
fluid retention leading to heart failure fractures hepatotoxic
35
Gliptin side effects
pancreatitis
36
SGLT2 inhibitors flozin side effects?
``` constipation UTI/thrush Amputations ketoacidosis hypotension hypoglycaemia ```
37
Agranulocytosis
``` Carbemazepine Colchicine Clozpaine Carbimazole Cytotoxic agents ```
38
SJS causes?
``` sulphonylurea sulphonamides anti-epileptics - phenytoin allopurinol chloroquines mycoplasma NSAIDs ```
39
Toxic epidermal necrolysis causes?
``` sulphonamide barbirturates carbamazepine penicillin NSAIDS phenytoin ```
40
Gum hypertrophy causes
ciclosporin phenytoin CCBs
41
STEROID side effects
``` Stomach ulcers Thin skin Edema Right and left heart failure Osteoporosis Immunosuppression Diabetes and hyperglycaemia Syndrome Cushings ```
42
Causes of Avascular necrosis of hip?
long term steroids chemotherapy trauma alcohol excess
43
Haloperidol side effects
prolonged QT, temperature derangement
44
Mild lithium toxicity
tremor, dysarthria
45
Moderate lithium toxicity
lethargy
46
Severe lithium toxicity
arrhythmias, seizures, coma and renal failure.
47
organophosphate toxicity
increased parasympathetic activity as the acetylcholinesterase inhibited
48
lithium side effects
hypothyroidism diabetes insipidus diarrhoea
49
steroid cognitive side effects
psychosis and cognitive impairment in elderly
50
ciclosporin side effects
``` tremor interstitial nephritis hypertrichosis gum hyperplasia burning in hands and feet ```
51
what to advise people taking ciclosporin and tacrolimus
avoid UV light
52
levodopa side effects
red urine postural hypotension dyskinesia on/off effects
53
PPI side effects
tinnitus | hyponatraemia and hypomagnesaemia
54
Amiodarone side effects
``` thyroiditis pulm fibrosis peripheral neuropathy slate grey skin myopathy ```
55
Digoxin toxicity
xanthopsia | arrythmia
56
drug causes of cholestasis
``` co-amoxiclav chlorpromazine carbamazepine clarythromicin contraceptives fluCoxacillin sulphonylurea/sulphonamides ```
57
pulmonary fibrosis
``` BDAMNS Bleomycin Digoxin Amiodarone Methotrexate Nitrofurantoin Sulfasalazine ```
58
neuropathy causes
MVP CLAN Antibiotics - metronidazole, nitrofurantoin, isoniazid Cancer - vincristine, cisplatin amiodarone, phenytoin
59
raised creatinine causes
trimethoprim | cimetidine/ranitidine
60
hypothyroidism causes
Amiodarone Lithium PTU/radioiodine Carmbimazole
61
hypercalcaemia
thiazide diureteics | lithium
62
hyperkalaemia
``` ACEinhibitors K sparing diuretics NSAIDs trimethoprim tacrolimus/ciclosporin heparin ```
63
hypocalcaemia
loop diuretics bisphosphonates phenytoin
64
hyponatraemia
``` PPI SSRI Dirutetics Ace inhibitors Chlorpromazine Carbemazepine ```
65
Macrocytic anaemia causes
Folate synthesis blockers - methotrexate, trimethoprim, sulphonamides B12 deficiency causes - metformin Alcohol Sodium valproate, phenytoin, antidepressants
66
Enzyme inducers
``` PC BRAS +st johns wort Phenytoin Carbemazepine Barbiturates Rifampicin Alcohol acute SulphonylUreas (inducer) ```
67
Enzyme inhibitors
``` AO DEVICES +grapefruit Allopurinol Omeprazole Disulfiram Ethanol acute Valproate Isoniazid Ciprofloxacine Erythromycin Sulphonamide ```
68
Drugs affected by CYP450 enzymes
``` COW PATS Carbemazepine, Ciclosporin, Citalopram Oral contraceptives Warfarin Phenytoin Acetylcholinesterase inhibitors Theophylline Statin, steroids ```
69
protein bound drugs
``` protein bound drugs normally fight when available space is sparse Phenytoin BZB Digoxin NSAIDs Furosemide Warfarin Amiodarone Sulfonylura/sulphonamide Statin ```
70
drugs to avoid in asthma
NSAIDs beta-blockers adenosine
71
drugs causing heart failure
``` nsaids steroids CCBs pioglitiazone flecainide ```
72
drugs causing ankle swelling
CCBs | naproxen