Side Effects Flashcards
Anaphylaxis
Rash
PCNs
Diarrhea & superinfection
Cephalosporins (diarrhea more common amp>amox)
Allergy (less sever than PCNs) and cross sensitivity with PCNs <1%
Cephalosporins
Which gen cephalosporin causes diarrhea?
1st (cephalexin (PO)
Which gen cephalosporin causes superinfection and possibly DDI: enhancement of warfarin?
2nd gen (cefuroxime)
Which gen cephalosporin causes superinfection? And also penetrates CNS well
3rd gen
Infusion related: chills/fever/rash (redman syndrome), ototoxicity, renal toxicity & needs *routine monitoring of Cp levels
Vanco
GI disturbances, DD interactions due to inhibition of P450 metabolism (not azith)
Macrolides (CE)
Abnormal bone/tooth development (avoid in children and pregnancy), fungal superinfection, DDIs with antacids & dairy
Tetracyclines
Severe diarrhea and pseudomembrane colitis
Loose stool linda
Clinda
Vestibular and auditory toxicity, nephrotoxicity and *need routine monitoring of Cp levels
Aminoglycosides (micin/mycin)
Potential for serious ARDS, superinfections, DDI with theophylline and antacids
Rare: CNS disorders, inc QT interval, give children ARTHRALGIAS
Fluoroquinolones (Cipro, levo, moxi)
GI side effects, microcrystalline forms better tolerated
Nitro
Nausea, HA, GI distress, antabuse like rxn and occasional candidial superinfections
Metronidazole
Hypersensitivity skin reactions, kernicterus in neonates, renal crystalluria via H20 solubility of metabolites
Sulfas