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Adverse Drug Reactions
Lecture 39
18
Medical
Graduate
04/29/2011

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Term
6 consequences of polymorphic drug interactions
Definition
no activation, less effect, extended effect, dose alterations, drug-drug interactions, adverse drug interactions
Term
6 types of drug interactions
Definition
pharmacodynamics, inhibition, induction, excretion, chemical, displacement
Term
sucralfate, milk products, antacids, and iron inhibit the absorption of...
Definition
tetracycline, quinolones, and azithromycin
Term
what inhibits absorption of ketoconazole?
Definition
PPI
Term
what inhibits absorption of raloxifene, digoxin, and thyroxine?
Definition
cholestyramine
Term
4 P450 inhibitors
Definition
-azoles, grapefruit juice, SSRIs, macrolides
Term
4 P450 inducers
Definition
phenobarbital, carbamazepine, St. John's wort, rifampin
Term
what increases risk of digitalis toxicity?
Definition
TZD diuretics, loop diuretics (hypokalemia)
Term
what increases risk for hyperkalemia and subsequent arrhythmias
Definition
K+ sparing drugs, ACEi, ARB, beta blockers
Term
what does hyponatremia increase the risk for?
Definition
lithium toxicity
Term
effects of morphine on histamine, pCO2, amylase, ANP, and respirations
Definition
decreases respirations; increases histamine, pCO2, amylase, and ANP
Term
what deficiency is caused by...
1. MTX, TMP-SMX, or pyrimethamine
2. warfarin, cephalosporin
3. nitrous oxide
4. isoniazide
5. phenytoin
Definition
1. folate deficiency
2. vitamin K
3. B12
4. B6
5. vitamin D
Term
what 4 drugs increase warfarin effectiveness
Definition
NSAID, clopidogrel, thyroxine, gingko biloba
Term
SSRIs, TCAs, MAOIs, opioids, and atypical antipsychotics have the risk of causing...
Definition
serotonin syndrome
Term
inhaled anesthetics, antidepressants, and MAOIs have the risk of causing...
Definition
malignant hyperthermia
Term
antidepressants, antipsychotics, macrolides, and quinolones have the risk of causing...
Definition
long QT syndrome (tx with Mg)
Term
genetic testing should be done for what 2 drugs?
Definition
warfarin, abacavir
Term
cholestyramine inhibits absorption of what 3 drugs?
Definition
raloxifene, digoxin, thyroxine
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