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Drug Interactions
APC Assessment Prep
22
Art History
1st Grade
02/05/2014

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Cards

Term
Drugs that may chelate with Mg, Ca, etc
Definition
tetracyclines, macrolides, quinolones, bisphosphonates
Term
Drugs that alter pH of the gut
Definition
H2 antagonists, PPIs, antacids, vitamin c
Term
Antibiotics altering GI flora affects:
Definition
warfarin, oral contraceptives, digoxin levels
Term
Drugs that INHIBIT p-glycoprotein (3A4 drugs)
Definition
amiodarone, atorvastatin, clarithromycin, cyclosporine, diltiazem, verapamil, propranolol
Term
drugs that INDUCE p-glycoprotein (3A4 drugs)
Definition
Rifampin, St. John's Wort, Yohimbine, ritonavir
Term
Drugs Affecting Protein Binding (>90% bound)
Definition
aspirin, Coumadin, phenytoin
Term
CYP 450 inducers
Definition
oral anticoagulants, quinidine, corticosteroids, theophylline, nevirapine, chronic ethanol, rifampin, carbamazepine, isoniazid, St. John's Wort
Term
CYP 1A2 inhibitors
Definition
xanthenes, warfarin, clozapine, amiodarone, quinolones, ticlopipine
Term
CYP2B6 inhibitors
Definition
ticlopipine
Term
CYP2C19 inhibitors
Definition
diazepam, omeprazole, cimetidine, fluoxetine, ketoconazole, ticlopipine, topiramate
Term
CYP2C9 inhibitors
Definition
amiodarone, fluconazole, paroxetine
Term
CYP2D6 inhibitors
Definition
amiodarone, cimetidine, fluoxetine, paroxetine, ritonavir, haloperidol, nortriptyline, venlafaxine, risperidone
Term
CYP2E1 inhibitors
Definition
acute ethanol
Term
CYP3A4 inhibitors
Definition
erythromycin, terfenadine, carbamazepine, lidocaine, quinidine, sevral corticosteroids, cyclosporine, protease inhibitors, amiodarone, cimetidine, diltiazem, azole antifungals, grapefruit juice, verapamil
Term
Inhibits excretion of penicillin (good); inhibits excretion of methotrexate (bad)
Definition
Probenecid
Term
drugs that inhibit renal PGP (can increase digoxin)
Definition
amiodarone, cimetidine, quinidine
Term
drugs that can affect lithium levels by altering sodium reabsorption
Definition
NSAIDs, diruetics (HCTZ, furosemide)
Term
high risk herbals
Definition
garlic, ginko, ginseng, green tea, ginger
Term
narrow therapeutic window medications
Definition
digoxin, phenytoin, carbamazepine, aminoglycosides, warfarin, lithium, cyclosporine, theophylline
Term
Major CYP450 inducers
Definition
Phenytoin, Smoking, Phenobarbital, Oxcarbazepine, Rifamycins, Carbamazepine, St. John's Wort
Term
Major CYP450 inhibitors
Definition
Grapefruit, Protease Inhibitors, Azole ANtifungals, Cimedtidine, Macrolides, Amiodarone (+ dronedrarone), Non-DHP calcium channel blockers
Term
Worst Warfarin Offenders
Definition
Alcohol, Levothyroxine, Fluconazole, Amiodarone, Metronidazole, Erythromycin, Sulfa
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