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PHM - Exam 3 - Toxicity
N/A
49
Medical
Graduate
06/08/2013

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Cards

Term
Vancomycin
Definition
nephrotoxic; hearing loss
Term
Bacitracin
Definition
nephrotoxic; limited to topical use
Term
Penicillins
Definition
safe
Term
Cephalosporins
Definition
irritation at injection site; GI irritation; bone marrow supression; renal toxicity (esp + aminoglycoside)
Term
Penicillin (Azlocillin)
Definition
GI upset; bone marrow supression
Term
Polymyxin
Definition
nephrotoxic
Term
Polymyxin (Amphotericin B)
Definition
nephrotoxic; GI upset; lipid-based---> less toxic
Term
Polymyxin (Nystatin)
Definition
severe nephrotixicity
Term
Azole Antifungals
Definition
GI upset; inhibition of CYT-P450-mediated metabolism of other drugs
Term
Azole Antifungals (Ketoconazole)
Definition
decrease in steroid biosynthesis; GI upset; inhibition of CYT-P450-mediated metabolism of other drugs
Term
5-Fluorocytosine Antifungals
Definition
bone marrow supression---> mild anemia, but reversible
Term
Fluoroquinolones
Definition
GI upset; CNS excitement, cartilage damage (esp KIDS < 17)
Term
Rifampin
Definition
induces metabolism of other drugs; teratogenic (bad for MOMS); GI upset
Term
Aminoglycosides
Definition
nephrotoxic (esp with CEPHALOSPORIN); ototoxicity; auditory toxicity; blocks NMJ;
Precautions: hydration; avoid CEPHALOSPORINS
Term
Tetracyclines
Definition
GI; hepatotoxicity; DISCOLORATION of teeth; crosses placenta and in breast milk; SUPERINFECTION if natural flora is disturbed; PHOTOTOXICITY
Term
Chloramphenicol
Definition
infants cannot conjugate---> CV toxicity; bone marrow suppression; aplastic anemia
Term
Macrolides (Erythromycin)
Definition
MILD liver and GI toxicity
Term
Macrolides (Telithromycin)
Definition
SEVERE HEPATIC TOXICITY---> limited to RTI; GI upset; headache; blurred vision; altered taste perception
Term
Clindamycin
Definition
MILD GI upset; SEVERE GI irritation; RARE bone marrow supression
Term
Quinupristin/Dalfopristin
Definition
at site of injection: pain, inflammation, edema, THROMBOPHLEBITIS; arthralgia, and myalgias
Term
Linezolid
Definition
mild GI upset; thrombocytopenia (reversible)
Term
Sulfonamides
Definition
CRYSTALURIA; liver toxicity; decreased bone marrow function---> anemia
Precautions: hydration; Na bicarbonate to alkalinize urine)
Term
Flucytosine
Definition
bone marrow depression; GI upset
Term
Nitrofurantoin
Definition
nausea, vomiting, diarrhea; headache, PULMONARY FIBROSIS (rare); urine---> BROWN
Term
Methenamine
Definition
NOT used with SULFONAMIDES (which are less soluble in acidic urine!)
Term
Imatinib (Gleevac)
Definition
nauseau; vomiting, diarrhea, edema, muscle cramps, rash, neutropenia, and thrombocytopenia
Term
Alkylating Agent (Chlorambucil)
Definition
least toxic of this group
Term
Alkylating Agent (Cyclophosphamide)
Definition
hair loss
Term
Alkylating Agent (BUSULFAN)
Definition
relatively mild GI toxicity
Term
Antimetabolite (Folic Acid Analog: Methotrexate)
Definition
systemic admin of FOLINIC ACID---> metabolized to THF without reductase enzyme---> rescue from toxicity
Term
Antimetabolite (pyrimidine analog: 5-FU)
Definition
hair loss
Term
natural anticancer drugs from plants (Vinca Alkaloids: Vincristine)
Definition
MINIMAL MYELO-SUPPRESSION (unlike Vinblastine); CNS toxicity---> progressive weakness, tremors, convulsions
Term
natural anticancer drugs from plants (Vinca Alkaloids: Vinblastine)
Definition
MYELOSUPPRESSIVE; LESS neurotoxicity (unlike Vincristine)
Term
natural antibiotics (Actinomycin D)
Definition
VERY toxic
Term
natural antibiotics (Bleomycin)
Definition
pulmonary fibrosis (2-5%)
Term
natural antibiotics (Doxorubcin (Adriamycin))
Definition
cardiac toxicity; hair loss
Term
antiandrogens (Flutamide)
Definition
gyenecomastia; nausea/vomiting;
Term
Cisplatin
Definition
renal toxicity
Precaution: hydration; manitol diuresis---> lowers concentration in kidney
Term
antiviral (DNA viruses, nonretroviral): Antiherpes Virus (Acyclovir)
Definition
MILD GI; headache; renal toxicity
Term
antiviral (DNA viruses, nonretroviral): Antiherpes Virus (Gancyclovir)
Definition
bone marrow; CNS; teratogenic (MORE INCORPORATED to DNA than Acyclovir)
Term
antiviral (nonretroviral): Antiinfluenza (Amantadine)
Definition
minor GI; CNS---> nervous; light headed; lack of concentration
Term
antiviral (nonretroviral): Antiinfluenza (Oseltamavir)
Definition
mild GI upset
Term
antiviral (nonretroviral): Antiinfluenza (Zanamivir)
Definition
well tolerated; some wheezing/bronchospasm
Term
antiviral (nonretroviral): Interferons
Definition
fever, chills, headache, bone marrow depression; CNS - confusion
Term
antiviral (nonretroviral): Lamivudine
Definition
mild liver toxicity
Term
antiretroviral: Zidovudine (AZT)
Definition
fatigue, nausea, headache, anemia
Term
antiretroviral: Nevirapine
Definition
rash, fever, fatigue, nausea, liver toxicity
Term
antiretroviral: Efavirenz
Definition
CNS toxicity---> lack of focus; dreams; headache; dizzyness; rash
Term
antiretroviral: Atazanavir; Idinavir
Definition
CYTP450 inhibition---> blocks drug metabolism overall
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