· Cardioselective betablockers are:
"Betablockers Acting Exclusively At Myocardium"
Betaxolol
Acebutelol
Esmolol
Atenolol
Metoprolol
Beta-blocker main contraindications / cautions
ABCDE:
* Asthma
* Block (heart block)
* COPD
* Diabetes mellitus
* Electrolyte (hyperkalemia)
B-agonist tocolytic (contraindication or warning)
ABCDE:
Angina (Heart disease)
BP high
Chorioamnionitis
Diabetes
Excessive bleeding
Beta-1 vs Beta-2 receptor location
"You have 1 heart and 2 lungs":
Beta-1 are therefore primarily in the heart.
Beta-2 primarily in the lungs.
Zero Order Kinetics -
zero WATT Power
Warfarin Alcohol
Theophylline
Phenytoin
Phenytoin advrse effct.
PHENYTOIN.
Peripheral neuropathy.
Hirsutism.
Enlargement of gum(gum hypertrophy).
Nystigmus.
Yellow colouratn of skin.
Teratogenecity.
Osteomalacia.
Increasd sleep.
Neurological(ataxia,gait)
Effects of Lithium
"LITHIUM"
LI - Leukocytes Increase
T - Tremors,Thirst
H - Hypothyroidism
IU - Increase Urine
M - Mental Confusion
Muscle Twictching
Motor Incoordination
CORTICOSTERIODS
Side Effects
C-cushings syndrome
O-osteoporosis
R-retardation of growth
T-thin skin n easy brusibility
I-infections n immunosupression
C-cataract n glaucoma
O-odema
S-supression of HPA axis
T-thining n ulceration of gastric mucosa
E-Emotional disturbance
R-rise in BP
I-Increase in hair growth(hirsuitism)
O-otherz like fetal abnormalties n hypokalemia
D-diabetes mellitus precipitation
S-stria
Aspirin: side effects
ASPIRIN :
Asthma
Salicyalism
Peptic ulcer disease/ Phosphorylation-oxidation uncoupling/ PPH/ Platelet disaggregation/ Premature closure of PDA
Intestinal blood loss
Reye's syndrome
Idiosyncracy
Noise (tinnitus)
Drugs causing focal to massive hepatic necrosis ...
"Very Angry Hepatocytes":
Valproic acid
Acetaminophen
Halothane
Alcohol withdrawal syndrome -
SATAN ID - (meaning alcohol is the ID of SATAN)
Seizures
Anxiety
Tremors
Arrythemias
NVD
Insomnia
Delerium tremens
Symptoms Of Mania >> DIG FAST <<
D-istractability
I-nsomnia/Impulsive behaviour
G-randiosity
F-light of Ideas
A-ctivity/Agitation
S-peech(pressured)
T-houghtlessness
Adverse Effect of Cholinergic drugs:
DUM BELS
defecation
urination
myosis
bronchoconstriction
electrical changes
lacrimation
salivation
Adverse Effects of [Valproate]
"VALPROATE"
V-omiting
A-lopecia
L-iver toxicity
P-ancreatitis
R-ashes and thrombocytopenia
O-edema
A-taxia
T-remors
E-ach others metabolism increases with carbamazepin
Contraindications of ACE inhibitors..
(PARK)
(P)regnancy.
(A)llergy.
(R)enal artery stenosis.
(K) Potassium increase.. ie. Hyperkalaemia.
angiotensin 2 receptor blocker.......'LOVE'
L-Losartan
O-Olmesartan
V-Valsartan
E-tElmesartan
Cytochrome p450 inducers
"GPRS Cell"
Greseofulvin
...Phenytoin
Rifampicin
Smoking
Carbamezapine
Cytochrome P450 Inhibitors
"Vitamin K Cannot Cause Enzyme Inhibition in Old Men"
Vitamin - valproate
...K -ketoconazole
Cannot -cimetidine
Cause - ciprofloxacin
Enzyme- erythromycin
Inhibition - isoniazid
in
Old - omeprazole
Men - metronidazole
Drugs for treatment of Alziemer’s disease:
River main takrain marnay aur galian denay say Ali Azmat thek o gya
River : Rivastigmine
Main : Mamantin
Takrain : tacrine
Galian : galantamine
Denay : donepazil
Ali Azmat : Alziemer’s disease
Morphine Therpeutic Uses
me gc ca hero hu
m miosis
e emisis
g git nausea vomiting constipation
c cough reflx spression
c cvs bradycardia n hypotnsion
a analgesia
h histamin release
e euphoria
r respiratory depression
o o to remember that 4 mOrphin
h hormone release effct
u uterine smooth muscl delay 2nd stage of labour
Carbamazepine Therpeutic Uses
CBZ
Cranial nerve neuralgia
Bipolar disorder
Carbamazepine Adverse Effects
OATMEAL
Osteomalacia
Aplastic anemia
Teratogenicity
Megaloblastic anemia
Exfoliative dermatitis
ADH hypersecretion
Lethargy (CNS depression)
Colchicine Adverse Effects
CHAMP
Colchicine
Hematuria
Alopecia
Myelosuppression
P eripheral neuropathy
Related to classification
TCAs are made by DAD INC
D Doxepin
A Amitriptyline
D Despramine
I Imipramine
N Nortriptyline
C Clomipramine
Parkinsonian drugs
SALAD
S- Selegiline
A- Anti-cholinergics
L- L-dopa (with carbidopa)
A- Amantadine
D- Dopamine post-synaptic agonists (bromocriptine, pergolide, lisuride)
the PPIs
OLPER(milk )
Omeprazole
Lansoprazole
Pantoprazole
Rabeprazole
Esomeprazole
Gen anesthetics
SHINED
Sevoflurane
Halothane
isoflurane
NO
Enflurane
Desflurane
K sparing diuretscs
EAST
Epleranone
Amiloride
Spironolactone
Triameterene
Which drug(s) cause this reaction: Agranulocytosis?
-Cloazapine -carbamazapine -colchicine-PTU
Which drug(s) cause this reaction: Aplastic anemia?
-Chloramphenicol -benzene -NSAIDS -PTU -phenytoin
...
Which drug(s) cause this reaction: Cardiac toxicity?
-Daunorubicin &Doxorubicin
Which drug(s) cause this reaction: Cinchonism (2)?
-Quinidine -quinine
Which drug(s) cause this reaction: Cutaneous flushing (4)?
-Niacin -Ca++ channel blockers -adenosine -vancomycin
Which drug(s) cause this reaction: Focal to massive hepatic necrosis (4)?
-Halothane -Valproic acid-acetaminophen
Which drug(s) cause this reaction: G6PD hemolysis (8)?
-Sulfonamides -INH- Ibuprofen -primaquine - nitrofurantoin /-pyrimethamine -
chloramphenicol
Which drug(s) cause this reaction: Gingival hyperplasia?
-Phenytoin
Which drug(s) cause this reaction: Gray baby syndrome?
-Chloramphenicol
Which drug(s) cause this reaction: Gynecomastia (6)?
-Cimetidine -ketoconazole-spironolactone -digitalis-EtOH -estrogens
Which drug(s) cause this reaction: Hepatitis?
-Isoniazid
Which drug(s) cause this reaction: Hot flashes?
-Tamoxifen
Which drug(s) cause this reaction: Neuro and Nephrotoxic?
-polymyxins
Which drug(s) cause this reaction: Osteoporosis (2)?
-Corticosteroids -heparin
Which drug(s) cause thisreaction: Oto and Nephrotoxicity (3)?
-aminoglycosides -loop diuretics -cisplatin
Which drug(s) cause this reaction: P450 induction(6)?
-Barbiturates -phenytoin -carbamazipine -rifampin -griseofulvin -quinidine
Which drug(s) cause this reaction: P450 inhibition(6)?
-Cimetidine -ketoconazole-grapefruit juice -erythromycin -INH -sulfonamides
Which drug(s) cause this reaction: Photosensitivity (3)?
-Tetracycline -amiodarone -sulfonamides
Which drug(s) cause this reaction: Pseudomembranous colitis?
-Clindamycin
Which drug(s) cause this reaction: Pulmonary fibrosis(3)?
-Bleomycin -amiodarone -busulfan
Which drug(s) cause this reaction: SLE-like syndrome
-Hydralazine -Procainamide -INH -phenytoin
Which drug(s) cause this reaction: Stevens-Johnsonsyn. (3) ?
-Ethosuxamide -sulfonamides -lamotrigine
Which drug(s) cause this reaction: Tardive dyskinesia?
-Antipsychotics
Which drug(s) cause this reaction: Tendonitis and rupture?
-Fluoroquinolones
Which drug(s) cause this reaction: Thrombotic complications?
-Oral Contraceptives
Which drug(s) cause this reaction: Torsade de pointes (2) ?
-Class III antiarrhythmics (sotalol) -class IA (quinidine)
Which drug(s) cause this reaction: Tubulointerstitial Nephritis (5)?
-Sulfonamides -furosemide -methicillin -rifampin -NSAIDS
Which drug(s) cause this reaction: Disulfram-like reaction (4) ?
-Metronidazole -certain cephalosporins -procarbazine -sulfonylureas
Which drug(s) cause this reaction: Drug induced Parkinson's (4) ?
-Haloperidol -chlorpromazine -reserpine
Which drug(s) cause this reaction: Extrapyramidal side effects (3)?
-Chlorpromazine -thioridazine -haloperidol
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wuhoo hoo. Mind blowing stuff. It seems like they actually made the names of the drugs by taking the first alphabets of their adverse effects. By the way, why the hell someone doesn't post such stuff at the start of the year? Excellent job anyway. Keep it up Sadaf. Dil khosh kar ditta ee. :)
ReplyDeletehaha cool observation Anum ;p
ReplyDeleteHaina I was wondering the same... but its never too late ! :)
awesome
ReplyDelete