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Classic Drug association in MRCP
DR.SHERIF BADRAWY
Psychosis
1a
Dr. Sherif
Badrawy
Digitally signed by Dr.
Sherif Badrawy
DN: cn=Dr. Sherif Badrawy,
o=KKUH, ou=Critical Care,
email=sherif_badrawy@ya
hoo.com, c=SA
Date: 2015.03.23 10:45:36
+03'00'
◥ levodopa
◥ corticosteroids
1b
Increased risk of
venous
thromboembolism
2a
◥ combined oral
contraceptive pill
◥ tamoxifen
◥ antipsychotics 2b
increased risk of
endometrial cancer
3a
Tamoxifen
3b
Flushing
4a
◥ amlodipine
◥ sildenafil
◥ tamoxifen
4b
Mucositis
5a
◥ methotrexate
◥ fluorouracil (5-FU)
5b
Fluid retention
6a
◥ pioglitazone
◥ ciclosporin
◥ corticosteroids
◥ hydralazine 6b
Peripheral
neuropathy
7a
◥
vincristine,vinblastine,cisplatin
◥ isoniazid
◥ amiodarone
◥ phenytoin
◥ etanercept
7b
haemorrhagic cystitis
8a
Cyclophosphamide
8b
Carbimazole
9a
myelosuppression/agranulocytosis
9b
Primaquine
10a
haemolysis in
patients with G6PD
deficiency
10b
Toxicity in patients
with thiopurine
methyltransferase
deficiency 11a
azathioprine
11b
Thrombocytopaenia
12a
◥ heparin
◥ sodium valproate
◥ thiazides
◥ valproic acid
◥ quinidine
12b
antagonist of the
P2Y12 adenosine
diphosphate (ADP)
receptor 13a
Clopidogrel
13b
acetazolamide
14a
Normal anion gap
metabolic acidosis
14b
Sumatriptan -
contraindicated by:
15a
ischaemic heart
disease
15b
tendon damage
16a
Ciprofloxacin
16b
acts as a decoy
receptor for TNF-
alpha
17a
Etanercept
17b
Prevents microtubule
depolymerisation &
disassembly,
decreasing free tubulin
18a
docetaxel
18b
Inhibits formation of
microtubules
19a
vincristine
19b
Intracranial
hypertension
20a
◥ isotretinoin
◥ corticosteroids
20b
Pulmonary,
retroperitoneal and
cardiac fibrosis
21a
bromocriptine
21b
glucagon-like
peptide-1 mimetic
22a
Exenatide
22b
increased risk of
fractures
23a
◥ Pioglitazone
◥ heparin
◥ bisphosphonates
◥ corticosteroids 23b
Adenosine -
contraindicated by:
24a
asthma
24b
Weight gain
25a
◥ sodium valproate
◥ sulfonylureas
◥ pioglitazone
◥ lithium
◥ antipsychotics
◥ corticosteroids
25b
decreases IL-2
release by inhibiting
calcineurin
26a
Ciclosporin -
26b
Causes cross-linking
in DNA
27a
cisplatin
27b
Oculogyric crisis
28a
◥ antipsychotics
◥ metoclopramide
28b
Metformin
Monitoring
29a
review if creatinine is
> 130, stop
metformin if > 150
29b
ACE inhibitors
Monitoring
30a
Acceptable ↑ in serum
creatinine , up to 50% from
baseline or up to 265
(whichever is smaller) & an
increase in potassium up to 5.5
30b
oesophagitis
31a
Bisphosphonates
31b
liver fibrosis
32a
Methotrexate
32b
5-HT3 antagonist
33a
Ondansetron -
33b
Increased risk of
ischaemic stroke
34a
◥ combined oral
contraceptive pill
◥ antipsychotics
34b
Hypomagnesaemia
35a
cisplatin
35b
torticollis
36a
Antipsychotics
36b
slate-grey appearance
37a
Amiodarone
37b
Anal ulceration
38a
nicorandil
38b
Increased risk of
cervical cancer
39a
combined oral contraceptive pill
39b
Sildenafil -
contraindicated by:
40a
recent myocardial
infarction
40b
Aspirin in
breastfeeding
41a
must be avoided
41b
Corneal deposits
42a
◥ amiodarone
◥ antipsychotics
42b
irreversible blockade
of H+/K+ ATPase
43a
Omeprazole -
43b
Metformin -
contraindicated by:
44a
recent myocardial
infarction
44b
Palpitations
45a
◥ levodopa
◥ hydralazine
◥ adenosine
45b
Akathisia (severe
restlessness)
46a
antipsychotics
46b
Red man syndrome
47a
vancomycin
47b
Epistaxis
48a
◥ isotretinoin (dt
dryness)
◥ warfarin
48b
Reactivation of
tuberculosis
49a
◥ corticosteroids
◥ infliximab
◥ etanercept
49b
recombinant version
of urate oxidase
50a
Rasburicase -
50b
Depression
51a
◥ isotretinoin
◥ corticosteroids
◥ levodopa
51b
Hypertrichosis
52a
◥ ciclosporin
◥ minoxidil
52b
Cinchonism
53a
quinidine
53b
Thrombophlebitis
54a
◥ amiodarone
◥ vancomycin
54b
Impotence
55a
thiazides
beta-blockers
55b
Pruritus
56a
◥ opioids
◥ fenofibrate
56b
Hypocalcaemia
57a
◥ loop diuretics
◥ foscarnet
57b
Skin necrosis
58a
warfarin
58b
anticoagulant which
don't cross-react é
HIT Abs
59a
◥ Danaparoid
◥ Lepirudin
◥ Argatroban
59b
Oligospermia
60a
sulphasalazine
60b
urinary retention
61a
◥ Tricyclic
antidepressants
◥ antipsychotics
◥ chlorpheniramine61b
Proximal myopathy
62a
corticosteroids
62b
Hypothyroidism
63a
◥ amiodarone
◥ lithium
◥ carbimazole
63b
Blocks T-type calcium
channels in thalamic
neurons
64a
ethosuximide
64b
Binds to TNF-alpha
and prevents it from
binding with TNF
receptors 65a
infliximab
65b
Anti-CD20
monoclonal antibody
66a
rituximab
66b
Decreases absorption
of fat-soluble
vitamins
67a
cholestyramine
67b
Osteoporosis
68a
◥ corticosteroids
◥ heparin
◥ pioglitazone
68b
Mania
69a
corticosteroids
69b
Competitive
antagonist of nicotinic
acetylcholine
receptors
70a
atracurium
70b
Myalgia
71a
◥ statins
◥ fenofibrate
71b
Dopamine receptor
agonist
72a
◥ ropinirole
◥ apomorphine
◥ bromocriptine
◥ cabergoline 72b
Acetylcholinesterase
inhibitor
73a
◥ donepezil
◥ pyridostigmine
◥ galantamine
◥ rivastigmine
◥ edrophonium
73b
inhibits RANK ligand,
which in turn inhibits
the maturation of
osteoclasts
74a
Denosumab -
74b
Insomnia
75a
corticosteroids
75b
Tachycardia
76a
◥ isosorbide
mononitrate
◥ hydralazine
◥ minoxidil 76b
Neuroleptic
malignant syndrome
77a
antipsychotics
77b
Anorexia
78a
◥ levodopa
◥ digoxin
◥ interferon-alpha
78b
Optic neuritis
79a
ethambutol
79b
Non-arteritic anterior
ischaemic neuropathy
80a
sildenafil
80b
coarsening of facial
features
81a
Phenytoin
81b
Pneumonitis
82a
◥ amiodarone
◥ methotrexate
82b
Bronchospasm
83a
◥ beta-blockers
◥ adenosine
83b
Hypertension
84a
◥ corticosteroids
◥ ciclosporin
84b
Inhibits microtubule
polymerization by binding to
tubulin, interfering with
mitosis. Also inhibits
neutrophil motility and activity
85a
colchicine
85b
Metabolised to the active
compound
mercaptopurine, a purine
analogue that inhibits
purine synthesis
86a
azathioprine
86b
potassium-channel
activator
87a
Nicorandil -
87b
bivalirudin
88a
Reversible direct
thrombin inhibitor
88b
Activates antithrombin
III. Forms a complex that
inhibits thrombin, factors
Xa, Ixa, Xia and XIIa
89a
unfractionated
heparin
89b
Bladder cancer
90a
pioglitazone
90b
Suppression of
growth in children
91a
corticosteroids
91b
Steven-Johnson
syndrome
92a
◥ lamotrigine
◥ carbamazepine
92b
Increased risk of
breast cancer
93a
combined oral contraceptive pill
93b
MAO-B inhibitor
94a
selegiline
94b
COMT inhibitor
95a
◥ entacapone
◥ tolcapone
95b
Inhibits sodium
absorption at the
beginning of the distal
convoluted tubule
96a
bendroflumethiazide
96b
Blocks the action of
cyclooxygenase-1 and
2 and thromboxane
A2 formation 97a
aspirin
97b
Hyperprolactinaemia
98a
◥ antipsychotics
◥ metoclopramide
98b
Enhance the effect of the
inhibitory
neurotransmitter gamma-
aminobutyric acid (GABA)
99a
benzodiazepines
99b
Alopecia
100a
◥ sodium valproate
◥ valproic acid
100b
Increased risk of
myocardial infarction
101a
combined oral contraceptive pill
101b
Constipation
102a
◥ antipsychotics
◥ verapamil
◥ tricyclic antidepressants
◥ opioids
102b
Apomorphine
103a
dopamine receptor
agonist
103b
Retinopathy
104a
hydroxychloroquine
104b
Slurred speech
105a
◥ antipsychotics
◥ phenytoin
◥ amantadine
105b
Gout
106a
◥ thiazides
◥ pyrazinamide
◥ loop diuretics
◥ nicotinic acid 106b
Blurred vision
107a
◥ antipsychotics
◥ tricyclic antidepressants
◥ ivabradine
◥ chlorpheniramine
107b
Gingival hyperplasia
108a
◥ phenytoin
◥ ciclosporin
◥ amlodipine
◥ diltiazem
◥ verapamil
108b
Dyskinesia
109a
◥ levodopa
◥ antipsychotics
◥ phenytoin
109b
Photosensitivity
110a
◥ amiodarone
◥ tetracyclines
◥ isotretinoin
◥ thiazides 110b
Nasal congestion
111a
sildenafil
111b
Ototoxicity
112a
◥ loop diuretics
◥ aminoglycosides
◥ vancomycin
112b
Ataxia
113a
◥ phenytoin
◥ sodium valproate
◥ carbamazepine
◥ amantadine 113b
Dry mouth
114a
◥ isotretinoin
◥ tricyclic antidepressants
◥ levodopa
◥ antipsychotics
◥ chlorpheniramine
114b
Hypoglycaemia
115a
◥ sulfonylureas
◥ meglitinides
115b
Heart failure
116a
◥ verapamil
◥ diltiazem
116b
Dry skin
117a
isotretinoin
117b
Cartilage damage
118a
ciprofloxacin
118b
pyrimidine analogue which
induces cell cycle arrest
and apoptosis by blocking
thymidylate synthase
119a
Fluorouracil (5-FU) -
119b
discolouration of
teeth
120a
Tetracyclines
120b
Osteonecrosis of the
jaw
121a
bisphosphonates
121b
Blocks the release of
acetylcholine
122a
Botox
122b
Heart block
123a
◥ verapamil
◥ diltiazem
◥ ivabradine
◥ adenosine
◥ digoxin
123b
Hirsutism
124a
◥ phenytoin
◥ corticosteroids
124b
growth hormone
receptor antagonist
125a
Pegvisomant -
125b
agonist of the A1
receptor in the AV
node
126a
Adenosine -
126b
Hypokalaemia
127a
◥ thiazides
◥ loop diuretics
◥ amphotericin B
127b
Stimulates alpha
adrenergic, dopaminergic
and serotonergic receptors
resulting in uterine
contractions
128a
ergometrine
128b
Blocks the uptake of
dopamine,
noradrenaline and
serotonin 129a
cocaine
129b
Crystalline
nephropathy
130a
aciclovir
130b
Confusion
131a
◥ digoxin
◥ amantadine
◥ phenytoin
◥ metoclopramide 131b
Haemolysis in
patients with G6PD
deficiency
132a
◥ primaquine
◥ ciprofloxacin
◥ sulphonamides
◥ sulphasalazine
◥ sulfonylureas
132b
Meglitinides MOA
133a
increase pancreatic
insulin secretion
133b
non-specific
phosphodiesterase
inhibitor and decreases
cellular uptake of
adenosine
134a
Dipyridamole -
134b
Pancreatitis
135a
◥ corticosteroids
◥ sodium valproate
◥ thiazides
◥ valproic acid 135b
Facilitate GABAA
action by increasing the
duration of chloride
channel opening
136a
barbiturates
136b
Yellow-green vision
137a
digoxin
137b
Arachidonic acid product
causing vasoconstriction &
increased platelet
aggregation
138a
TXA2
138b
Lymphadenopathy
139a
phenytoin
139b
Tremor
140a
◥ lithium
◥ ciclosporin
◥ sodium valproate
◥ antipsychotics 140b
Sumatriptan -
contraindicated by:
141a
cerebrovascular
disease
141b
Inhibits GABA
transaminase
142a
valproic acid
142b
Increased
susceptibility to
severe infection
143a
◥ corticosteroids
◥ ciclosporin
143b
Hyponatraemia
144a
◥ thiazides
◥ loop diuretics
◥ sulfonylureas
◥ carbamazepine
◥ sodium valproate
144b
Non-specific inhibitor
of phosphodiesterase
resulting in an increase
in cAMP
145a
theophylline
145b
Increases cGMP
leading to smooth
muscle relaxation
146a
◥ isosorbide
mononitrate
◥ hydralazine
146b
Antagonises the
effects of vitamin K
147a
warfarin
147b
Gynaecomastia
148a
spironolactone
148b
Drug-induced lupus
149a
◥ hydralazine
◥ procainamide
◥ hydralazine
◥ phenytoin
◥ carbamazepine
◥ tetracyclines
◥ isoniazid
149b
Disulfiram-like
reaction with alcohol
150a
metronidazole
150b
Nephrotoxicity
151a
◥ ciclosporin
◥ aminoglycosides
◥ amphotericin B
◥ foscarnet
◥ vancomycin
◥ loop diuretics
151b
HER2/neu receptor
antagonist
152a
trastuzumab
152b
Respiratory
depression
153a
◥ benzodiazepines
◥ opioids
153b
Reduced seizure
threshold
154a
◥ ciprofloxacin
◥ antipsychotics
◥ foscarnet
154b
Dizziness
155a
◥ phenytoin
◥ carbamazepine
◥ amantadine
◥ nicorandil 155b
Hyperlipidaemia
156a
◥ isotretinoin
◥ corticosteroids
◥ ciclosporin
◥ protease inhibitors
◥ antipsychotics
156b
Lipodystrophy
157a
◥ protease inhibitors
◥ corticosteroids
157b
Cholesterol gallstones
158a
◥ cholestyramine
◥ fenofibrate
158b
Bradycardia
159a
◥ amiodarone
◥ beta-blockers
◥ digoxin
◥ verapamil
◥ diltiazem
◥ ivabradine
159b

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Classical drug associations MRCP.