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152 Cards in this Set

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DOC late east African sleeping sickness
Melarsoprol
DOC late west African sleeping sickness
Eflornithine
MOA Melarsoprol
Reacts w/ sulfhydryl grps = non-functional enzymes
MOA Eflornithine
Inhibits ornithine decarboxylase
SE melarsoprol
Hypersens
GI
Fatal neurotox
SE Eflornithine
Thrombocytopenia
Seizures
DOC Amoebiasis
Metronidazole
MOA Metronidazole
DNA & protein destructive agent
SE Metronidazole
Disulfram-like rxn if taken w/ EtOH
Dark urine
DOC Anaerobic infections above diaphragm
Clindamycin
MOA Clindamycin
Protein synthesis inhibitor
SE Clindamycin
Strong a/w C.diff growth
DOC Anaerobic infection below diaphragm
Metronidazole
DOC ankylosing spondylitis
Indomethacin
MOA Indomethacin
Inhibits COX --> prevents PG synthesis
SE Indomethacin
GI upset & bleed
DOC Anthrax
Penicillin
MOA Penicillin
Cell wall synthesis inhibitor
DOC Anxiety d/o
SSRI or TCA daily
AND BDZ PRN
MOA TCAs
Block reuptake NE, serotonin
Block mescarinic, alpha, H1 R
MOA BDZ
enhance GABA binding to GABA R --> Cl entry
SE SSRI
Loss of libido
Wt gain
Seizure w/ OD
SE TCAs
Dry mouth
Constipation
Urinary retention
Wt gain
DOC Aspergillosis
Voriconazole
(Amp B)
MOA Voriconazole

SE
Ergosterol synthesis inhibitor

Skin rxn
Hepatotox
Visual changes
Photosens
DOC autoimmune d/o
Steroids
DOC B. cereus
Vanco or Clindamycin
MOA Vanco

SE
Cell wall & membrane synthesis inhibitor

Red man syndrome
DOC Bacterial vaginosis
Metronidazole
DOC BPH
5-alpha reductase inhibitor (finasteride, dutasteride, turosteride)
MOA 5-alpha reductase inhibitor
Inhibit the enzyme responsible for conversation of Testosterone to dihydrotestosterone
SE 5-alpha reductase inhibitors
Erectile dysfunction
Decreased libido
Decreased ejaculatory volume
DOC Bipolar
Lithium
MOA lithium

SE
Interferes w/ Na movement and exchange

Ataxia
DI
Seizures
DOC Blastomycosis
Itraconazole
MOA Itraconazole

SE
Ergosterol synthesis inhibitor

Hepatotox
DOC Campylobacter jejuni
Erythromycin
MOA Erythromycin

SE
Protein synthesis inhibitor

QT prolongation
DOC Candidiasis, systemic
Fluconazole
MOA Fluconazole

SE
Ergosterol synthesis inhibitor

Hepatotox
DOC Chagas disease (early)
Nifurtimox
MOA Nifurtimox

SE
Destroys enzymes --> creation of ROS

Abd pain/N/V
Exacerbates G6PD deficiency
DOC Chlamydia trachomatis
Doxycycline
MOA Doxy

SE
Protein synthesis inhibitor

Stain children's teeth
Photosensitivity
Pseudotumor cerebri
DOC Cholecystitis
Piperacillin & tazobactam
MOA Piperacillin

SE
Cell wall synthesis inhibitor

Hypersens.
MOA Tazobactam
Beta-lactamase inhibitor
DOC CMV Retinitis
Ganciclovir & Valganciclovir
MOA ganciclovir

SE
DNA synthesis inhibitor

BM suppression
DOC CHF
Digoxin
MOA Digoxin

SE
Inhibits Na/K pump --> increase in Ca entry

Visual changes
Arrhythmias
DOC Conjunctivitis (non-GC, non-Chlam)
FQ
MOA FQ
Topoisomerase inhibitors
DOC Cryptococcal meningitis
Amp B & Flucytosine
MOA Amp B & Flucytosine
Amp B: Ergosterol antagonist & cell membrane pore former

F: DNA synthesis inhibitor
SE Amp B & Flucytosine
Amp B: Nephrotox, ototox

F: BM tox
DOC DM type 2
Metformin
MOA Metformin
Inhibits absorption of glucose from bowel
Decreases GNG
Increases glucose uptake in fat & sk m.
SE Metformin
Adverse rxn only w/ IV administration
DOC Diarrhea, severe
Cipro or levo & metronidazole
MOA cipro
Topoisomerase inhibitor

Cartilage damage in kids
Tendon rupture in elderly
Photosens
CNS tox
DOC Diptheria
Erythromycin
MOA Erythromycin

SE
Protein synthesis inhibitor

QT prolongation
DOC Diverticulitis
Metronidazole & Cipro
DOC DVT
Heparin
MOA Heparin
Activates antithrombin III
(inhibits factors 2, 9, 10, 11, 12)
DOC Encephalitis
Acyclovir
MOA Acyclovir
Viral DNA synthesis inhibitor
DOC Enterobius vermicularis
Mebendazole
MOA Mebendazole

SE
Prevents microtubule formation = no glucose uptake

Albend - teratogenic, hepatotox, BM tox

Mebend - teratogenic
DOC Erectile dysfunction
PDE-5 inhibitors
MOA PDE-5 inhibitors

SE
Decreases the degradation of cGMP

Priapism
Blindness
Deafness
DOC Fungal infections, dermatiaceous (black mold)
Itraconazole
DOC Fusarium spp
Amp B
DOC Genital herpes
Acyclovir
DOC Giardiasis
Tinidazole
MOA tinidazole

SE
DNA & protein destructive agent

Disulfiram rxn
DOC Gonorrhea
Ceftriaxone
MOA Ceftriaxone

SE
Cell wall synthesis inhibitor

Hypersens
DOC Gout
Colchicine
MOA Colchicine

SE
Binds tubulin
(prevents WBC migration, proliferation & release of inflammatory agents)

Teratogenic
DOC H. influenzae
Cefotaxime OR Ceftriaxone
DOC Herpes keratitis
Trifluridine eye drops
MOA trifluridine eye drops
DNA synthesis inhibitor
DOC Histoplasmosis
Itraconazole
DOC HIV
2 NRTIs + (1 NNRTI or 1 PT or 1 INTI or 1 CCRA)
MOA NRTIs
Prevents DNA manufacture from viral RNA by acting as nucleoside analog
MOA NNRTIs
Prevents DNA manufacture from viral RNA by inhibiting reverse transcriptase
MOA PIs
Prevents cleavage & activation of major viral proteins
MOA INTI
Inhibits viral integrase preventing integration & insertion of HIV DNA into human DNA
MOA CCRA (CCR5 blocker)
Prevents viral binding to cells (CD4 T-cells)
DOC Hypercholesterolemia
HMG CoA Reductase inhibitor
SE statins
Hepatotox
Myopathy --> Rhabdo
MOA HTN
Thiazides
SE Thiazides
Hypokalemia
Hypercalcemia
Hyperuricemia
Sulfa-allergy
DOC Hyperthyroidism
Radioablation w/ Na iodine
DOC Hypothyroidism
Levothyroxine
DOC Influenza
Oseltamivir or Zanamivir
MOA oseltamivir or zanamivir

SE
neuraminidase inhibitor

Z - Bronchospasm
DOC Listeriosis
Ampicillin
DOC Lyme dz
Doxycycline
DOC MDD
SSRI
DOC Measles
Kid - Vit A
Adult - Ribavirin (viral transcription inhibitor)
DOC Meningitis
(Ceftriaxone or Cefotaxime) & Dexamethasone & Vanco
DOC prophylaxis of close contacts for Meningitis
Rifampin
MOA Rifampin

SE
RNA synthesis inhibitor

Hepatotox
BM suppression
DOC Meningococcal meningitis
Pen G
DOC MI, acute
ASA
Heparin
B-blocker
Nitro
Morphine
O2
DOC mild diarrhea
Loperamide
MOA Loperamide
Decreases peristalsis d/t binding to opioid R
DOC MRSA
Vanco
DOC Myasthenia gravis
Physostigmine or Neostigmine
MOA physostigmine

SE
Cholinesterase inhibitor

Increase bladder & GI motility
DOC Mycoplasma pneumonia
Azithromycin
DOC Neuropathic pain
Gabapentin
DOC Osteomyelitis
Nafcillin or Oxacillin
DOC Osteoporosis
Bisphosphonates
SE Bisphosphonates
Heartburn
N
Erosive gastritis
Jaw osteonecrosis
DOC otitis externa
Ofloxacin drops or
(polymyxin & neomycin & hydrocortisone) or
(cipro & hydrocortisone)
DOC PD
Dopaminergic agents
SE dopaminergic agents
Impulse control d/o
Sleep attacks
Hallucinations
DOC PE
Heparin
DOC Peptic ulcer
Omeprazole
DOC Pneumocystis jiroveci (carinii)
TMP-SMX
MOA TMP-SMX

SE
Folate synthesis/utilization inhibitor

Megaloblastic anemia
DOC Pneumonia
Ceftriaxone & azithromycin
DOC Prostatits < 35 yo
Ceftriaxone followed by doxy
DOC Prostitis > 35 yo
FQ or TMP-SMX
DOC Pseudomembranous colitis
Metronidazole
DOC Scedosporium apiospermum
Voriconazole
DOC Scedosporium proliferans
Itraconazole
DOC Seizure absence
Ethosuximide
SE Ethosuximide
Nephrotox
Hepatotox
Grand mal seizure
DOC seizure febrile (ongoing)
Phenobarbital
MOA phenobarbital

SE
Increases GABA effect

Decreased cognitive performance
Resp. depression
DOC seizure generalized
Phenytoin
MOA phenytoin

SE
Blocks Na and Ca entry

CNS depression - ataxia
Gingival hyperplasia
Megaloblastic anemia
SIADH
Hyperglycemia
Hirsutism
Teratogenic
DOC seizure partial
Carbamazepine
MOA Carbamazepine

SE
Na channel blocker

BM suppression
Skin rxn
Cardiac
Hepatotox
Hypothyroidism
DOC shigellosis
Azithro or FQ
DOc Sporotrichosis
Itraconazole
DOC status epilepticus
Diazepam
DOC Strep pneumonia
Pen G
DOC Strep pyogenes
Pen G
DOC Syphilis
Pen G
DOC Thrush
Fluconazole
DOC Trichinosis
Albendazole & Prednisone
DOC Trichomoniasis
Metronidazole
DOC Trigeminal neuralgia
Carbamazepine
DOC UTI, inpt
Cipro or Levo
DOC UTI, outpt
TMP-SMX
DOC vaginal candidiasis
Miconazole