Shared Flashcard Set

Details

NBEO Ocular SE of Systemic drugs
Systemic drugs side of effects with ocular consequence
43
Medical
Graduate
02/24/2013

Additional Medical Flashcards

 


 

Cards

Term
Type I hypersensitivity
Definition
Anaphylactic: when systemic, circulation shuts down
Term
Type II hypersensitivity
Definition
Autoimmune: Ab-dependent
Term
Type III hypersensitivity
Definition
Autoimmune: Immune complex-mediated
Term
Type IV hypersensitivity
Definition
Cell-mediated (T-cells)
Term
Type V hypersensitivity
Definition
Autoimmune: Ab against hormone receptors
Term
What are examples of Type I hypersensitivity?
Definition
Pollen reactions and food allergies and PCN reactions
Term
What are examples of Type II hypersensitivity?
Definition
1. Transfusion RXN 2. Mooren's ulcer (corneal/conj involvement) 3. Autoimmune hemolytic anemia (RBC's are attacked) 4. Autoimmune thyroiditis
Term
What are examples of Type III hypersensitivity?
Definition
In BV's, kidneys, joints; ~Reactive arthritis (ReA) - result of STD, leads to uveitis and urethritis ~Systemic lupus erythematosus (SLE) - neovascularization, episcleritis (first sign) ~Sjogrens - destruction of salivary/ lacrimal glands ~Polyarteritis nodosa
Term
What are examples of Type IV hypersensitivity?
Definition
1. TB skin test RXN (Mantoux) 2. Graft rejection Other examples: Type 1 DM, MS, Crohn's, RhA
Term
What are examples of Type V hypersensitivity?
Definition
~Grave's - stimulatory hypersensitivity ~Myasthenia gravis - inhibitory hypersensitivity
Term
What systemic drugs cause SPK?
Definition
Isotretinoin (Accutane)
Topical Aminoglycosides
Term
What systemic drugs can cause endothelial/Descemet's pigmentation?
Definition
Chlorpromazine
Thioridazine
Term
What drug can cause stromal gold deposits?
Definition
Gold salts
Term
What drugs can cause anterior subcapsular changes? What kind of defects to they cause?
Definition
Chlorpromazine = stellate cataracts
Amiodarone = deposits
Miotics = vacuoles
Gold salts = gold deposits
Term
What drug causes blepharoconjunctivitis, dryness, and lid edema?
Definition
Accutane
Term
What drugs can cause subconj hemorrhages?
Definition
NSAIDs, Viagra
Term
What drugs can cause Steven-Johnson syndrome and lid edema?
Definition
sulfonamides
Term
What drug can cause pigmented cysts on the conj?
Definition
tetracycline
Term
What drug can cause subconj hemes along with conj hyperemia?
Definition
Viagra
Term
What three drugs can cause nystagmus?
Definition
Phenytoin

PHenobarbital

Salicylates (aspirin/NSAIDs)
Term
What drug causes impaired smooth pursuits?
Definition
EtOH
Term
What drugs can cause diplopia?
Definition
Phenelzine
Amitryptiline
Imipramine
Fluoxetine
Diazepam
Term
What drugs can cause oculogyric crisis?
Definition
Chlorpromazine
Thioridazine
Cetirizine (anti-histamine)
Term
What is an important characteristic of tamsulosin?
Definition
Induces floppy iris syndrome during surgery
Term
What drug can cause retrobulbar optic neuritis, B/Y color defects and snowy vision?
Definition
digoxin
Term
What drugs can cause optic neuritis?
Definition
*Ethambutol (most important of TB drugs)
 other antibiotics that may cause optic neuritis:
Chloramphenicol
Streptomycin
Sulfonamides
 unlikely culprits of optic neuritis:
Isoniazid
Methotrexate
Term
What drugs can cause NAION?
Definition
Viagra, Sumatriptan, amiodarone
Term
What drugs can cause optic neuritis, papilledema and pseudotumor cerebri?
Definition
oral contraceptives
Term
What is a possible SE of topical epinephrine?
Definition
Cystoid Macular Edema
Term
What drug can cause white/yellow crystalline deposits in the retina?
Definition
tamoxifen
Term
What drug can cause pigmentary retinopathy?
Definition
thioridazine
Term
What drug can cause macular pigment changes w/ retinal hemes?
Definition
Indomethacin
Term
What drug can cause color vision loss and nyctalopia?
Definition
Accutane
Term
What drug can increase risk of CRVO/CRAO?
Definition
oral contraceptives
Term
What 3 drugs can cause pseudotumor cerebri?
Definition
minocycline
doxycycline
accutane
Term
What 4 classes od drugs lower IOP?
Definition
Systemic Beta blockers

Cardiac Glycosides

EtOH

Cannabinoids
Term
What 2 anti-histamines raise IOP?
Definition
Bropheniramine

Diphenhydramine
Term
What 2 anti-depressants raise IOP?
Definition
amitriptyline

imipramine
Term
What 2 anti-psychotics raise IOP?
Definition
chlorpromazine

thioridazine
Term
What drugs can cause bull's-eye maculopathy? What doses are the threshold for this condition?
Definition
Chloroquine (risk: 6.5mg/kg/day, >5 yrs, renal dysfunction)


Hydroxychloroquine (risk: 3.0mg/kg/day, >5 years, renal dysfunction) – much less risk
Term
What systemic drugs can cause miosis?
Definition
Opiates: morphine, codeine, Heroin

Neostigmine:
Term
What 5 classes of systemic drug can cause mydriasis?
Definition
anti-cholinergics

anti-histamine

anti-psychotics

CNS Stimulants

CNS Depressants
Term
What 9 classes of systemic drug can cause decreased tear production?
Definition
anti-cholinergics

hormone therapies

beta-blockers

anti-histamine

"anti-pimples": accutane

anti-depressants

anti-psychotics

CNS Stimulants

Diuretics
Supporting users have an ad free experience!