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Drug Modification in Patient with underlying CVS, Renal & DM disease -…
Drug Modification in Patient with underlying CVS, Renal & DM disease
Diabetes Mellitus
Drugs modification/precaution & its reason
Increased risk of hypoglycemia
Others: Quinolones, B-blockers, ACEI
Salicylate
: Aspirin
Increased risk of hyperglycemia
Others: B-blockers, Thiazide diuretics, Protease inhibitors
Corticosteroid
: Prednisone
Increased metformin effect: cause hypoglycemia and lactic acidosis
Cardiac glycoside
: Digoxin
Antiarrhythmic
: Quinidine
Diuretics
: Furosemide, Amiloride
Others: CCBs, Morphine, H2 blockers
Antibiotics
: Trimethoprim, Vancomycin
Drugs taken
Metformin
Hypertension
Drugs modification/precaution & its reason
Blunting effect of anti-hypertensive medications
Least prevalent BP-interfering meds
: Erythropoiesis stimulating agent, angiogenesis inhibitor, sympathomimetic agent
Most prevalent BP-interfering meds
: Acetaminophen, NSAIDs
Drugs taken
ACEI, Aspirin
:
Chronic Kidney Disease
Drugs modification/precaution & its reason
Analgesics
Fairly safe
: Codeine
Less safe
: NSAIDs
Usually safe
: Acetaminophen/paracetamol
Avoid in all patients
: Aminoglycosides, cefixime, gentamicin, sulfonamides, tetracyclines
Avoid in all patients
Dextropropoxyphene, meperidine, morphine, opioids, pethidine, tramadol
Antimicrobial
Fairly safe
(change dosage in severe CKD): Ampicillin, amoxicillin, clindamycin, erythromycin, ketoconazole, metronidazole
Less safe
(require dosage reduction): Aciclovir, cephalosporin, ciprofloxacin, vancomycin
Usually safe
(no dosage change): Azithromycin, doxycycline, flucoxacillin, rifampicin
Drugs taken
Patient on dialysis