Mnemonics

*MANBABE*
Metoprolol
Atenolol
Nebivolol-sneaky, alpha blocking too
Bisoprolol
Acebutolol-caution, has ISA
Betaxolol

*APP* (phone APP)
(Or, A PINeapple PEN): Acebutolol, PINdolol, PENbutolol

Nonselectives but swap nado for nebiv, and swap timo for meto

atenolol (if you're drinking water instead of alcohol, you'd say, she's a ten? lol)

OV for olmesartan and valsartan (like OVechkin scored a hat trick which is triple goals)

Cardizem and Calan Cause Constipation

I gotta SKIRY off to the bathroom real quick

LIpitor and LIvalo (and simva of course)

Protein inhibitors 30s ribosome

*A*=AMG (TAG, bactericidal)
*T*=Tetracyclines (blocks aminoacyl tRNA attachment; incl's doxy-, mino- & tige- cycline)
= Tigecycline (Synercid)

50s ribosome
*S*=SYNERCID
*C*=Chloramphenicol
*E*=ERY-/azi-thromycin (macrolides, binds 23s rRNA of 50s, blocks translocation)
*L*=Lincosamides (CLINDAMYCIN)
*L*=LINEZOLID (binds 23S rRNA, block initiation complex)

GO WITH BACTERICIDAL FIRST

*Barbie's Car Goes Real PHast*
Barbiturates
Carbamazepine
Griseofulvin
Rifampin
Phenytoin

All 1 point unless otherwise noted

CHF
HTN
Age =>75yo (2pts)
DM
STROKE/TIA hsty (2pts)
Vascular dx
Age 65-74
Sex Category (Female)
Bactericidal antibiotics

Vancomycin
Fluoroquinolones
Penicillin
Aminoglycosides
Cephalosporins
Metronidazole
Hot as a hare
Blind as a bat
Dry as a bone
Red as a beet

Anticholinergic ADEs

fever, mydriasis (dilated pupils), xerostomia (dry mouth), dry eyes, decreased sweat, flushing, delirium)

Antihistamine ADEs
h..............hypotension
h......hallucinations
s...............sedation
i...............increased appetite

Sx of serotonin syndrome

Shivering - one of the neuromuscular symptoms unique to SS

Hyperreflexia and myoclonus - especially notable in the lower extremities; muscular rigidity occurs only in more severe cases

Increased temperature - variable, caused by muscular hypertonicity

Vital sign instability - tachycardia, tachypnea, and/or labile blood pressure

Encephalopathy- AMS

Restlessness and incoordination

Sweating (diaphoresis) - autonomic response to excessive serotonin stimulation; by comparison, anticholinergic toxicity usually manifests with hot, dry skin

Sx of Hypoglycemia
Tachycardia
Instability
Restlessness
Excessive hunger
Diaphoresis/ Depression

Medications that interact with warfarin
Amiodarone
Ciprofloxacin/levofloxacin
Aspirin
Dicloxacilin
Erythromycin (macrolides)
Metronidazole (azole antifungals)
Indomethacin
Clofibrates
Fibrates
Allopurinol
CYP2C9 interactions
Statins

Medications that increase serum levels of simvastatin

Amiodarone
Diltiazem/ Verapamil
Itraconazole
Erythromycin/ Clarithromycin

Things that increase K+ levels
K+ sparing diuretics
Beta blockers
ARBs/ACEI
NSAIDs
Kidney dx

ADE of ACEI
Cough
Angioedema
Proteinuria/ K excess
Taste changes
Orthostatic hypotension
Pregnancy contraindication/ pancreatitis
Renal failure/ rash
Indomethacin inhibition
Leukopenia/ liver toxicity

ADE of steroids
Buffalo bump
Easy bruising
Cataracts
Larger appetite
Obesity
Moonface
Emotional changes
Thing arms and face
Hyperglycemia/ hypertension/ hirsutism (hairy)
Aseptic necrosis
Skin
Osteoporosis
Negative nitrogen balance
Extended wound healing

Site of beta-receptors/ B-neurotransmitter activity

B1 = heart
B2 = lungs, liver, smooth muscle, skeletal muscle, uterus, GI tract
B3 = adipose tissues
Pulling 2 ends of a string = constriction

A2 agonist = constriction, effects on neuro and peripheral, use in HTN/ opiate withdrawal (ex: Clonidine)
A1 antagonist = dialation, effects on peripheral, use in BPH

"Over the liver"
Oxazepam, temazepam, lorazepam

"LOT"
Lorazepam, oxazepam, temazepam

Meropenem, doripenem, and imipenem-cilastin cover these
HIT MAP: All uppercase letters covers drugs causing DILE (3Ms) or

Hydralazine
Isoniazid
Terbinafine
methimazole
Minocycline
Methyldopa
Anti TNF
Propylthiouracil
Quinidine

Methimazole
Procainamide
Propylthiouracil
Methyldopa
Minocycline
Quinidine
Isoniazid
Anti-TNF agents
Terbinafine
Hydralazine (alone, & in BiDil)

PAL: Prezista, Aptivus, Lexiva (daru, tipra, fosampre -navir)

Famciclovir, Acyclovir,Clopidogrel, Ticlopidine, SMX/TMP( FACTS) Valacyclovir (very) , Quinine ( Questionable)

Moxi, gemi, levofloxacin

pantoprazole, esomeprazole

Respiratory Opposite:
inc pH, dec CO2 (Alkalosis)
dec pH, inc CO2 (Acidosis)

Metabolic Equal"
inc pH, inc HCO3 (alkalosis)
dec pH, dec HCO3 (Acidosis)

C-confusion
W-withdrawl symptoms
A- addiction, amnesia, ataxia
R- rebound effect
D- drug abuse, dizzy, drowsy

W- weight gain
A- anticholinergic
O- orthostatic HTN
I- insomnia

P-pulmonary disease (COPD, PE)
I- Ischemia (ACS)
R- rheumatic heart disease (mitral stenosis)
A-anemia
T- thyrotoxicosis
E-ethanol, endocarditis, electrolyte imbalance
S- sepsis, sick sinus syndrome

direct thrombin inhibitors- BAD
Direct Xa inhibitors- ARE
Indirect Xa inhibitors- FED
DEAR- do not require monitoring in selected patients.
Switching from warfarin to DEAR when INR is 2,2.5,2,3 respectively
e.g. You can switch from warfarin to Rivaroxavan when INR<3( see the R in DEAR is for rivaroxaban)

Saquinavir, tipranavir, darunavir

Do not rechallenge if you Develop a severe rash. Screen for HLA-B*5701 first.

thiazides, ace, loop diuretics , ARBS, nsaids and sodium

Bleomycin, Busulfan, carmustin and lomustin

Diuretic
Aspirin
Niacin
Cytotoxic drugs

-Tetracyclines
-Macrolides
-Fluroquinolones
-Sulfonamides

I- Ischemic or infectious
N- Neuropsychiatric

A- Autoimmune disorders

Tacrolimus, Taxanes (*except Abraxane*), nitroglycerin, amiodarone, insulin, lorazepam, sufentanil

Tipranavir
- imagine the tip of the liver being black
(they all cause hepatotoxicity, but this one is the only with a black boxed warning)

"D.F"- darunavir and fosamprenavir
(DF sounds like DaFt punk and they wear their masks to cover their severe skin reactions)

C: clonidine, CCB
R: reserpine
A: antidepressants, aminophylline
S: sedative hypnotics
H: heroin
*B-Vitamins:*

To - Thiamine (B1)
Read - Riboflavin (B2)
News - Niacin (B3)
PAp - Panthothenic Acid (B5)
Pers - Pyridoxine (B6)
Be - Biotin (B7)
Fully - Folate/Folic Acid (B9)
Complete - Cyanocobalamin (B12)
*Least Potent --> Most Potent Systemic Steroids + Dose Equivalency:*

Short-Acting:
Cortisone 25 mg
Hydrocortisone 20 mg

Intermediate-Acting:
Prednisone 5 mg
Prednisolone 5 mg
Methylprednisolone 4 mg
Triamcinolone 4 mg

Long-Acting & Highest Potency:
Dexamethasone 0.75 mg
Betamethasone 0.60 mg
*Levothyroxine Tablet Colors:*

All in MCG:

Orange: 25
White: 50
Violet: 75
Olive: 88
Yellow: 100
Rose: 112
Brown: 125
Turquoise: 137
Blue: 150
Lilac: 175
Pink: 200
Green: 300
*Statin Equivalent Doses:*

*ALL MOD. INTENSITY:*

Pitavastatin 2 mg
Rosuvastatin 5 mg
Atorvastatin 10 mg
Simvastatin 20 mg
Lovastatin 40 mg
Pravastatin 40 mg
Fluvastatin 80 mg
*Major CYP 450 Inducers:*

PHT (DILANTIN)
Smoking

Phenobarbital (LUMINAL)
Oxcarbazepine (TRILEPTAL)
Rifamycins
Carbamazepine (TEGRETOL, EQUETRO)
St. John's Wort
*Major CYP 450 Inhibitors:*

Grapfruit
PI's

Azoles
Cimetidine, cyclosporine, cobicistat
Macrolide abx (not azithromycin)
Amiodarone (+ dronedarone)
Non-DHP CCBs (verapamil & diltiazem)
*Worst drugs to combine with warfarin:*

Alcohol
Levothyroxine

Fluconazole
Levofloxacin
Amiodarone
Metronidazole
Erythromycin
Sulfa drugs
*Causes of high anion gap (>12) metabolic acidosis:*

CAT MUDPILES
*CO/Cyanide/CHF*
*Aminoglycosides*
*Theophylline/Toluene*

Methanol
Uremia
DKA
Paraldehyde/Paracetamol (APAP)
Infection/Iron/Isoniazid
Lactic acidosis
Ethanol/ethylene glycol
Salicylate OD

CUTE DIMPLES
Cyanide
Uremia
Toluene
Ethanol (alcoholic ketoacidosis)

DKA (diabetic ketoacidosis)
Isoniazid
Methanol
Propylene glycol
Lactic acidosis
Ethylene glycol
Salicylates
*Dialysis Indications:*

Acidosis, metabolic
E-lytes (high K, Ca, Mg)
Ingestions (ex. ASA, ethylene glycol)
Overload (pulmonary edema)
Uremia (encephalopathy, pericarditis)
*Chemotherapy agents that must be taken with food or 1 hr after meal:*

Capecitabine
Imatinib
Exemestane
Thalidomide

MEN have COX

Meloxicam Etodolac Nabumetone Celecoxib

Miss The Pain

Metoprolol, Timolol, Propranolol

TV
watch some tv w/o ya migraine

VPA, Topiramate

Ps

Proteus, pseudo, providencia

ZIM
Zomig, IMitrex, Maxalt

AMEBBA
Atenolol, Metoprolol, Esmolol, Bisoprolol, Betaxolol, Acebutolol

MONA-GAP-BA
Morphine, O2, Nitrates, Aspirin, G2b/3a receptor antags, Anticoag, P2Y12 inhibs, beta blockers, ace inhibitors

Double Quarter Pounder Lettuce Mayo Fries Please Because Dieting During Stress Is Always Very Difficult
Class 1a: disopyramide, quinidine, procainamide
1b: lidocaine, mexiletine
1c: flecainide, propafenone
Class 2: Beta blockers
Class 3: Dronedarone, dofetilide, sotalol, Ibutilide, amiodarone
Class 4: Verapamil, Diltiazem

READ
Rivaroxaban when INR <3
Edoxaban when INR ≤2.5
Apixaban when INR <2
Dabigatran when INR <2

Please Let Greg Brown Bring Peaches To Your Wedding
Pink 1mg
Lavender 2mg
Green 2.5 mg
Brown/tan 3mg
Blue 4mg
Peach 5mg
Teal 6mg
7.5 mg Yellow
10mg White
Anxiolytic--Benzodiazepines: 6/8 listed

There are 8 drugs on the list, a bunch of them end in "-azepam." Make one mnemonic for the "-azepam" drugs (the ones with similar suffixes) and another mnemonic for the remaining drugs.

When you're feeling ANXIOUS you need "double the TLC." :
"TLC" stands for:
Temazepam
Lorazepam
Clonazepam

The "double" TLC refers to the "Di" in Diazepam. ("Di" means two, which is double!)

For the other two drugs, think—anxiety makes you sweat. Turn on the AC! :

When you're feeling anxious you need "double the TLC and to turn on the AC." :

AC stands for:
Alprazolam (also,starts with "Alp," makes me think of being scared of heights/anxious in the Alps)
Chlordiazepoxide

So, when you're ANXIOUS you need
"Double TLC and AC."

1. Diazepam
2. Temazepam (extra)
3. Lorazepam
4. Clonazepam
5. Alprazolam
6. Chlordiazepoxide

Clorazepate (Tranxene)
Midazolam (Versed)
Oxazepam (Serax)

Vexed & Depressed - Venlafaxine (Effexor) & Duloxetine (Cymbalta or Irenka)

- the mnemonic includes the main indications: Generalized Anxiety Disorder (Vexed) and Major Depressive Disorder (Depressed)

Other 2:

Desvenlafaxine (Pristiq)
Levomilnacipran (Fetzima)

They are TRICYCLIC, (and hey! 2 of them have "-triptyline" in them) and "-pramine" plus doxepin

Amitryptyline (Elavil)
Nortriptyline (Pamelor)
Protriptyline

Trimipramine
Desipramine
Imipramine

Doxepin

Effective - Escitalopram
For - Fluoxetine, Fluvoxamine
Sadness, - Sertraline
Panic, - Paroxetine
& Compulsions - Citalopram

- the mnemonic includes the main indications: Depression (Sadness), Anxiety disorders & PTSD (Panic), and OCD (Compulsions).

PaNaMa EMS (PArnate, NArdil, MArplan, EMSam)

CoRN (these & combos w/these:
- Co-cobicistat
- R-rilpi/etra -virine
- N-'navirs)

Isoproterenol
Dopamine
Epinephrine
Atropine

PARNATE
(PROMISE to take the TRAIN to CY/see PA)

MARPLAN (ISO CAR to MARs)

EMSAM (STAY on the LINE for EMS)

*CAPTOPRIL*
Cough
Angioedema
Potassium excess
Taste changes
Orthostatic hypotension
Pregnancy contraindication/Pressure drop (hypotension)
Renal failure/Rash
Indomethacin inhibition
Leukopenia (rare)

*PARK*
Pregnancy
Allergy/Angioedema
Renal artery stenosis/Renal failure
K - hyperkalemia (potassium > 5.5)

"Big Dinosaurs Trample My Poor House Cats"

0.75 Betamethasone

0.75 Dexamethasone

4 Triamcinolone

4 Methylprednisone

5 Prednisone

20 Hydrocortisone

25 Cortisone

o Gingko
o Garlic
o Ginger
o Glucosamine
o Gingseng

ACID APE
♣ Ampicillin
♣ Caspofungin (Cancidas)
♣ Infliximab (Remicade)
♣ Daptomycin (Cubicin)

♣ Ampicillin/ sulbactam (Unasyn)
♣ Phenytoin
♣ Ertapenem (Invanz)

BOAS
♣ Bactrim (Sulf -TMP)
♣ Oxaliplatin
♣ Ampotericin B
♣ Synercid (quinupristin/dalfopristin)

GAL PLAT - 0.22 micron filter during administration

o Golimumab
o Amiodarone
o Lorazepam*

o Phenytoin*
o Lipids - 1.2 micron
o Amphotericin B (lipid formulations) - prepare using 5-micron filter
o Taxanes (except docetaxel)

*filters when administered by continuous infusion; not required for IV push

Dear Sweet Pharmacist, Marry Me Forever, Eternally. (Don't cool this love down. These IV drugs are not refrigerated)
o Dexmedetomidine (Precedex)
o Sulfamethoxazole/Trimethoprim
o Phenytoin
o Metronidazole
o Moxifloxacin (Avelox)
o Furosemide
o Enoxaparin

*Optional: diluted dexmedetomidine can be kept cold

Others: acetaminophen, acyclovir - crystallizes, deferoxamine - precipitates, levetiracetam, pentamidine - crystallizes, valproate

*COZY IV RM*

Cholera
Oral typhoid
Zoster
Yellow Fever

Intranasal flu
Varicella

Rotovirus
MMR

(Deliver Every Needed Medication with Protection)
o Doxycycline
o Epoprostenol (Flolan)
o Nitroprusside (Nitropress)
o Micafungin (Mycamine)
o Phytonadione

(Pregnant before become Mother)
o Propylthiouracil in 1st trimester
o Methimazole in 2nd and 3rd trimester

(Mom Quit Listening To Rap)
o Macrolides
o Quinolones
o Linezolid
o Tetracyclines
o Rifampin

(AMNS)
o Amiodarone
o Methotrexate
o Nitrofurantoin
o Sulfasalazine

ACHES
o Abdominal pain is severe
o Chest pain
o Headaches
o Eye problems
o Swelling or sudden leg pain

cross-react if have *cod* or *morph* or *norph* in name

A - antiplatelet and antiangal drugs
B - blood pressure and beta blockers
C - Cholesterol (statins) and cigarettes (cessation)
D - diet and diabetes
E - exercise and education

*D*rug *I*nformation *NATION*

o Dipeptidyl peptidase 4 inhibitors (DPP-4 inhibitors) -alogliptan, sitagliptan
o Immunosuppressants (TNF inhibitors - etanercept, rituximab; interferons)
o Non-DHP CCBs
o Anti-arrhythmics (class I agents)
o Thiazolidinediones (increase edema)
o Itraconazole
o Oncology agents (anthracyclines)
o NSAIDs (all including celecoxib)

VinCristine = CNS toxicity

VinBlastine and VinorelBine = Bone marrow suppression

ris*P*eridone, *P*aliperidone

UN-*CLAD*

Clonazepam
Lorazepam
Alprazolam
Diazepam

lorazepam or temazepam

*EZ* TIP for excellent sleep

Eszopiclone
Zolpidem
Lamictal starter kit
Orange
Blue

Orange- standard dosing

feeling "BLUE" = start lower dose if used with valproic acid

GREEN means "go" = higher dose if used with inducers

stool is not hard but cannot push it out = use stimulant alone

Amphotericin B
Bactrim
Synercid (Quinupristine/Dalfopristin)

Phenytoin
Golimumab (Symponi)

Lipids (1.2 micron)
Amphotericin B (lipid formulations- 5 micron)
Lorazepam
Amiodarone

ABCDE (Asymmetry, Border, Color, Diameter, Evolve)

1- Bleomycin 400 units (Pulmonary Toxic)
2- Doxorubicin 450-550 mg/m2 (Cardio Toxic)
3- Capecitabine 100 mg/m2 (Nephrotoxic)
4- Vincristine 2 mg per dose (Neuropathy)

COGS (Complera, Odesy, Genvoya, and Staribid)

ends with VIR (NRTI)
VIR in the middle (NNRTI)
ends with Navir (PI)
ends with Gravir (NSTI)

FADIE (Fosamprenavir, Atripla, Didanosine, Indinavir, and Efavirenz)

DOG (Descovay, Odyssa, Genvoya) anything with TAF is not approved for HBV

LET (Lamavudine, Emtricitabine, Tenofovir)

EMT (200 mg) and TDF (300 mg) will treat both HIV and HBV but Lamavudine will need higher dose for HIV

Efavirenz (Sustiva) or Atripla (Efa, EMT and TDF)

Fosamprenavir

DTF (Darunavir, Tipranavir, Fosamprenavir)

RAR (Rilpavirine, Ataznavir, Ritonavir)

Insulin (SQ or PO), Anticoagulants, conc electrolyte, antiarrhythmics, anesthetics, chemo, opioids, inotropic, and epidural or intrathecal meds

CA FRIENDS (Cyclosporine or Tacrolimus, Amiodarone, Fluorouracil, Retinoids, Isotretinoin, E is for something, NSAIDS, D (Loop and Thiazide), St. John wart

LAPPPS (Lamotrigine, Allopurinol, Phenytoin, Penicillin, Priopacxam, Sulfamethoxazole)

Phenytoin, Theophylline, Voriconazole (all exhibit saturate kinetics and non liner relationships)

1- Orange Book (FDA): interchangeable drugs
2- Pink Book (CDC): vaccine preventable disease
3- Purple Book (FDA): biological drugs
4- Red Book (Micromedex): drug pricing
5- Red Book (AAP): pediatric ID, vaccines and ABX
6- Yellow Book (CDC): international traveling
7- Green Book (FDA): animal drug products
8- Pink Sheet: deals with legislative regulation and business development

1- Vit E: 400 IU daily
2- Vit D = 600 IU
3- Ca for women 19-50 = 1000 mg
4- Ca for women > 50 = 1200 mg
5- Folic Acid = 400 mcg (1 month before preg), 600 mcg (2-3 months into preg), prenatal vit contains 1 G

1- Acne (Retinoids and Isotretinoin)
2- BP and Chole (ACEI, ARBS, Statin)
3- Birth Control
4- Anticoagulants (DOAC and Warfarin)
5- Migraine (Dihydroergotamine and Ergotamine)
6- ABX (FQ and Tetracycline)
7- Others (MTX, Hydroxyurea, Lithium, Misoprostol, Valproic Acid, Thalidomide and weight loss)

Vasopressors (dopamine, NE)
Anthracyclines (doxorubicin)
Vinka alkaloids (vincristine, vinblastine)
Others: digoxin, nafcillin, foscernet

Polyolefin
Polypropylene
Glass containers

Ceftriaxone & Calcium-containing solutions (includes Lactated Ringers)

Calcium & Phosphate- cause precipitation, could lead to death. Methods to prepare both

Others: Amphotericin B & sodium bicarb; Zosyn & many IV drugs; Heparin & many; Caspofungin & many.

Nonselectives but swap nado for nebiv, and swap timo for meto

atenolol (if you're drinking water instead of alcohol, you'd say, she's a ten? lol)

OV for olmesartan and valsartan (like OVechkin scored a hat trick which is triple goals)

Cardizem and Calan Cause Constipation

I gotta SKIRY off to the bathroom real quick

LIpitor and LIvalo (and simva of course)
warfarin and CYP2C9 inhibitors --> can increase INR:

Metronidazole
Amiodarone and Azole antifungals
Trimethoprim/sulfamethoxazole (TMP/SMX)
SEs of morphine:

Miosis
Orthostatic hypotension
Respiratory depression
Pneumonia
Histamine release/Hormone changes
Infrequency (constipationrination)
Nausea
Emesis
Sedation
conversion between aminophylline and theophylline:

aminophylline to theophylline: multiply by 0.8
[theophylline to aminophylline: divide by 0.8]
functions of parasympathetic nervous system: (cholinergic)

Salivation
Lacrimation
Urination (bladder contraction)
Digestion (peristalsis)
Diarrhea/defection (peristalsis)
Emesis
common resistant pathogens:

Klebsiella pneumoniae (ESBL, CRE)
Escherichia coli (ESBL, CRE)
Acinetobacter baumannii
Enterococcus faecalis, Enterococcus faecium (VRE)
Staphylococcus aureus (MRSA)
Pseudomonas aeruginosa
characteristics of tigecycline:

Tigecycline, Tissue, Tangerine (after reconstitution)

does NOT cover Pseudomonas, Proteus, Providencia

ACHES

Abdominal pain that is severe (ruptured liver tumor, cyst, ectopic pregnancy)
Chest pain (sharp, crushing, or heavy pain [MI] or SOB [blood clot in lungs])
Headaches (stroke)
Eye problems (blood clot in eye)
Swelling or sudden pain in legs (blood clots in legs)

1. Stabilize the heart - prevent arrhythmias with Calcium Gluconate
2. Move it - shift excess K intracellularly with Regular Insulin, Dextrose
3. Remove it - enhance K elimination with Furosemide or SPS

TRAP

Tremor
Rigidity
Akinesiaradykinesia
Postural Instability

Antihypertensives
Vasodilators
Opioids
Benzodiazepines
Anesthetics
Phosphodiesterase inhibitors

Beta blockers
Non-DHP CCBs (verapamil, diltiazem)
Digoxin
Clonidine, guanfacine (also used in ADHD)
Class 3 Antiarrhythmics
Opioids
Sedatives
Anesthetics
Neuromuscular blockers
Acetylcholinesterase inhibitors

Stimulants
Decongestants
Beta agonists (albuterol)
Theophylline (esp. in toxicity)
Anticholinergics (TCAs, antihistamines)
Bupropion (Zyban)
Antipsychotics
Excess caffeine, nicotine, illicit drugs

Vasodilators (nitrates, hydralazine, DHP CCBs) can cause reflex tachycardia!

Opioids
Sedatives - benzos, barbiturates ("barbital"), eszopiclone (Lunesta), zaleplon (Sonata)

Antipsychotics
Topiramate (Topamax)

C = (F - 32)/1.8
F = (C x 1.8) + 32

Alcohol
Bupropion
Caffeine
Decongestants (Sudafed)
Diuretics (due to nocturia)
Fluoxetine (if taken late in the day)
Steroids
Stimulants
Varenicline (Chantix)

Phenothiazines - like prochlorperazine
Haloperidol
Risperidone (Risperdal)
Paliperidone
Metoclopramide

anticholinergics (Cogentin)
antihistamines (diphenhydramine)
caffeine
decongestants
diuretics
SNRIs
TCAs
testosterone products

ASA (higher doses)
Diuretics (loop and thiazides)
Niacin
Pyrazinamide
Calcineurin inhibitors (tacrolimus, cyclosporine)
Select chemotherapy
Select pancreatic enzyme products

Alcohol
antidepressants (SSRI and SNRI)
antihypertensives (beta blockers, clonidine)
antipsychotics (risperdal, paliperidone)
BPH meds (finasteride, dutasteride)

Alcohol
Anticoagulants- warfarin
anticonvulsants- VPA, Topamax
cancer drugs
isotretinoin & topical retinoids
tetracyclines & quinolones
Statins
RAAS inhibitors- ACEIs, ARBs, aliskiren, Entresto
Most all hormones
Ergotamines

Hydroxyurea
Lithium
Methotrexate
Misoprostol
Paroxetine
Ribavirin
Thalidomide
Weight loss drugs

Very Talented Dalmatians Like To Climb Down Bright Red Cars

Vancomycin
Telavancin
Daptomycin
Linezolid
Tigacyl
Clindamycin
Doxycycline
Bactrim
Rifampin
Ceftaroline

Very Talented Dalmatians Like To Crawl Under Red Zebras

Vancomycin
Telavancin
Daptomycin
Linezolid
Tigacyl
Carbapenems (except Erta)
Unasyn
Rifampin
Zosyn

Cici Can Consume Carbs And Pizza Like Gentlemen

Ciprofloxacin
Ceftazidime (3rd)
Cefepime (4th)
Carbapenems (except Invanz)
Aztreonam
Pip/Tazo
Levofloxacin
Gentamicin/Tobramycin

Tigers Move Under Me Climbing Past Cars

Tygacil
Moxifloxacin
Unasyn
Metronidazole
Clindamycin
Pip/Tazo
Carbapenems (all)

Tigers Move Az Dogs Leave Lima

Tygacil
Moxifloxacin
Aztreonam
Doxycycline
Levofloxacin
Linezolid
Depression diagnosis

Mood - depressed

Sleep - hyper/hypo
Interest/Pleasure - dec
Guilt or feeling of worthlessness

Energy- dec

Concentration - dec
Appetite - inc/dec
Psychomotor agitation or retardation
Suicidal ideation
s/sx of stroke

Face
Arm
Speech
Time
Drug that cause more hypoglycemia than other antidiabetc

Sulfonylureas
Meglitinides
Insulin
Pramlinitide
Antidiabetic drugs that cause weight loss

Pramlinitide
GLP-1 agonists
SGLT-2 anta
Antidiabetic drugs that cause weight gain

SU
Meglitinides
Insulin
TZD
Antidiabetic drugs that come as injectables

Pramlinitide
Insulin
GLP-1 anta
Work by increasing insulin secretion

SU
Insulin
Meglitinides
Antidiabetic drug that act on Glucagon and thus dcrease glucose production

GLP-1 ag
DPP-4 anta
Pramlinitide
Decrease postprandial glucose

Meglitinides
Alpha-glucosidase inhib
DPP-4 anta
Pramlinitide
GLP-1 Anta
Classes of antibiotics.

Aminoglycosides (Ex: Gentamycin, Tobramycin, Streptomycin, Neomycin)

Cephalosporins (Ex: Cephalexin, Ceftriaxone).

Carbapenem (Ex: Meropenem, Ertapenem, Doripenem)

Penicillins (Ex: Penicillin, amoxicillin, nafcillin)

Tetracyclines (Ex: Doxycycline).

Nitroimidazole (Ex: Metronidazole)

Quinolones/Fluroquinolones (Ex: Ciprofloxacin)

Sulfonamides (Ex: Sulfamethoxazole, often combined with Trimethoprim to make Bactrim).

Macrolides (Ex: Azithromycin, Erythromycin, Clarithromycin)

Glycopeptides (Ex: Vancomycin, Telavancin, Dalbavancin).
Bacteriostatic Antibiotics

Erythromycin

Clindamycin

Sulfamethoxazole

Trimethoprim

Tetracyclines

Chloramphenicol

Treats Marrow Poorly:
Megaloblastic anemia
Leukopenia
Granulocytopenia

Sulfonamides - Kernicterus.
Aminoglycosides - Ototoxicity.
Fluoroquinolones - Cartilage.
Erythromycin -Cholestatic hepatitis.
Metronidazole - Mutagenesis.
Tetracyclines - Teethones.
Ribavirin - Teratogenic.
Griseofulvin - Teratogenic.
Chloramphenicol - Gray baby.

-Chlorpromazine = darker than slight yellow (slight yellow: potency retained, ok to use)
-dacarbazine= pink
-dobutamine= oxidation turns the solution slightly pink, but potency is not lost
-dopamine= darker than slight yellow (slight yellow: potency retained, OK to use; extravasation antidote: phentolamine)
-epinephrine: pink, then brown
-isoproteronol: pink or darker (damaged by air, light, heat)
-morphine: dark
-nitroprusside: orange --> brown --> blue
(blue indicates nearly complete dissocation to cyanide; antidote is Cyanokit)
-norepinephrine: brown or any discoloration (normal color: yellow/orange)
-tigecycline: greenlack

-*anthracyclines = red
-IV iron = brown
-methotrexate = yellow
-*mitoxantrone = blue
-multivitamins for infusion (MVI) = yellow
-*rifampin = red
-tigecycline = yellow/orange

-albumin, alteplase, immune globulins, insulins, rasburicase, some vaccines (zoster)
-quinupristin/ dalfopristin (Synercid) and etanercept form a foam and should be swirled when reconstituting. do not shake and wait for the foam to dissolve

Deliver Every Needed Medication (with a light-) Protective (cover)

D = Doxycycline
E = Epoprostenol
N = Nitroprusside
M = Micafungin
P = Phytonadione

Others: ampho b deoxycholate, anthracyclines, dacarbazine (if extravasates, protect exposed tissues from light), thiotepa, pentamidine