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01. DrugβDrug Interactions β 30
Thirty high-impact combinations: anticoagulants + NSAIDs/antiplatelets; warfarin + TMP-SMX/metronidazole/amiodarone; nitrates + PDE5 inhibitors; ACEI/ARB + potassium-sparing agentsβ¦
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02. Contraindications β 30 Common Drugs
High-yield contraindications for metformin, ACE inhibitors, ARBs, spironolactone, beta-blockers, verapamil/diltiazem, nitrates, PDE5 inhibitors, digoxin, anticoagulants, NSAIDs, asβ¦
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03. Drugs to Use Cautiously β 25
Twenty-five common medicines with the clinical situation that increases risk, the reason, and what to monitor.β¦
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04. MIC & Its Importance
MIC is the lowest antimicrobial concentration that prevents visible growth under standardized conditions. Interpret it against organism/drug-specific breakpoints rather than as a uβ¦
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05. Oral Bioavailability
Bioavailability is the fraction of a dose reaching systemic circulation unchanged. Oral bioavailability reflects absorption and first-pass metabolism. Food, gastric pH, motility, cβ¦
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06. Half-Life
Half-life helps predict dosing interval, accumulation, washout and time to steady state. Roughly 4β5 half-lives are required to approach steady state or eliminate most drug after sβ¦
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07. Hepatic Elimination Drugs β 20
Examples: propranolol, metoprolol, verapamil, diltiazem, lidocaine, amiodarone, warfarin, apixaban, rivaroxaban, atorvastatin, simvastatin, diazepam, midazolam, morphine, fentanyl,β¦
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08. Renal Elimination Drugs β 20
Examples: aminoglycosides, vancomycin, beta-lactams, acyclovir, ganciclovir, fluconazole, lithium, digoxin, metformin, gabapentin, pregabalin, levetiracetam, atenolol, sotalol, dabβ¦
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09. Drugs to Avoid / Modify in Organ Disease β 80
Four 20-item bedside lists for cardiac, pulmonary, liver and kidney disease. Each entry is labelled Avoid, Contraindicated, or Use with caution/dose-adjust β never treating these cβ¦
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10. Drugs Contraindicated / Avoided in Pregnancy β 25
High-yield agents/classes including isotretinoin, thalidomide/lenalidomide, methotrexate, mycophenolate, warfarin in most pregnancy contexts, ACE inhibitors/ARBs/ARNI, direct reninβ¦
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11. Antibiotic Concept β Time vs Concentration Dependent Killing
Time-dependent: efficacy relates mainly to time free concentration remains above MIC (%fT>MIC), classically beta-lactams; prolonged/continuous infusion can be useful in selected seβ¦
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12. Antibiotic Stewardship β Must-Know Points
Start antibiotics only when bacterial infection is sufficiently likely; obtain cultures first when feasible without unsafe delay; use local antibiograms; choose the narrowest effecβ¦
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13. Newer Antibiotics β 15
Ceftobiprole, cefepime/enmetazobactam, aztreonam/avibactam, sulbactam/durlobactam, sulopenem etzadroxil/probenecid, gepotidacin, zoliflodacin, tebipenem pivoxil, lefamulin, omadacyβ¦
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