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Dr Francy Shu Medications to Avoid
1.
Meds that MG
pts should avoid: • Never use alpha-interferon, Botox, D-penicillamine, or telithromycin (Ketek - ketolides) Use with caution: • Succinylcholine, d-tubocurarine, or other neuromuscular blocking agents • Quinine, quinidine, procainamide • Antibiotics: * Aminoglycosides – gentamicin, kanamycin, neomycin, tobramycin, and streptomycin * Fluoroquinolones – ciprofloxacin, levofloxacin, norfloxacin, ofloxacin, perfloxacin, moxifloxacin * Macrolides – erythromycin, azithromycin • Beta-blockers (systemic and ocular): propranolol, timolol • Calcium channel blockers • Magnesium salts • Lithium • Iodinated contrast agents • Statin drugs Daroff, R., et al. Bradley’s Neurology in Clinical Practice. Elsevier Saunders, 2012.
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