Integrated Pharma BTR (Day 1 & 2), Tatha
Integrated Pharma BTR (Day 1 & 2), Tatha
Integrated Pharma BTR (Day 1 & 2), Tatha
ANTI-PLATELETS: PHARMACOLOGY
③ Aggregation TXA2-
TXAR
2
I
②
ab
> -
Activation
I
SE :
↑ uricemia
gont
-
↳ Ste : Pancytopenia,
-
children
failure
'al l'ab'
S
in ba
indicate :
Hypokalemia only
monoclonal
Salbutamol 1) Kawasaki ds .
-
Activated
Amphotericin B cp
S
Loop diuretics & thiazides
Acetazolamide Aspirin -
Sigagaelos (preferred)
Protease Receptor I
Hyperkalemia clopidogrel
Ace inhibitors
Beta blocker
PAR-1 INHIBITOR:
Cyclosporine/tacrolimus
Digoxin AtoPaxar
K sparing diuretics
VoraPaxar
ANTICOAGULANTS-PHARMACOLOGY
NOAC
SE : -
renal
--
safe in
Heparin
induced
- faihre
Unorsbscyto↳
~
penix
25-10 days
~ Mi/stroke
post usage >
osteopenia HIT
risk)
DOC
For
Fondaparinux
-
RTAIN
fantidote
-
->
-
PF4
↓ antidote
Teratogenic-
!
I d ar
cizumab
·
Th End an ant
in - -
ale
stippled cyp2c9
epiphysis) ·
ar sa
L
↓ Antidote
+ prosthetic
2) Preferred A Fib
I
a
protamme sulfate ↓ MS
stops breakdown
of dot'
Proteianueants
2) 2
,
7 , 9 , 20 , -
Trauma -
menorrhagia
(AT25)
Glutamic acid
Hydroxyurea sicling
Voxelotor I ↓
Crizanlizumab ⑦ Selectin
-
P
creasing)
Pheno chains
Rifampicin Ciprofloxacin(FD) F4
-
9 -
- cause
sulforyweas
Chronic Alcohol Acute Alcohol
Phenobarbitone
- ↓ ↓
Neonatal
Giggler Syndenham's
Sz chosea
wajs
·
as
Hemorrhagic cystitis
-
Colchicine
Ifosphamide >Cyclo
Griserfuhin SIADH
↑
-
'Fan Stabilise
society' 4-hydroxyclycophosphamide: Active
↑ Compound: Acrolein
-
T
story'
Amiodarone
3) SIADH
neonspathy
Her (DOC)
↳esseine
DNA Vincristine peripheral
->
sparing
->
BM
MoA ↓
zickling Bleomycin flagellate
->
dumaliti
-
~
-
d regimen
~Niko
lanal A)
acid rescue
folinis Stenosis
subgrollic
-
~ (cotton meyer)
Fludarabine DOC : CLL Mitomycin C ↳ topical VBCA Platinum
Temozolamide Nephrotoxic: ↓ Amifosline Displatin)
-
↳ Glioma (GBM)
Ototoxic
5FU s/e: Most emetogenic
Hand
foot Syndrome
DOC early- 5 H130 ondansetion
Anthracycline s/e: Al tonicity ->
↓
Demeagowane DOC delayed- NK10 Aprepitant
Anticancer small molecule inhibitors
Filgrastim, Sargramostim GMCSF 4 Alectinib, crizotinib ALK Non-small cell lung
EPO anemia (8 RBC) &
cancer
Oprelevkin 12-11 analogue, (platelet +1) Erlotinib, gefitinib, EGFR Non-small cell lung
⑨
Aldesleukin 12-2
against :
Red melanoma
carfilzomib ·
zom:
some (induce G2-M mantle cell
arrest -> lymphoma
Palivizumab REV
high
sish
↓viral apoptosis)
Cetuximab, Panitumumab E GFR G CA
color flung Vemurafenib, BRAF ~600E Melanoma
colorectal CA
tonic
encorafenib, The
-
-
SE
Trastuzumab, Pertuzumab
:
Her 2 new & -
Pilocytic astrocytoma
↳ Lapatin
&
dabrafenib - PTC
(Papillary Thyroid (1)
Emicizumab hemophilia (prevents by binding
to (a & X) Palbociclib Cyclin- dependent Breast cancer
factor
- Y -
MS ; SE-Progressive Multifocal
Leukoemephalopathy GI-S phase →
VEGE ⑦ IPML)
me
apoptosis)
Bevacizumab R Olaparib Poly(ADP-ribose) Breast, ovarian,
Ranibizumab PDR /
polymerase (↓ pancreatic and
Brolucizumab RCC
fils)ip
immuno activators
Advanced
melanoma, RCC
CTLA4G
Melanoma
HL 28
744
NSCLL
=
UB
Merkel cell ca
- A
-endometrial (A
-
eychsporine)hyperplasia
:
sirtipania
L
dater SE ·
pan
gingihirsutiseh
val
~be
-
↑
-
Sa
onidase
Xanthine
SE
S
-
nephrotonic
48
-
-
hypertension
-
Allopurinol
TSC
I
-
dyslipidemia
y
~
din Liver failure
Safe in renal failure:
PMT Pe Mo Trova
B
Cyp inh, QT prolong, tendons, seizure
I
↳1 in
children
No
Macrolides
Cyp inh, QT prolong,
Prokinetic, Jaundice TMP : SMX
L 1
:
5 (Tab)
produces [Plasma)
MMC 1 : 20
SELCC
grey
baby
⑦ peptide-
&
Lianafence 0
0 23 S
L
DOC :
Anaerobes ->
above diaphragm
-
-
MCS
0 ~ Ecolocation
⑥
E
A F 30
Buy 50
syn 8
cell wall :
at
SEL(()
Fosfomycin: -> UT1
Muramic acid
Cycloserine: and line ATT
- AI
↳
SE Sz nemopsychiatric manifest
:
Pentapeptide (d-ALA)
,
-
Bacitracin: ↳
BPtopical
MRSA
⑦
Teachment
I
transporter
Vancomycin:
>
Transglycosylase wall ⑦
misreading
cell
elongation
-
B lactams: RNA
Transpeptidase wall
No ·cross-reactivity:
all
anaerobes
esslinking
↳ MRSA
Azi li batsch
nam toh
Monobactam
(Azteonam)
needoc - not
useful in
DOC TABLE IM Stat E
bacilli not
effective
negative
2 4 MU
12'-Benythin Gram
.
A
- white (Hit 3) GNB
• Syphilis -> Never
-
Acqueous Penicillin
• Actinomyces Penicillin
• Listeria
-
Ampicillin
• Mastitis donacillin
25t gen incision)
• SSI Celazolin (30m-1
m prior to
above
: Cindanim
- diaklagen
• Anerobes and
gen Cefnitin
Doc :
-> below :
Metronidazole dihydropeptidase
Imipenem+ Cilastatin:
• Neisseria, Lyme disease, Enteric fever Brd gen) Ceftrianone ↓
cause
Sy
• Pseudomonas cefoprazone leftaged wire
, [3ed/4in) with gen
also
effectivel
usifulin SHADH
(i) - I
• Enterobacter, Acinetobacter Mecopenem Ernie (
*
SE
Demeclocycline: D abso
Gansamihistamine
I
raptans
NO
T RED
↳ Micocycline:
↳
Fidonamy en Nephnotorie black
migro
vestibular unition
• Plague,Tularemia streptomy en Thrombophlebitis
S
↓
Blackam
↳ FD
e
Aminoglycoside
-concentiation dep
ANAEROBES Aminoglycosides On
for
activation
need rol'
ceftaroline
e
Vanco
killing EDK
MRSA Beta lactams (except fifth generation cephalosporins)
-
TDK
dependent
I time
hitting)
doses
-
single dose SALMONELLA Aminoglycosides
-
frequent
Resistance: Enzyme Altered target Efflux pump
(PBP 2 a)
Bile secretion: SAFE IN RENAL FAILURE:
ABC
·
Blactamase · MRSA
Tetracycline
Nafcillin, Ampicillin ·
Aminoglycoside ·
URSA (D
-ala)
·
Chloramphenicol D-Lac
③
Ceftriaxone, Cefoperazone
VRSA:
Tigecycline, Doxycycline Linezolid VRSA Pneumonia
DOC
Daptomycin DOC
IRSA
Clindamycin Quinpristine-Dalfopristine
Ceftarolin
PMT
Rifampicin
DOC: Cestodes, Trematodes- praziquantel
• LIVER FLUKE- Trichaberdage
• HYDATID, Nematodes Albendazole
• FILARIA- DEC
n enter atte
Me ment
Antifungals
*
Thitin &
cardiasis
~
onychomycosis Invasive
I mail lacquess) ~
poses
B
RA 1
-
-
Ampho
-
CA =
1)
2 -
Acetazolamide
4 - UFH
-Siderblasti
-
Sz
B6
A
neurons
attaglis
⑦
mp ART (
ATT 2 whe then
~
ARTT ATT (1st
-
Bat G -
acchilation
SHIP
->
->
SECT i
e
like symplois)
(fle
I
SX
N
-
slow lator
aceliy
-
neuropathy Pulmonary
H
-
fast -
hepatotoxic
SE hypericemia
:
L hepatotonicity
⑦ Intracellular
FA
synthase
static
as
Static
-thums A
⑨
BAL1
=
I bas made
Khas
[cilastation -
ImipenemI
- rest needed
-
↳
Si El
Nerirafine S2 Ez
Sy Es
-
Entricitabine
(dadaji)
o
⑧
non
competitive
myopting
↑A 2
0
0
-
I'm Rien
Sente
congestive Glaucoma
ACG
'cidazolamide
I
long
+
e ->
-
>
(ROC)
-
d RE except 'Metalazone'
Thiazide-not safe in :
-> entra /E : Da
Mannitof
use :
ACG/edema
C11 annsial CHE
↑ et
:
h
B
RA 1 -
Ampho
A 1s=
divities ~ Acetazolamide
Loop
2
-
4 - UFH
short/ ceiling
uses : slieve edema
Gynaecomastia
·
Aldosterone
mastion
·
↓
⑫ antagonists agree Athalos
↑
↳ no
-
- -
~
Thiazide/Furosemide)
Aliskiren kills renin.
I awa-
GINA 2021: DOC-
Formoterol + ICS
MR 5'
I SA
>a
JLA
ab just acting e
wonder need
~
2
more in COPD
metabolised by Cyp
↑Na
Aminophylline: CYP
↓
PDE-4 inhibition Bronchodilation
-
adenosine
↓
L
GFR
PDE-3 inhibition arrythmia
Adenosine antagonism dirresis
Histone deacetylase activation inflammation epigenetion
(deactivates)
'Dinner for 2
->
PGES : Misoprostor
d
NSAID induced peptinker
specific for
d
~
immediate
Antacids: -
stica
e
ueroprotective
PPI: Omeprazole, lansoprazole, pantoprazole-DOC
Al OH + Mg OH
:con Hit and run
L
constipati ③
I
Omeprazole: CYP2C19-Clopidogrel
Interstitial nephritis
CAP: Clarithromycin + Amoxicillin + PPI
Allergic
CONSTIPATION DIARRHEA
Bulk forming: Methylcellulose u Agonist: Loperamide
'race
. K(co Stop'
Osmotic: Lactulose, PEG Enkephalinase inhibitor: Racecodotril
-
-
- opoid
-
L
(Prokinetic
5HT agonist
Peripheral opioid inhibitor: For post-op ileus ↑
Domperidone: BBB X
I dopa
induced vointing
Alvimopan, Naloxegol, Methylnaltrexone DOC :
mera bladder
gone
MIRABEGRON t
Finisherde
-
also
I stops prostaric growth)
M Static component
TAMSULOSIN ⑧ BPH
IXLAE 7 - (no
hypotension)
only dynamic BPH symploins)
I only for
[21B -
acts on
blood
vessels]
Anticholinergies Cholinergic dings
Atropine, Donepezil, s
~patch
Homatropine,
->
mydriasis f Rivastigmine,
Tropicamide cycloplegia Galantamine
A chEG
Benztropine, EPS SIE (WOC)
Neostigmine
-
snake bit
Trihexyphenidyl ↓
-
->
Hyoscyamine, Pyridostigmine
->
motion sickness Honger acting) Myasthenia gravis
Dicyclomine initable Bowel Sy
Physostigmine
Ipratropium, -> COPD) Asthine Crosses
used in Dhalia poison
BBB)
Tiotropium Varenicline
antismoting
Agonists
↓ est
Astra SE : -
Temoss
hypoglycemial
-
↑
1x
Ritodrine, Isosuxprine glycemia
·
-
Tocolytic (BC)
-
-
Tachycardia
shock
-
2-18 718
A shock +
olignin 21-VC
Huntinglein
Es
<2
↓
BI
<2
Jug1kg/um
~
Sympatholytics
-
-
ADHD
Fowler gray
HTN
I
HIN ER
Pregnancy
-
e
Dundee (PIN)
- ~ relarant
evahtest
show
sanely electiophysiological
-
muscle
used
&
I
V
S
Doc
decongestant
Shock
Septic
=sympathomimetic
NC
anaesthesia
Nor for spinal
induced B ?
L
Glaucoma
inseveisible :
Pheochromocytoma
reversible wine
·
abo
~
cheese ratn
-
Iysamine
(Md00)
-
donidine with drawal
al
↳
HAN
157 doss/Postin
bite (SE :
Scorpion mypotension)
I1A8 : no HTN)
CI:
Bradycardia
Jamie semua se e
AV block
Acute CHF
Asthma
mediated by sympathetic gic
choliner
depression PVD
DM mash hypoglycemia enept -
surcation
DOC :
open
angle glamour vasodilator
↳ keep DA patent Dinnes for 2
Cervi
prime
(102) ↓ Woral
↳ ger
medical abortion ? PH
agonist
S
-
PPH I
PAH
250
jug
x 8 closes constipation
(CUB)
2 mg)
I
I man :
nitrate
PDE-5 inhibitors -
PAH
x I
PDE-4 inhibitor
~ milestone
COPD
Roflumilast
L
“Platelet inhibitors”
Cilostazol PDEO
now specific
Dipyridamole I
Sticke Peripheral
aterial de.
Anti-Glaucoma Drugs
Decrease Aqueous Increase Trabecular Increase Uveoscleral
Production Outflow Outflow
sensation 2. Bimatoprost
3. Levobunolol
4. Carteolol
1. Acetazolamide
2. Brinzolamide ·
Yeh Past 1 wa
no
preload) Enalapril
blood ↓ CHE
I pool used
-
:. in
O prevent vasospasm
nimodipine post
is
SAH SE-reflex tachy vessel & AV modal
t
conduction
intervention now-DAP - Headache (cranial
vasodilat") SE-reflex tachy I leads to
-
DH P Headache
eacts ~
D arythmia
-
↓ HR
drug (Acetylation)
on -> ↓BP
SHIP verticular
& act on vascular smooth muscle
SE me :
bigenm GFR
d
cyanide toxicly ↓
-
L
induced lupus Niteoprside
-
vasodilators SE :
reflen tachycardia
-
Ding d
AFib/fltlic/MAT
·
-
R : -
R
↑kt
D -
predominantly
.
DM+ Hi
SE :
symploins
-
Muster headache Nitroli-meth
SIE
Ab -
↳
-causes & it
blue
flushing meltingline Cyanopsia
SE-bradykinin
vasodilti
hyperkalemia)
-
I I
(block) + PDEGG
Monday PDE50 alf It
prevent efflue ACEi)
digonin) Sildenafil)
x
SE AV # Clike
cony
- in
(blies)
:
Disease I
use : HAN
I
-
d
constipation
&
vasospasm headache
-
↓
L
PDES & -
es in pregnancy
I venal agenesis)
Stenosis
preventsNatefflux di-x in B venal
Stenosis
-
~ ~ U11
abo ca effle
in
F but, cautions
ge K
W PCM I
↓ Fluid overload
Day e
prevent
Sx
Tur
lysis : -
+3
I Ca
↑ kt tonicity :
RIF for Digonin -
Phenytoin Quinidine b
2
↳re
Mg+
My+2
-
POy3-
cyclospore I
IPCX verapanil
unique SE
Uric Acid
v
Verapamil q Ca
- +2
Steride Macrolides
-
⑰ziltial
NEW DRUGS: ~ funny SE
Visual SE
Ivabradine: If Naft
~
bradycardia
t
-
Misiko-trh Rho-ge
- >
- in
Fas jaoge" ans
↑ Bradijkian
-
CHE
-
1St m
+
4
-> 1
Se
Metabolic modulators: Trimetazidine EE :
-
in
(cautions)
also
MM + Late inward Na blocker: Ranolagine constipation
->
:
verapamil
spironolactone Gynac v
:
X
Eplerenone
-,
·
PPAR8 + -
Glitazone
PPAR8 - -> Telmisartan
M
statin induced
L
wills
intestine
[HC-2A)
③
⑰.
⑯
⑱
)
④
I
#
SHIP
Frien
&
-
additional -
-
-
E
k
ventriculas I
IB: K +: LLignocaine, Phenytoin only
.
⑨ Tt :
conyltmia
Doc For
Digosin anythimial before Digibind) 9 T44 1
IC: K no: Fleicanide, Propafenone
-
1 a 111
,
↳el
⑧I in MI ↓ -
*
2
WPW ↳ SHIP
II # pro anythines
B
IV
all
-
& CB dose reentrant circuit
~
SE
Adenosine ↑
Hefflun -> Al mode conduction ↓ - PSVT -
flushing doom'
line
-
short
acting feeling of 'impending
I
interval
& central & 10 see
given
Bronchospasin
-
Ein
Secs)
-
(10
SE Blue man 3x
Amiodarone: Red man Vancountain
Pls photosensitivity , Peripheral neuropathy
Grey baby Chloramphenicol
Check auto deposits
corneal ,
also +
ungocardial
derma
depression purple toe wasfain
PFT fibrosis
Put
LFT dysfunction
liver orange
wine Rifampicin
TFT hypo/hyperthyroid 140 % Iz) yellow -
brown Phenytoin
swin Do wis x
RA: Acute Gout
Indomethin NSAIDS Dos except-Airin
↳ PCM
Microtubule 8 :
Griseofulvin
-
-
Colchicine microtubule
UC
-
also in
- ⑨G
neutiophi chemotaxis -
mebendazole
Tanane'Far Stabilise
↳
refractory
diasshea d
MO society'
DOC in pregnancy:
↑
SE
sulfusalague
Hi I
Chronic gout DOC: Alopurinot↳ infections
- -
Vinca
Grise
Alkaloids
⑦
polymeris
'Better
41 :
.
I do 1st
NSAIDS/MTX Montown test / IGRA- Quantiferon Gold Kalaaga Colchicine
TNF-apha inhibitors: 40
-
-
- (Blood Test)
AVOID WITH: MP/ Ayathiopsine
6
-
TB
Gol
Infliximab ↳ granuloma
Golimumab
IL-1R Antagonist: An ali a
Sariliummab
IL-6 inhibitor: Tocilizumab ,
cost
:
Rs
hai" (Mnemonic
·
Oh Riti ! In sleep
variant)
laggressive
↓44 SE
MIGRAINE CLUSTER HEADACHE
DOC: Triptans / 100 % On
First line: NSAIDS
Prophylaxis: Verapanil
DOC: 5HT1B/1D+ : Triptans
Prophylaxis: propanolos TENSION HEADACHE
Ditans) DOC: NSAIDS
5HT1F + : LASMIDITAN I Fac Lats .
Prophylaxis: TCA
CGRP-: RimeGIPANT
ERENUMAB, GALANEZUMAB
·
ne/un
-
Suttar
pio NDRI Antidepressant
(GAD)
Phenomenon
Syndopa-onel off
1 Levo +
↓ dopamine availability
carbil dystlinesia -
↑
metabolised
Doc : Amantadine
reticularis
515-Livedo ↳
v
edema
peripheral
-
-> cential -
↓
withdrawn
:
hepatotonic
induced
Drug
Benztropine, Trihexphenidyl Canticholinergic
X
↑2 (Two)
MAOA- antidepresent Istradefylline: Adenosine [A2A] receptor
>
> )
- -
antagonist
->
SIE-pathological gambling --
Atomoxetine
R
Rotigotine (patch)
~crebility cyp+
-
BAyPet V
en
R :
Typical absence
signze
L
*
ON
warning !
PCN N
Black BOX
exp activator NO GABi
e ->
- ↓ W
Antidepressant
Lamotrigine Celecoxib
E
woman' SE
yellow
psychiatric manifest
- sni eide sists
never
hemaphagocytic MI
esp
in 'children'
lymphonistocytosis
Barbi DURAtes
-
X-
i duration
↓
GABA
against
&
PCOD
a Gabapentin
SIE
Doe :
-
gender
Specific
- post herpetic Pregabalin
nemalgia
-diabetic nemopaltiy
Ex
- Restless Leg Lamotrigine
Iial
~ "phase 4 Clinical
visual S/E
-
ANTI-EPILEPTIC DRUGS
Ca * #
CBE -
type ~> T-
Et
2 SE , 2MOA
-
- -
=>
Topircurate)
S
⑤ op-vision I
ST4 withdrawal
↳ in
cough suppressants
E
- n e e
2P
-mined
Mixed agonist/antagonist: Nalbuphine, Pentazocine, Butorphanol - -
1P
Antagonist: Natocone/Naltionene
↑
Atiacus-Landosine
↓BP ↓ GCS ↓ HR miosis
:
↓RR
TOXICITY C/F: m acceptor
L
AVOID IN: biliary colic pain I head injury seap for analgesia
↳ sphincter contraction
Mydriasis: Meperidineagons)
f
Oddi
of
only darg full
Isko in vanco Alia cisalia)
Mistamine
Pruritus:
, ,
S
Wooden chest syndrome:
chest
Fentanyl Also Line zolid
mp sigidity &
(MM Sclerosis)
.
ITCA analogue)
Insulin
ullia . 'S'host acting S/e:
Degludec: longest Weight gain
↑ Lipoatrophy
basal I peakless
K: ↓ hypokalemia
S I
iv others S/c
~intermediate
pH: 24
OHG
Agent Mechanism of action Side effects
Sulfonylureas Increases insulin secretion by inhibiting B- Hypoglycemia , Weight gain
Chlorpropamide cell K+ ATP channels Chlorpropamide: S1ADH
↓ ↓
Glipizide, Glyburide D1
R
BM
# shaddha
Meglitinides 'neutical PPI
*
D Later
abo >
Repaglinide, Nateglinide 5)
~
.
M I Dilip Sir
.
-
Biguanides Stimulates AMP kinase, decreasing insulin Lactic acidosis,? Weight loss, Vit B12 deficiency
(Doc)
Metformin resistance Max reduction in HbA1c C11 in CKD
Thiazolidinediones Activates transcription regulator PPAR-g, Weight gain, Heart failure, Hepatotoxic, Fractures
pees L *
GLP-1 agonists Incretins - Increases glucose- dependent insulin Increase satiety, Weight loss (approved)
L
Exenatide, Liraglutide-SC insidin↑ secretion, decreases glucagon secretion, Pancreatitis – GLP1+ ~ ocal drugs
MT2
eating
~
on
BISPHOSPHONATES: DOC
Adverse effect- flonger chain-cast)
mandible
2. Oster of
necrosis Teriparatide Scherostin ⑦
44 tide
↑
-
Lemprolide
I
Prostatic CA
cont
=
than
Cetso RELIY-Belles
.
rate
(V2G)
x =
Away . no
flare up
Denosumab Lig
and
Vaptans
or be med
cycline
1
RANK -
Octeotide
:
Somatostating
y D20 used
(Preg Bromocriptine)
Dopamine Cabergoline
e
:
↓
PRL
Methimazole / Carbien
ayole
Calcitonin: Intranasal PTN
↑ TU l'Pehle'T'eimesliv'se)
Cinacalcet-CasR agonist But Die :
(SE : -choanal
atresia
Methimazole
Used in HyperPTH I 3T2/Ts :
PTH release in T1
-entis
aplasial
⑰
PFH
Man ACC
Pro
Summary thanks to Ravenclaw for this page !
--
Rangesa sabrener
~
↳ Histamme
4PG
R Denazowame
~
Bedaquiline
-
~
Thiori dazone
setinal
pigment
D1SC40"
Cyclosporine
D2
(On)
Ethionamide ~
[Ee'thambutol is not hepatotonic]
R H Z HP Z E
-
Didanosine (Dadaji') -
GLP1+
L-asparaginase
Ab + PP1
30
cis'o'platin
↳ car retinitis
[cold (19M)
L
(DRESS)
Metformin
P4 I
4 (H17)
manga platelet
MRSA-URSA :"
-
'Poy
Aspirin
↳ low dose
Cpremenopausal ansah
↳ Tamoxifen) ,7
glitazones
·
postment ER/PRt
↳
Thiazolidinediones
E
?? ↑ #
SGLT 20 -
# shaddha
Seizure
Wit A
Teliacycme
D
,
TOAD ou GH
-
Pethidine -
Alacurium
-
FQ
D) 2 #
ACGs
(v)
-
Efavirenz -
-
Degrisomant Bull's
eye
-
vigabatin machlopaltry
-
voriconazole
Denial
:
Jas will hi
Hope :
say : No hi
Only sigh!
say bye
↑
friends -