Category Internal Medicine

Raltitrexed

See also Cytotoxic and immunosuppressant drugs General information Raltitrexed is a specific inhibitor of thymidylate synthase. It is used to treat colorectal cancers. In about 1000 patients with advanced colorectal cancer, the dose-limiting toxic effects in phase 1 studies were…

Raloxifene

General information Raloxifene is a non-steroidal so-called “selective estrogen receptor modulator” (SERM), that is it binds to estrogen receptors, but this binding produces agonist effects at some sites and antagonist effects at others [ ]. It has estrogen agonist effects…

Racecadotril

General information Racecadotril (ecadotril, anorphan, (S)-aetophan), through its active metabolite thiorphan, is an inhibitor of the neutral endopeptidase known as enkephalinase, thereby increasing exposure to substrates of the enzyme, including enkephalins and atrial natriuretic peptide [ ]. Increased exposure to…

Rabies vaccine

See also Vaccines General information Rabies vaccine was for a long time prepared from infected brain tissue, and neurological complications were likely to occur in as many as one in 300 cases. A second-generation vaccine prepared from duck embryo tissue…

Rabeprazole

See also Proton pump inhibitors General information The benefit to harm balance of rabeprazole, a proton pump inhibitor, has been reviewed [ , ]. The overall rate of drug withdrawal because of adverse reactions was 3%. Common adverse reactions included…

Quinupristin+dalfopristin

General information Quinupristin and dalfopristin are two semisynthetic pristinamycin derivatives that are given in combination parenterally. Each component has bacteriostatic activity against Gram-positive bacteria, including multidrug resistant bacilli [ , ]. Quinupristin + dalfopristin can be used to treat macrolide-resistant…

Quinine

General information Quinine was originally extracted from the bark of the Cinchona tree (Peruvian bark or Jesuits’ bark) and was used to treat ague (i.e. fever), usually due to malaria. It fell out of fashion with the advent of other…

Quinidine

General information Quinidine is a class I antidysrhythmic drug. Its actions, clinical use, interactions, and adverse effects and reactions have been reviewed [ ]. General adverse effects and adverse reactions Gastrointestinal symptoms, including anorexia, nausea, and vomiting, are common. Quinidine…