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Pharmacology General dfc1ed02

Side effect of oral carbonic anhydrase inhibitors include ?

A
Weight gain
B
Insomnia
C
Hyperkalemia
D
Paresthesia
High-Yield Explanation
Ans: D. Paresthesia[Ref KDT Vh/e p. 5g7; Clinical pharmacology 8th/e p. 71g)Adverse effects of systemic/oral carbonic anhydrase inhibitors are:CNS effects: Lethargy, drowsiness, headache, seizures, and ParesthesiasGI effects: Nausea, vomiting, diarrhea, altered taste, and anorexiaDiuretic effect : Polyuria and increased thirst; fluid and electrolyte disturbances (hypokalemia, metabolic acidosis)Worsening of liver disease : Precipitation of hepatic encephalopathy / hepatic coma and hepatic necrosisHypersensitivity reaction: In patients sensitive to sulfonamide (CAase inhibitors are sulfonamide derivatives)Hyperuricemia: Precipitation of goutBone marrow depression: Rare

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