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Symptom: VERTIGOCause: Drugs and alcohol
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Description:
High or toxic doses of certain Drugs or alcohol may produce vertigo. These Drugs include salicylates, aminoglycosides, antibiotics, quinine, and hormonal contraceptives



Symptom: MELENACause: Drugs and alcohol
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Description:
Aspirin, other nonsteroidal anti-inflammatory Drugs, or alcohol can cause melena as a result of gastric irritation


Symptom: TACHYCARDIACause: Drugs and alcohol
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Description:
Various Drugs affect the nervous system, circulatory system, or heart muscle, resulting in tachycardia. Examples of these include sympathomimetics; phenothiazines; anticholinergics, such as atropine; thyroid Drugs; vasodilators, such as hydralazine; acetylcholinesterase inhibitors, such as captopril; nitrates, such as nitroglycerin; alpha-adrenergic blockers, such as phentolamine; and beta-adrenergic bronchodilators, such as albuterol. Excessive caffeine intake and alcohol intoxication may also cause tachycardia


Symptom: TINNITUSCause: Drugs and alcohol
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Description:
An overdose of salicylates commonly causes reversible tinnitus. Quinine, alcohol, and indomethacin may also cause reversible tinnitus. Common Drugs that may cause irreversible tinnitus include the aminoglycoside antibiotics (especially kanamycin, streptomycin, and gentamicin) and vancomycin


Symptom: VIOLENT BEHAVIORCause: Drugs and alcohol
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Violent behavior is an adverse effect of some Drugs, such as lidocaine and penicillin G. alcohol abuse or withdrawal, hallucinogens, amphetamines, and barbiturate withdrawal may also cause violent behavior



Symptom: NYSTAGMUSCause: Drugs and alcohol
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Description:
Jerk nystagmus may result from barbiturate, phenytoin, or carbamazepine toxicity or from alcohol intoxication


Symptom: IMPOTENCECause: Alcohol and drugs
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Description:
alcoholism and drug abuse are associated with impotence, as are many prescription Drugs, especially antihypertensives. (See Drugs that may cause impotence, page 364.)


Symptom: GYNECOMASTIACause: Drugs
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Description:
When gynecomastia is an effect of Drugs, it-s typically painful and unilateral. Estrogens used to treat prostate cancer, including diethylstilbestrol, estramustine, and chlorotrianisene, directly affect the estrogen-androgen ratio. Drugs that have an estrogen-like effect, such as cardiac glycosides and human chorionic gonadotropin, may do the same. Regular use of alcohol, marijuana, or heroin reduces plasma testosterone levels, causing gynecomastia. Other Drugs?such as flutamide, cyproterone, spironolactone, cimetidine, and ketoconazole ?produce this sign by interfering with androgen production or action. Some common Drugs, including phenothiazines, tricyclic antidepressants, and antihypertensives, produce gynecomastia in an unknown way



Symptom: ANURIACause: Drugs
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Description:
Many classes of Drugs can cause anuria or, more commonly, oliguria through their nephrotoxic effects. Antibiotics, especially the aminoglycosides, are the most commonly seen nephrotoxins. Anesthetics, heavy metals, ethyl alcohol, and organic solvents can also be nephrotoxic. Adrenergics and anticholinergics can cause anuria by affecting the nerves and muscles of micturition to produce urine retention.


Symptom: BLOOD PRESSURE DECREASE (Hypotension)Cause: Alcohol toxicity
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Description:
Low blood pressure occurs infrequently; more commonly, alcohol toxicity produces distinct alcohol breath odor, tachycardia, bradypnea, hypothermia, a decreased LOC, seizures, a staggering gait, nausea, vomiting, diuresis, and slow, stertorous breathing.
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