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Histamine-2 Antagoni
Pharmacology
Question | Answer |
---|---|
Drugs used to treat ulcers | Histamine 2 antagonists, Antacids, Proton pump inhibitors, Antipeptic agents, Prostaglandins |
Action of H2 antagonists | blocks the release of hydrocloric acid in response to gastrin |
Action of Antacids | neutralizes acid at the chemical level |
Action of Proton Pump Inhibitors | suppress the secretions of hydrocloric acid |
Action of Antipeptic agents | coat the injured area in the stomach to prevent further injury from acid |
Action of Prostaglandins | inhibit the secretion of gastrin and increase the secretions of the mucous lining of the stomach, providing a buffer |
H2 Antagonists drugs | cimetidine (Tagament), ranitidine (Zantac), famotidine (Pepcid), nizatidine (Axid) |
G/B cimetidine | Tagamet |
cinetidine (Tagamet) | 1st drug in the H2antagonists class to be developed, met/live, exc/urine, CPEBM, ava in O, P forms |
G/B ranitidine | Zantac |
ranitidine (Zantac) | longer acting and more potent then cinetidine, met/liver, exc/urine, ava in O, P forms, CPEBM, Not associated w/antiadrenergic adverse effects |
G/B famotidine | Pepcid |
famotidine (Pepcid) | much more potent than cinetidine and ranitidine, ava O, IV forms, met/liver, exc/urine CPEBM |
G/B nizatidine | Axid |
nizatidine (Axid) | newest drug in the H2 antagonists class, similar to ranitidine, IT DIFFERS FROM OTHERS, it is exc/kidneys, w/no 1st pass effect. Drug of choice for pt w/liver dysfunctions. ava in O form, CPEBM |
CPEBM | cross placenta enter breast milk |
H2 antagonists---Therapeutic acations | leads to reduction in gastric acid secretion and pepsin production. Used mainly for short term use to treat duodenal ulcer. Prophylaxis of stress induced ulcer. Treatment of gastroexophageal reflux. Promotes healing and decreases pain. Relief of hear |
H2 antagonists--contraindications | caution should be used during preg/lac, and w/hepatic or renal dysfuctions that could interfer with drug metabloism or excretion |
H2 antagonists--adverse effects & drug/drug interactions | AE of GI:diarrhea or constipation. CNS effects: dizziness or headace. Drug/drug---warfarin (anticoagulants), alcohol |