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GI Drugs
Mod 2
Question | Answer |
---|---|
What are the characteristics of Proton-Pump Inhibitors? | irreversibly inhibit H+/K+ ATPase pump ->decrease gastric acid give on empty stomach Long term adverse effects decreased B12 increase risk of pneumonia and fracture |
What are the characteristics of Bulk-Forming Laxative? | stimulate peristalsis - fibrous ball esophageal/intestinal obstruction |
What are the characteristics of Adsorbent? | Relief of diarhea act like a sponge |
What are Stool Softeners? | DOCUSATE SODIUM DOCUSATE CALCIUM DOCUSATE SODIUM + SENNA |
What does the stimulant Senna and Bisacodyl do? | intermitten use - else systemic addiction laxative-dependency, abdominal cramping, fluid and electrolyte imbalance with chronic use |
What are the characteristics of Antiperistaltic? | Opioid Agent inhibit GI peristalsis Antidiarrheal |
What are the characteristics of H2 Antagonist? | acid neutralizing capabilities nocturnal acid production binds to H2 receptors: stimulate parietal cells increasing secretion of gastric HCl and pepsin well tolerated no adverse effects |
Maalox, Mylanta, Riopan, Gaviscon, Tums Rolaids | Antacids chewable not swallable CO2 Biproducts increase pH-interact with many agents |
CIMETIDINE | H2 Antagonist Endocrine Effects interferes with CYP450 pathway treat warts |
FAMOTIDINE | H2 Antagonist |
NIZATIDINE | H2 Antagonist |
RANITIDINE | H2 Antagonist |
LANSOPRAZOLE | PPI |
OMEPRAZOLE | PPI |
ESOMEPRAZOLE | PPI proprodurg of Omeprazole |
RABEPRAZOLE | PPI |
PANTOPRAZOLE | PPI |
DEXLANSOPRAZOLE | PPI |
METOCLOPRAMIDE | Prokinetic Agent Stimulate gut motor function (cholinergic) DM w/ nerve damage to stomach given to prevent hypoglycemia EPS |
SIMETHICONE | antifoaming agent |
PSYLLIUM | Bulking-Forming Laxative Adsorbent |
METHYCELLULOSE | Bulking-Forming Laxative Adsorbent |
POLYCARBOPHIL | Bulking-Forming Laxitive |
SODIUM PHOSPHATE PREPS | Stimulants |
POLYETHYLENE GLYCOL PREPS | Stimulants acute phosphate renal failure |
GLYCERIN SUPPOSITORY | Stimulants Osmotic Action in rectum. safe in children |
LOPERAMIDE | Antiperistaltic related to narcotics |
DIPHENOXYLATE + ATROPINE | Antiperistaltic atropine to prevent abuse (anticholinergic) |
OPIUM TINCTURE | Antiperistaltic respiratory depression, narcotic abuse |
BISMUTH SUBSALICYLATE | Antisecretory darken tongue and stools salicylism |