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Pharmacology Day#3
GI, pain, analgesic
Term | Definition |
---|---|
Stimulation of parasympathetic causes: | •Increase intestinal motility and tone •Increase intestinal secretions •Relaxation of sphincters |
Stimulation of sympathetic causes | •Decreases intestinal motility and tone •Decreases intestinal secretions •Inhibits sphincters |
GI hormones | stimulate gastric secretions, gallbladder emptying, gastric emptying |
Histamine | causes increase in HCl acid in stomach |
Vomiting | is initiated by activation of emetic center in medulla of brain |
The vomiting center | connected by nerve pathways to chemoreceptor trigger zone (CRTZ), cerebral cortex, and peripheral receptors in pharynx, GI tract, urinary system, and heart |
Persistent vomiting | Causes dehydration, electrolyte disturbances, and acid-base imbalances |
Emetics | are drugs that induce vomiting, Given to animals that have ingested toxins |
apomorphine | •Used for induction of vomiting dogs •Stimulates dopamine receptors in the CRTZ •Administer topically in conjunctival sac or parenterally |
xylazine | emetic of choice in cats |
Antiemetics | are drugs used to prevent or control vomiting |
Phenothiazine derivatives | chlorpromazine is used in dogs and cats –More effective in dogs –aka Thorazine |
Procainamide derivatives | metoclopramide has central and peripheral anti- emetic activities –May be administered often or in continuous drip –aka Reglan –Adverse effects: constipation |
Antihistamines | diphenhydrinate (Dramamine) •diphenhydramine (Benadryl) •meclizine (Antivert) –effective when vomiting is result of motion sickness |
NK-1 receptor antagonists: maropitant citrrate (Cerenia) | •Block binding of substance P (a neurotransmitter involved in vomiting) to NK-1 receptors in CRTZ •Adverse effects: diarrhea, bloody stool, anorexia, endotoxic shock, and otitis |
Animals get gastric ulcers for various reasons including | stress, metabolic disease, gastric hyperacidity, and drug therap |
Antiulcer Medications; cimetidine (Tagamet) | •Treats or prevents ulcers, gastric reflux, and esophagitis |
Antiulcer Medications ranitidine (Zantac) | •Same as cimetidine •Dose twice daily (others are 3-4 times daily |
Antiulcer Medications famotidine (Pepcid or Pepcid AC) | •Treats constipation and delayed gastric empty |
Antiulcer Medications omeprazole (Prilosec and Gastrogard) | •Treats gastric or duodenal ulcers •Approved for use in horses and foals |
Antiulcer Medications Antacids | decrease HCl levels in stomach for treatment and prevention of gastric ulcers (prevent absorption of other drugs) •magnesium hydroxide (Milk of magnesia) •aluminum/magnesium hydroxide (Maalox, Mylanta |
Antiulcer Medications Gastromucosal protectants | are paste-like materials that form barrier over ulcer |
Antiulcer Medications sucralfate (Carafate) | Only gastromucosal protectant commonly used in veterinary medicine –Adverse effects: constipation |
misoprostal (Cytotec) | Prevents and treats gastric ulcers associated with use of NSAIDs |
Antidiarrheal Medications: Narcotic analgesics(opiates) | effective in control of diarrhea; diphenoxylate (Lomotil) –loperamide (Imodium) paregoric/kaolin/pectin (Parepectolin) |
Protectants/Adsorbents | coats mucosa to protect from irritation, binds toxins to prevent harmful effects. bismuth subsalicylate Caution: contains salicylic acid–activated charcoal (Toxiban) |
Laxatives | are substances that loosen bowel contents and encourage their evacuation |
Laxative: Saline/hyperosmotic agents | hold water in GI tract which softens stool •lactulose •magnesium hydroxide •epsom salts •fleet enema (dogs and foals) |
Laxatives: Bulk-producing agents | are indigestible plant material that swell to stimulate peristalsis •Metamucil •Equine psyllium – relief and prevention of sand impaction in horsesl |
Laxatives: Lubricants | are oils or hydrocarbon derivatives that soften fecal mass and make it easier to pass |
Laxatives: mineral oil | is used to treat colic, impaction, and constipation in horses; used as a laxative in other specie |
Laxatives: Surfactants/stool softeners | reduce surface tension and allow water to penetrate GI content |
Laxatives: docusate sodium (Colase) | Tastes terrible if capsules are broken, cats will foam at mouth Pet-Enema, Enema SA |