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Drug list
Chap. 19 Gastrointestinal System Medications
| Brand | Generic | MOA | IFU | Classification |
|---|---|---|---|---|
| Milk of Magnesia | magnesium hydroxide | Neutralize acidic stomach contents | Peptic ulcers, GERD, acid indigestion | Antacids |
| TUMS | calcium carbonate | Neutralize acidic stomach contents | Peptic ulcers, GERD, acid indigestion | Antacids |
| Pepcid | famotidine | Blocks the release of gastric acid from stomach cells by attaching to histamine receptors that trigger the release of HCL acid. | Peptic ulcers, GERD | H2-Receptors Antagonist |
| Protonix | pantoprazole | The enzyme HydrogenPotassium ATPase in the stomach maintains the acidity of gastric secretions. PPIs block the enzyme and reduce stomach acidity | GERD, Esophagitis, Gastritis, Hypersecretory conditions | Proton Pump Inhibitors (PPI) |
| Flagyl | metronidazole | kills H. Pylori bacteria, neutralizes stomach acid and/or decreases acid production Combination of: (1) Antibiotics - to kill H. Pylori bact. (2) H2 Receptor Antagonists – decrease acid production (3) Proton Pump Inhibitor | Helicobacter Pylori infections, Peptic ulcers caused by H. pylori, Gastritis, Gastric cancer | H. Pylori Agents |
| Pancrease | pancrelipase | Mimics the action of pancreatic enzymes. Breaks down food in the small intestines to facilitate the absorption of nutrients. | Malabsorption syndrome, Pancreatic insufficiency | Pancreatic enzymes |
| Actigall | ursodiol | Bile acid that dissolves gallstones. Reduces the amount of cholesterol produced by the liver and absorbed by the intestines to prevent the formation of additional | Cholelithiasis (gallstones) | Gallstone Dissolution Agents |
| Zofran | ondansetron | Increases peristalsis (contractions) in the GI tract. Increases the pressure closing the esophageal sphincter = prevents vomiting. Increases the rate the stomach empties. | Nausea and Vomiting | Antiemetics |
| Phenergan | promethazine | Increases peristalsis (contractions) in the GI tract. Increases the pressure closing the esophageal sphincter = prevents vomiting. Increases the rate the stomach empties. | Nausea and Vomiting | Antiemetics |
| Lomotil | diphenoxylate w/atropine | Slows peristalsis of GI muscles. Slower transit time allows for improved water absorption in the colon. | Diarrhea | Antidiarrheal Agents |
| Lactinex | lactobacillus acidophilus | Slows peristalsis of GI muscles. Slower transit time allows for improved water absorption in the colon. | Diarrhea | Antidiarrheal Agents |
| Gas-X | simethicone | Reduces the surface tension of gas bubbles causing them to break or turn into a foam that can be eliminated easily by burping or passing flatus. | Excessive internal gas, Bloating, Post-op gas pains | Antiflatulents |
| Phillips Milk of Magnesia | magnesium hydroxide | Causes retention of fluids in the colon which causes the colon to stretch and increases peristaltic activity | Constipation | Saline Laxatives |
| Enulose | lactulose | Draws water into the colon and stimulates evacuation of bowel contents. Also softens the stool by adding water to colon contents. | Constipation | Osmotic Laxatives |
| Fleet Glycerin Suppositories | glycerin | Draws water into the colon and stimulates evacuation of bowel contents. Also softens the stool by adding water to colon contents. | Constipation | Osmotic Laxatives |
| MiraLax | polyethylene glycol 3350 | Increases the osmolarity of bowel contents thus drawing large amounts of water into the intestines and promoting peristalsis and elimination. | GI Pre-op preparation, Constipation | Bowel Evacuants |
| Reglan | metoclopramide | Increases peristalsis (contractions) in the GI tract. Increases the pressure closing the esophageal sphincter = prevents acid reflux. Increases the rate the stomach empties | GERD | Prokinetic Agents |