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Gastroenterology 1
| Generic | Brand | Category | Indication | Essential Knowledge |
|---|---|---|---|---|
| dicyclomine (PO) | Bentyl | Anticholinergic; Antispasmodic | IBS | Key Side Effects: drowsiness, blurred vision, dizziness, xerostomia, constipation Other Notes: CI in gastrointestinal obstruction, reflux esophagitis, acute hemorrhage with cardiac instability, obstructive uropathy, glaucoma |
| linaclotide (PO) | Linzess | Guanylate cyclase C agonist | IBS-C, opioid-induced constipation | Key Side Effects: diarrhea, abdominal pain US Boxed Warnings: do not use in patients <2 years of age (risk of death due to dehydration) Other Notes: mechanical gastrointestinal obstruction |
| polyethylene glycol 3350 (PO) | MiraLax | Osmotic laxative | Constipation | Key Side Effects: abdominal cramping, electrolyte imbalance Other Notes: CI with bowel obstruction |
| Lactulose (PO) | Enulose, Constulose | Osmotic laxative | Constipation, hepatic encephalopathy | Key Side Effects: abdominal cramps, abdominal distention, diarrhea, flatulence |
| senna (PO) | Ex-Lax, Senokot | Stimulant laxative | Constipation | Key Side Effects: abdominal cramping, electrolyte imbalance |
| docusate (PO) | Colace | Stool softener | Prevent straining during defecation | Other Notes: do not use with mineral oil |
| dexamethasone (PO, IV) | DexPak, DoubleDex | Corticosteroid | nflammatory diseases, cerebral edema, CINV | Key Side Effects: hyperglycemia, increased appetite with weight gain, depression, irritability, anxiety, restlessness, insomnia, osteoporosis (chronic use), Cushing's syndrome (chronic use) Other Notes: risk of adrenal suppression with prolonged use |
| methylprednisolone (PO, IM, IV) | Medrol, Solu-medrol | Corticosteroid | Inflammatory diseases, COPD exacerbation, asthma exacerbation, acute gout | Key Side Effects: hyperglycemia, increased appetite with weight gain, depression, irritability, anxiety, restlessness, insomnia, osteoporosis (chronic use), Cushing's syndrome (chronic use) Other Notes: risk of adrenal suppression with prolonged use |
| prednisolone (PO) | Orapred | Corticosteroid | Inflammatory diseases, COPD exacerbation, asthma exacerbation, acute gout | Key Side Effects: hyperglycemia, increased appetite with weight gain, depression, irritability, anxiety, restlessness, insomnia, osteoporosis (chronic use), Cushing's syndrome (chronic use) Other Notes: risk of adrenal suppression with prolonged use |
| prednisone (PO) | Deltasone, Rayos | Corticosteroid | Inflammatory diseases, COPD exacerbation, asthma exacerbation, acute gout | Key Side Effects: hyperglycemia, increased appetite with weight gain, depression, irritability, anxiety, restlessness, insomnia, osteoporosis (chronic use), Cushing's syndrome (chronic use) Other Notes: risk of adrenal suppression with prolonged use |
| hydrocortisone (PO, IV, topical) | Topical: Cortaid IV: Solu-Cortef | Corticosteroid | Topical: Inflammation, rash PO/IV: Acute illness, adrenal insufficiency | Key Side Effects: hyperglycemia, increased appetite with weight gain, depression, irritability, anxiety, restlessness, insomnia, osteoporosis (chronic use), Cushing's syndrome (chronic use) Other Notes: risk of adrenal suppression with prolonged use |