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GI 1-2

BDK

Pharmacologic CategoryGeneric NameBrand NameClassificationCommon IndicationsEssential Knowledge
Gastrointestinal protectant sulcrafate (PO) Carafate duodenal ulcers Key Side Effects: constipation, bezoar formation Other Notes: take on an empty stomach; many drug interactions due to reducing absorption of other drugs
Proton pump inhibitor (PPI) dexlansoprazole (PO) esomeprazole (PO, IV) lansoprazole (PO) omeprazole (PO) pantoprazole (PO, IV) Dexilant Nexium Prevacid Prilosec Protonix PO nexium, prevacid and prilosec are OTC GERD, PUD, erosive esophagitis, SUP Key Side Effects: headaches, abdominal pain, nausea, diarrhea, bone fracture, vitamin B12 deficiency, hypomagnesemia, increased risk of Clostridioides difficile associated diarrhea (CDAD)
Antidiarrheal diphenoxylate and atropine (PO) Lomotil CS-V Diarrhea Key Side Effects: nausea, confusion, drowsiness, dizziness, xerostomia, tachycardia, urinary retention Other notes: do not use in diarrhea associated with enterotoxin-
Histamine (H1) antagonist meclizine (PO) Bonine OTC Motion sickness, vertigo Key Side Effects: drowsiness, dry mouth, blurry vision
Histamine (H1) antagonist promethazine (PO, IM, IV, PR) Phenergan Motion sickness, nausea, vomiting Key Side Effects: drowsiness, dry mouth, blurred vision, QTc prolongation, EPS US Boxed Warnings: potential for fatal respiratory depression in patients < 2 years old; injection can cause peripheral extravasation (preferred parenteral route is IM)
Selective serotonin in (5-HT3) antagonist ondansetron (PO, IV) Zofran Nausea, vomiting Key Side Effects: headache, fatigue, constipation, QTc prolongation
Dopamine (D2) antagonist metoclopramide (PO, IV) Reglan Gastroparesis, GERD, nausea, vomiting Key Side Effects: drowsiness, dystonia, akathisia, EPS, QTc prolongation, diarrrhea, hyperprolactinemia, US Boxed Warnings: may cause tardive dyskinesia, do not use >12 weeks, Other notes: CI with GI obstruction, perforation, or hemorrhage
Histamine (H2) antagonist famotidine (PO, IV) Pepcid, Zantac 360 PO OTC GERD, erosive esophagitis, SUP Key Side Effects: headache, constipation, diarrhea, mental status changes
Corticosteroid hydrocortisone (PO, IV, topical) Topical: Cortaid IV: Solu-Cortef Topical: OTC 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
Corticosteroid prednisone (PO) Deltasone, Rayos 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
Corticosteroid prednisolone (PO Orapred 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
Corticosteroid methylprednisolone (PO, IM, IV) Medrol, Solu-Medrol 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
Corticosteroid dexamethasone (PO, IV) DexPak, DoubleDex Inflammatory 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
Stool softener docusate (PO) Colace OTC Prevent straining during defecation Other Notes: do not use with mineral oil
Stimulant laxative senna (PO) Ex-Lax, Senokot OTC Constipation Key Side Effects: abdominal cramping, electrolyte imbalance
Osmotic laxative Lactulose (PO) Enulose, Constulose Constipation, hepatic encephalopathy Key Side Effects: abdominal cramps, abdominal distention, diarrhea, flatulence
Osmotic laxative polyethylene glycol 3350 (PO) Miralax OTC Constipation Key Side Effects: abdominal cramping, electrolyte imbalance Other Notes: CI with bowel obstruction
Guanylate cyclase C agonist linaclotide (PO) Linzess 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
Anticholinergic; Antispasmodic dicyclomine (PO) Bentyl 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
Created by: beezy41
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