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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 |