#7 Gastrointestinal Flashcards
BRAND NAME: promethazine
Phenergan
COMMON STRENGTHS: promethazine
12.5mg, 25mg, 50mg
COMMON FREQUENCY: promethazine
q4-6h prn
INDICATIONS/USE: promethazine
- prevents and treats nausea/vomiting
- motion sickness
- allergies
COUNSELING TIPS: promethazine
- drowsiness
- dizziness
- avoid alcohol due to enhanced drowsiness
- sun sensitivity
BRAND NAME: ondansetron
Zofran
COMMON STRENGTHS: ondansetron
4mg, 8mg
COMMON FREQUENCY: ondansetron
q8h prn
INDICATIONS/USE: ondansetron
- prevents nausea/vomiting
- non-FDA approved for treatment for vomiting
COUNSELING TIPS: ondansetron
- fatigue
- headache
- constipation or diarrhea
BRAND NAME: omeprazole (OTC)
Prilosec
COMMON STRENGTHS: omeprazole (OTC)
10mg, 20mg, 40mg
COMMON FREQUENCY: omeprazole (OTC)
QD
INDICATIONS/USE: omeprazole (OTC)
- acid reflux/indigestion
- prevention and treatment of ulcers
COUNSELING TIPS: omeprazole (OTC)
- works in 1 day, up to 4 days for full effect
- food delays absorption so take >1 hour before food
- separate from antacids by 2 hours
BRAND NAME: famotidine (OTC)
Pepcid AC
COMMON STRENGTHS: famotidine (OTC)
10mg, 20mg, 40mg
COMMON FREQUENCY: famotidine (OTC)
BID
INDICATIONS/USE: famotidine (OTC)
- acid reflux/indigestion
- prevention and treatment of ulcers
COUNSELING TIPS: famotidine (OTC)
- works in 1 hours, up to 1 day for full effect
- can be taken with antacids
BRAND NAME: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
Maalox
COMMON STRENGTHS: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
200mg/200mg/20mg per 5ml
COMMON FREQUENCY: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
2-4 tsp PO QID PRN
INDICATIONS/USE: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
- magnesium hydroxide, aluminum hydroxide: acid reflux/indigestion
- simethicone: relief of gas pressure/bloating
COUNSELING TIPS: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
- shake well
- works within mins
- many drug-drug interactions
- constipation from aluminum
- diarrhea from magnesium and simethicone
BRAND NAME: calcium carbonate (OTC)
Tums
COMMON STRENGTHS: calcium carbonate (OTC)
500mg, 750mg
COMMON FREQUENCY: calcium carbonate (OTC)
- chew 2-4 tabs prn
- max: 7500mg/day if used for indigestion
- max: 2500mg/day as supplement
INDICATIONS/USE: calcium carbonate (OTC)
- calcium supplement
- acute acid reflux/indigestion
COUNSELING TIPS: calcium carbonate (OTC)
- constipation
- chew before swallowing
- do not use >2 weeks for indigestion
BRAND NAME: docusate sodium (OTC)
Colace
COMMON STRENGTHS: docusate sodium (OTC)
50mg, 100mg, 250mg
COMMON FREQUENCY: docusate sodium (OTC)
QD
INDICATIONS/USE: docusate sodium (OTC)
stool softener to relieve constipation
COUNSELING TIPS: docusate sodium (OTC)
- works in 1-3 days
- take with water
- diarrhea, cramps
BRAND NAME: polyethylene glycol (PEG) (OTC)
GoLYTELY, MiraLAX
COMMON STRENGTHS: polyethylene glycol (PEG) (OTC)
17g
COMMON FREQUENCY: polyethylene glycol (PEG) (OTC)
- MiraLAX (laxative): 17g (1 capful) dissolved in 8 oz of liquid PO once daily prn
- GoLYTELY (colonoscopy prep): mix with water to make 1 gallon, drink 8 oz every 10 mins
INDICATIONS/USE: polyethylene glycol (PEG) (OTC)
- osmotic laxative to relieve constipation
- bowel evacuant for colonoscopy prep (non-FDA approved)
COUNSELING TIPS: polyethylene glycol (PEG) (OTC)
- laxative works in 1-3 days
- do not take laxative longer than 1 week w/o MD approval
- colon prep works in 1 hr
- diarrhea, cramps, bloating
BRAND NAME: bisacodyl (OTC)
Dulcolax
COMMON STRENGTHS: bisacodyl (OTC)
5mg, 10mg
COMMON FREQUENCY: bisacodyl (OTC)
- laxative: 5-15mg PO daily, 10mg rectally daily
- colonoscopy prep: 30mg dose (max: 30mg/day)
INDICATIONS/USE: bisacodyl (OTC)
- stimulant laxative to relieve constipation
- bowel evacuant for colonoscopy prep
COUNSELING TIPS: bisacodyl (OTC)
- oral dose works in 8 hrs
- suppository works within 15-60 ins
- do not take longer than 1 week w/o MD approval
- diarrhea, cramps
BRAND NAME: loperamide (OTC)
Imodium
COMMON STRENGTHS: loperamide (OTC)
2mg
COMMON FREQUENCY: loperamide (OTC)
- 2 tablets PO after first loose stool, then 1 tablet after each loose stool
- max: 8mg/day (OTC), 16mg/day (Rx)
INDICATIONS/USE: loperamide (OTC)
slows peristalsis to treat diarrhea
COUNSELING TIPS: loperamide (OTC)
- drowsiness
- if diarrhea not improved in 2 days, call MD due to dehydration risk