#7 Gastrointestinal Medications Flashcards
Phenergan dosage
1 25mg tablet or rectal suppository every 4-6 hrs as needed
Phenergan generic
promethazine (Rx)
Phenergan indications
Prevents and teats nausea/vomiting
Motion sickness
(Pick correct dosage form for symptoms)
Phenergan counseling tips
Drowsiness
Dizziness
Avoid alcohol due to enhanced drowsiness
Sun sensitivity
Zofran/Zofran ODT generic
ondansetron (Rx)
Zofran dosage
1 8mg tablet or ODT prior to need, then every 8 hrs as needed
Zofran indications
Prevents nausea/vomiting
Non-FDA approved for treatment of vomiting
Zofran counseling tips
Fatigue
Headache
Constipation or diarrhea
Prilosec/Prilosec OTC generic
omeprazole (Rx and OTC)
Prilosec dosage
1 20 mg DR capsule (Rx) or (DR) tablet (OTC) daily
Prilosec indications
Acid reflux/indigestion
Prevention and treatment of ulcers
Prilosec counseling tips
Works in 1 day, up to 4 days for full effect
Food delays absorption - take 1 hr before food
Separate from antacids by 2 hrs
Pepcid/Pepcid AC generic
famotidine (Rx and OTC)
Pepcid dosage
1 20mg tablet twice daily
Pepcid indications
Acid reflux/indigestion
Prevention and treatment of ulcers
Pepcid counseling tips
Works in 1 day
Can be taken with antacids
Maalox Advanced generic
magnesium hydroxide, aluminum hydroxide, simethicone (OTC)
Maalox Advanced dosage
2-4 tsp of (200mg/200mg/20mg per 5 ml) suspension 4 times a day as needed
Maalox Advanced indications
AlOH, MgOH: Acute acid reflux/indigestion
Simethicone: Relief of gas pressure/bloating
Maalox Advanced counseling tips
Shake well Works within minutes Many drug-drug interactions Constipation (aluminum) Diarrhea (magnesium and simethicone)
Tums generic
calcium carbonate (OTC)
Tums dosage
Chew 2-4 (500 or 750mg) tablets as needed
MAX for indigestion: 7500mg/day
MAX for supplement: 2500mg/day
Tums indications
Calcium supplement
Acute acid reflux/indigestion (non-FDA)
Tums counseling tips
Constipation
Chew before swallowing
Colace generic
docusate sodium (OTC)
Colace dosage
1-2 (100mg) capsules daily in divided doses
Colace indications
Stool softener to relieve constipation (draws water into the stool)
Colace counseling tips
Works 1-3 days
Interfere with absorption of some medications so separate by 2 hrs
Take with a full glass of water
Diarrhea and cramps
MiraLAX generic
polyethylene glycol (PEG) (Rx and OTC) MiraLAX is OTC
MiraLAX dosage
1 capful (17g per capful of powder for suspension) dissolved in 8 oz. of liquid daily Colonoscopy prep: Up to 1 gallon
MiraLAX indications
Stool softener and osmotic laxative to relive constipation
Bowel evacuant for colonoscopy prep (non-FDA)
MiraLAX counseling tips
Works in 1-3 days
Do not take longer than 2 weeks without physician supervision
Diarrhea, cramps
Dulcolax generic
bisacodyl (OTC)
Dulcolax dosage
5,10mg tablet or rectal suppository
Laxative: 5-15mg orally daily
Colonoscopy prep: 30mg dose
MAX: 30mg/day
Dulcolax indications
Stimulant laxative to relieve constipation
Bowel evacuant for colonoscopy prep
Dulcolax counseling tips
Oral dose works within 8 hrs
Suppository works within 15-60 minutes
Do not take longer than 1 week without physician supervision
Diarrhea, cramps
Imodium/Imodium AD generic
loperamide (Rx and OTC)
AD is OTC
Imodium dosage
2 2mg (capsules for Rx, tablets for OTC) after first loose stool, then 1 after each loose stool
MAX OTC: 8mg/day
MAX Rx: 16mg/day
Imodium indications
Slows peristalsis to treat diarrhea
Imodium counseling tips
Drowsiness
If diarrhea not improved in 2 days, call MD due to dehydration risk