Agents for Constipation Flashcards
What are 4 classes of drugs to treat Constipation?
- Peripheral Opioid Antagonists
- Guanylate Cyclase-C Agonists
- Cl- 2 Channel Activator
- Serotonin 4 Partial Agonists
What are 4 classes of drugs to treat Constipation?
- Peripheral Opioid Antagonists
- Guanylate Cyclase-C Agonists
- Cl- 2 Channel Activator
- Serotonin 4 Partial Agonists
What are the Peripheral Opioid Antagonist Agents?
Methylnaltrexone
Naloxegol
Alvimopan
What are the Peripheral Opioid Antagonist Agents?
Methylnaltrexone
Naloxegol
Alvimopan
MOA for the Peripheral Opioid Antagonist Agents?
Peripherally acting mu receptor antagonists
What receptor do the Peripheral Opioid Antagonist Agents block?
mu
Peripheral Opioid Antagonists are indicated for?
Opioid Induced Constipation
What is Alvimopan only used to treat?
Prevent post-op Ileus
What Peripheral Opioid Antagonist is used to prevent post-op Ileus?
Alvimopan
Those on Alvimopan are at risk for?
MI
What is the Guanylate Cyclase-C Agonist?
Linaclotide
What is the Guanylate Cyclase-C Agonist?
Linaclotide
What is Linaclotide indicated for?
IBS-C and Chronic Idiopathic Constipation
irritable bowel syndrome - constipation subtype
What drug/class is indicated only for IBS-C and Chronic Idiopathic constipation?
Linaclotide/Guanylate Cyclase-C Agonist
What is the Chloride 2 Channel Activator?
Lubiprostone
What is the Chloride 2 Channel Activator?
Lubiprostone
What drug to treat Constipation is a Prostaglandin E1 Derivative?
Lubiprostone
cl- 2 channel activator
MOA for Lubiprostone?
Activates Cl- 2 channels to increase fluid secretion
Lubiprostone can be used to treat?
Most of the constipation types
What is the Serotonin type 4 Partial Agonist?
Tegaserod
What is the Serotonin type 4 Partial Agonist?
Tegaserod
What is Tegaserod indicated for?
IBS-C for women > 65
What is Tegaserod indicated for?
IBS-C for women > 65
MOA for Tegaserod?
Partial agonist for serotonin type 4 receptors
Most of the drugs used to treat constipation are going to do what?
Increase fluid secretion and peristalsis
This drug can prevent post-op ileus
Alvimopan
This drug can treat IBS-C in women older than 65
Tegaserod
This drug is a derivative of prostaglandin E1 and activates chloride 2 channels
Lubiprostone
This drug is indicated to treat opioid-induced, IBS-C and Chronic idiopathic constipation?
Lubiprostone
This drug is indicated to treat IBS-C and Chronic idiopathic constipation?
Linaclotide