Antacids, PPIs and H2 Receptor Antagonists Flashcards

1
Q

Which metal antacid causes a laxative effect

A

Magnesium

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2
Q

Which metal antacid causes constipation

A

Aluminum

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3
Q

Which metal antacid induces rebound acid secretion

A

Calcium

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4
Q

What does Simeticone (anti-foaming agent) do

A

relieve flatulence

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5
Q

What is the mechanism of action of Antacids

A

forms viscous raft on top of stomach contents

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6
Q

Why should you not take enteric coated capsules when taking Antacids

A

because antacids increase stomach pH
—-> breaking down enteric coating too quick

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7
Q

What is the interaction between Lithium + Antacids causes

A

Hypernatraemia

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8
Q

Which condition, when taking antacids, causes hypernatreamia

A

Hypertension

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9
Q

What medication taken with antacids causes Hypernatraemia

A

Lithium

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10
Q

What happens when Antacids are taken in hypertension

A

Hypernatraemia

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11
Q

Which drugs should you not take with Antacids and why

A
  • Bisphosphonates
  • Tetracyclines
  • Ciprofloxacin

because antacids reduce absorption

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12
Q

What is the MHRA warning for PPI

A

risk of subacute cutaneous lupus erythromatosus

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13
Q

what is subacute cutaneous lupus erythromatosus

A

autoimmune disease where body attacks heathy cells

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14
Q

What do PPIs increase the risk of

A
  • Fractures
  • C.Diff
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15
Q

Why do PPIs increase the risk of fractures

A

due to hypomagnaesia

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16
Q

What symptoms can omeprazole mask

A

Gastric cancer

17
Q

What are PPI interactions

A
  • Clopidogrel
  • CYP450 substrates
18
Q

Examples of CYP450 substrates

A
  • Methotrexate
  • Digoxin
  • Phenytoin
  • Warfarin
19
Q

Examples of H2 Receptor Antagonists

A
  • Ranitadine
  • Cimetidine
  • Famotidine
20
Q

What symptoms can H2 Receptor Antagonists mask

A

Gastric cancer

21
Q

Side effects of H2 Receptor Antagonists

A
  • Diarrhoea
  • Headache
  • Dizziness
  • Rash
  • Tiredness
22
Q

Interactions of H2 Receptor Antagonists

A
  • reduces the absorption of anti fungals
  • Cimetidine is a CYP450 inhibitor