Anti acids drugs Flashcards
Cimetidine
H2 receptor antagonist
-reduce cAMP levels inhibiting proton pumps
-inhibits histamine and Gastrin
—
-Lower stomach pH
-heal gastric and duodenal ulcers
—
-thrombocytopenia
-gynaecomastia, galactorrhea
-decreased sex drive in men
Ranitidine
H2 receptor antagonist
-reduce cAMP levels inhibiting proton pumps
-inhibits histamine and Gastrin
—
-Lower stomach pH
-heal gastric and duodenal ulcers
—
-thrombocytopenia
-gynaecomastia, galactorrhea
Nizatidine
H2 receptor antagonist
-reduce cAMP levels inhibiting proton pumps
-inhibits histamine and Gastrin
—
-Lower stomach pH
-heal gastric and duodenal ulcers
—
-thrombocytopenia
-gynaecomastia, galactorrhea
Famotidine
H2 receptor antagonist
-reduce cAMP levels inhibiting proton pumps
-inhibits histamine and Gastrin
—
-Lower stomach pH
-heal gastric and duodenal ulcers
—
-thrombocytopenia
-gynaecomastia, galactorrhea
Omeprazole
PPI
-irreversibly bind PP reducing H+ in lumen
-take 30-60min before meal
-2-3 day effect
—
-Ulcers
-GERD
—
-Hypergastrinemia (covers decreased pH in stomach due to cancer growth)
esomeprazole
PPI
-irreversibly bind PP reducing H+ in lumen
-take 30-60min before meal
-2-3 day effect
—
-Ulcers
-GERD
—
-Hypergastrinemia (covers decreased pH in stomach due to cancer growth)
Lansoprazole
PPI
-irreversibly bind PP reducing H+ in lumen
-take 30-60min before meal
-2-3 day effect
—
-Ulcers
-GERD
—
-Hypergastrinemia (covers decreased pH in stomach due to cancer growth)
Pantoprazole
PPI
-irreversibly bind PP reducing H+ in lumen
-take 30-60min before meal
-2-3 day effect
—
-Ulcers
-GERD
—
-Hypergastrinemia (covers decreased pH in stomach due to cancer growth)
Rabeprazole
PPI
-irreversibly bind PP reducing H+ in lumen
-take 30-60min before meal
-2-3 day effect
—
-Ulcers
-GERD
—
-Hypergastrinemia (covers decreased pH in stomach due to cancer growth)
Misoprostol
Analogue of Prostaglandin E1
EP1/2/3/4 agonist
-inhibits ECL cells to reduce secretion
-repairs mucus barrier
—
-Ulcers
-Low stomach pH
—
-Uterine contractions (avoid during pregnancy)
Magnesium hydroxide
Antacids
-salts that react with H+ to neutralize stomach
—
-ulcers
-GERD
—
-Belching
-bloating
-diarrhea
Aluminum hydroxide
Antacids
-salts that react with H+ to neutralize stomach
—
-ulcers
-GERD
—
-Belching
-bloating
-constipation
Simeticone
Anti foaming agent used for antacids
-prevents bloating and flatulence from carbonate antacids
Bismuth Chelate
-Forms protective barrier over ulcers
-increases prostaglandins, mucus and bicarbonate
-inhibits bacterial proteolytic enzymes
—
-Ulcers
-GERD
—
-Black tongue and faces
-tinnitus
-Reye’s syndrome if renal function is impaired
Sucralfate
Aluminum hydroxide and sulfated sucrose to form antacid gel in stomach
-forms positively charged layer for ulcer
-inhibits pepsin
-prostaglandin stimulation
—
Ulcers
—
-constipation
-don’t mix with PPI or antacid