Anti acids Facts Flashcards
Stimulants of parietal cell acid
histamine, gastrin, acetylcholine
inhibitors of parietal cell acid
Prostaglandin E2/I2
somatostatin
G cells
secrete gastrin
enterochromaffin like cells
neuroendocrine cells secrete histamine
D cell
secrete somatostatin
mucus secreting cell
create protective barrier from mucin and HCO3 (keeps surface at pH=6-7
Peptic ulcers
caused by H. pylori inducing inflammation which stimulates G cells to secrete gastrin which increases acidity and cancer risk due to ECH cell proliferation
H2 receptor
On parietal cells activates cAMP levels which stimulates more acid secretion
PPI MOA
They are weak bases that accumulate in canaliculi which bind and irreversibly inhibit proton pumps
EP2/3 receptor
on parietal cells binds to E1 or misoprostol decreasing acid secretion
EP4 receptor
simulates mucin production is stomach activated by misoprostol
EP1/2 receptor
stimulates bicarbonate production in stomach activated by misoprostol
magnesium effect
causes diarrhea
aluminum effect
constipation