Block 1 Drugs Flashcards
Antacid
Aluminium hydroxide + Magnesium hydroxide
Calcium carbonate + Magnesium carbonate
Antacid MoA
Gastric acid neutralisation
Antacids + Alginate
Sodium alginate with Sodium bicarbonate and Calcium carbonate
Antacids + Alginate MoA
Gastric acid neutralisation and increases viscosity of stomach contents
H2-receptor antagonist
Ranitidine
H2-receptor antagonist MoA
Blockade of gastric H2 histamine receptors
Proton-pump inhibitor
Omeprazole
Lansoprazole
Proton-pump inhibitor MoA
Blocks parietal cell proton transporters
- Irreversibly inhibits H+/K+-ATPase pump, the terminal step in the acid secretory pathway
- Decreases basal and stimulated acid secretion
- More effective than H2-receptor antagonists
- For acid secretion to resume, new pump molecules have to be synthesized so 1 dose affects acid secretion for 2-3 days
Bulk laxative
Methylcellulose
Ispaghula husk
Bulk laxative MoA
Water retention in intestinal lumen to soften & bulk stools
Osmotic laxative
Magnesium sulphate + Magnesium hydroxide (saline purgatives)
Macrogol
Lactulose
Osmotic laxative MoA
Promotes movement of fluid into GI lumen, which accelerates transit and causes colonic distension, simulating purgation
Faecal softener
Docusate
Arachis oil
Faecal softener MoA
Lower surface tension - allowing water and fat to enter stool, softening stool consistency & increasing bulk to aid transit
Stimulant purgative
Bisacodyl
Senna
Stimulant purgative MoA
Increase intestinal motility
Oral rehydration therapy
Isotonic/Hypotonic solution of glucose and sodium chloride
Oral rehydration therapy MoA
Promotes uptake of Na+ and water by intestines, restoring hydration levels following fluid loss from diarrhoea