Final Exam - IBS Flashcards
4 different types of IBS
IBS-U (undefined)
IBS-M (mixed)
IBS-C (constipation predominant)
IBS-D (diarrhea predominant)
last line of therapy for IBS-C
SSRIs
SSRIs MOA for IBS-C
reduce visceral sensitivity
tegaserod MOA
5-HT4 agonist (stimulates peristalsis and GI secretions)
first step for IBS-D
dietary modifications
2nd step for IBS-D
add loperamide or anti-spasmodic agent (dicyclomine)
eluxadoline brand name
viberzi
(opioid receptor antagonist)
antidepressants (TCA) are most beneficial in patients with ?
IBS-D
max daily dose for Lomotil
20 mg
true or false: alosetron (Lotronex) is a 5-HT4 receptor antagonist
false (it is a 5-HT3 receptor antagonist)
rifaximin MOA for IBS-D
poorly absorbed non-systemic broad-spectrum antibiotic that targets the gut