Gastro part 1 Flashcards
What is a strict contraindication to using any laxative
bowel obstruction
What does a laxative do
Allows for increased movement of stool through the bowels
What drug class is metamucil
fiber laxative
What is the MOA of metamucil
Adds bulk to stool and well as absorbing fluid into the feces to soften the stool
Which form of metamucil contains gluten
The wafers (which of course are tastier than the drink powder)
What drug class is Docusate (colace)
stool softener
What is the MOA of docusate
anionic surfactant
What drug type cause constipation
narcotics of all types. The mau receptor sites that they act on are responsible for peristalsis
What drug class is milk of magnesia
osmotic laxative, antacid
what drug class is Bisacodyl/ Dulcolax
stimulant laxative
what drug class is loperamide (imodium)
antidiarrheal (analog of meperidine)
What is the MOA of loperamide (imodium)
Diminished peristalsis due to activation of opiate receptors in GI tract. Loperamide is an opioid receptor agonist and acts on the μ-opioid receptors in the myenteric plexus within the large intestines. It does not affect the central nervous system like other opioids
What are the indications of loperamide (imodium)
acute diarrhea and management of chronic bowel disease
What drug class is diphenoxylate with atropine (lomotil)
antidiarrheal
What is the MOA of lomotil
Combination of morphine analog and acetylcholine inhibitor results in diminished peristalsis
What drug class is meclizine (anti vert)
antiemetic