Gastrointestinal System Flashcards
name the four H2 blockers
Cimetidine
Ranitidine
Famotidine
Nizatidine
H2 Blockers (Cimetidine, Ranitidine, Famotidine, NIzatidine)
MOA
Use
UDE
- reversibly block H2 receptors and decreases H+ secretion by parietal cells
-peptic ulcer, gastritis and esophageal reflux
-Cimetidine decreases libido in men and inhibits P450 and can crosse placenta and BBB
Ranitidine and Cimetidine decreases renal excretion of creatinin
name some PPU
omeprazole
lansoprazole
esomeprazole
PPI
MOA
Use
UDE
- irreversibly inhibit H+/K+ in stomach parietal cells
- peptic ulcer and gastritis
- risk of C diff infection and decrease calcium and can cause osteoporosis
UDE of the antacid aluminum hydroxide
constipation
Bismuth and Sucralfate (peptobismol)
MOA
Use
UDE
- bind to the ulcer base and provide protection (secrete HCO3)
- increase ulcer healing
misoprostol
MOA
Use
UDE
- PGE1 analogue increases secretion of gastric mucous
- prevention of NSAID damage, maintains PDA
- Diarrhea
Ocreotide
MOA
Use
UDE
Somatostatin analogue (long acting)
- acromegaly, acute viral bleeds, VIPoma and carcinoid tumors
- risk of gall stones due to the inhibition go CCK
Magnesium Hydroxide, Magnesium Citrate, Polyethylene Glycol and Lactulose
MOA
Use
UDE
OSMOTIC LAXATIVES
- provides osmotic pull
- constipaiton
lactulose treats hepatic encephalopathy
- diarrhea
Sulfasalazine
MOA
Use
UDE
combined with sulfapyridine ( antibacterial) and 5- aminosalicyclic acid
- ulcerative colitis and crohns
- sulfonamide toxicity and reversible oligospermia
Loperamide
MOA
Use
UDE
- agonist at u opioid receptors that slows gut motility
- diarrhea
- constipation
ondansetron
MOA
Use
UDE
- 5HT3 antagonist, decreases vagal stimulation (antiemetic-powerful)
- controls post op vomiting and people on chemo
- QT prolongation
Metoclopramide
MOA
Use
UDE
- D2 receptor antagonist, increases resting tone, LES tone and motility
- post surgery gastroparesis
- don’t give to people with small bowl obstruction or Parkinsons because of the D2 blockade
Orlistat
MOA
Use
UDE
- inhibits gastric and pancreatic lipase (decreases the breakdown and absorption of dietary fats)
- weight loss
- steatorrhea
Ursodiol
MOA
Use
UDE
non toxic bile acid that increases bile secretion and decreases cholesterol secretion and reabsorption
- primary biliary cirrhosis ad gallstone prevention