Gaviscon Flashcards

1
Q

what is it and what mechanisms does it use?

A

contains both an antacid and an alginate
works to neutralise stomach acid
alginates form a raft on top of gastric content, as well as increasing the viscosity of stomach content to prevent muscosal damage

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2
Q

what is often added and for what purpose?

A

simeticone for reduce flactulence

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3
Q

what cells can it impact on also?

A

reduce pepsin production

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4
Q

contraindications?

A

safe well tolerated, can be used in pregnancy
paed formulas available
avoid with milk-can cause abdo discomfort, bloating

sucrose- can worsen diabetics
sodium and potassium containing preprations in patients with fluid overload, hyperkalaemia and renal failure

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5
Q

drug interactions

A

divalent cations may interact with other drugs reducing their serum conc. so should be given at diff times
these drugs include :

digoxin
PPI
tetracycllines
bisphosphates 
acei
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6
Q

side effects

A

mag salts- diarrhoea
aluminium salts - constipation

hypercalcuria –> osteoporosis risk

flatulence

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7
Q

what is it used for?

A

gord

dyspepsia

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8
Q

patient info

A

temporary measure- lifestyle changes needed
leave 2 hr gap between this and other meds
allow 3 hours between last meal and bed
liquid prep more effective than tablets

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9
Q

name another

A

pepto bismol

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10
Q

who should aluminium and mag containing solutions be avoided in

A

obstruction

renal disease

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11
Q

what memnoic to remember drug interactions

A

TP ABCD

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12
Q

antacids can increase excretion of what in urine

A

aspirin and lithium

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13
Q

why?

A

increases alakinity of urine

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