GI Flashcards
common ending of H2 blockers
-dine
cimetidine/ranitidine/famotidine/nizatidine MOA
H2 receptor blockers - reduce H2 secretion by parietal cells
cimitidine side effects (3)
1) cyp 450 inhibitor
2) anti-androgen effects (prolactin release, gynecomastia, impotence, decreased libido)
3) can cross bbb and placenta
orlistat clinical use
weight loss
orlistat MOA
inhibits gastric/pancreatic lipase –> decreases breakdown and absorption of dietary fats
orlistat side effects
steatorrhea, decreased absoprtion of fat soluble vitamins
metaclopramide use
diabetic and post surgery gastroparesis, antiemetic
Metoclopromide MOA
D2 receptor antagonist. Increases resting tone contractility, LES tone, motility but does not affect transport time
Metoclopramide side effects
increased parkinsonian effects (Tardive dyskinesia). Restlessness, drowsiness, fatigue, depression, diarrhea
Metoclopramide has drug interactions with what drugs
diabetic agents and digoxin
metoclopramide is contraindicated in what patients
patients with small bowel obstruction or parkinson disease (due to d1 receptor blockade)
ondansetron MOA
5ht3 antagonist- decreases vagal stimulation
ondansetron use
controls post-op vomiting, post-chemo vomiting, can help with travelers diarrhea/n/v
ondansetron side effects
headache, constipation, qt interval prolonging
sulfasalazine is a combination of what two things
sulfapyridine (antibacterial) and 5-aminosalicylic acid (anti-inflammatory)