GI Drugs Flashcards
H2 blockers
-tidines, reversible block of H2 less H+ secretion by parietal cells
proton pump inhibitors
-prazoles, *irreversibly* inhibit H+/K+ ATPase in parietal cells Rx: peptic ulcer, reflux, gastritis, ZE syndrome
bismuth, sucralfate
allows bicarb secretion to restore pH balance in mucous layer Rx: traveller’s diarrhea, increases ulcer healing
cimetidine
p450 inhibitor antiandrogenic (gynecomastia, impotence & decreased libido, prolactin release) crosses BBB (confusion, dizziness, headaches)
ranitidine, cimetidine
decreased renal excretion of creatinine
misoprostol
PGE1 analogue (increases gastric mucosa, decreased acid production)
PPIs (tox)
higher risk of pneumonia, C dificile. Chronic tox: hip fractures, decrease serum Mg2+
misoprostol
prevents nsaid-induced peptic ulcers
misoprostol
maintains PDA
misoprostol
induces labor (ripens cervix)
misoprostol
contraindicated in women of childbearing age
octreotide
somatostain analog. used for variceal bleeds, acromegaly, vipoma, carcinoid tumors
octreotide
tox: nausea, craps, steatorrhea
antacids
alters gastric and urinary pH, delays gastric emptying
antacids
causes hypokalemia
aluminum hydroxide
tox: constipation, hyPOphosphatemia, prox muscle weakness, osteodystrophy, seizures
Mg OH
diarrhea, hyporeflexia (good clue, since this ion is related to another that causes twitching aka Ca2+), hypotension, cardiac arrest
Ca CO3 (calcium carbonate)
hypercalcemia chelates and decreases effects of other drugs ie tetracycline increased rebound acid (increase in gastric acid secretion after initial buffering of antacid)
osmotic laxatives
Mg OH, Mg citrate, polyethylene glycol, lactulose
lactulose
for hepatic encephalopathy, promotes nitrogen excretion as NH4+
osmotic laxatives
for constipation. tox: diarrhea, dehydration
infliximab
TNF-a MAb for Crohn’s, UC, RA
sulfasalazine
combo of sulfapyridine (antibacterial) and 5-aminosalicyclic acid (anti-inflamm)
sulfasalazine
activated by colonic bacteria