GI Drugs Flashcards
MOA of Antacids
Neutralize stomach acid by reacting with protons in the lumen of the gut
Magnesium hydroxide causes _____ while Aluminum hydroxide causes _______
Magnesium = MAGtatae = Diarrhea Aluminum = Ayaw LUMabas = Constipation
Cimetidine has modest effect on meal-stimulated secretion but highly effective in _____ acid secretion
Nocturnal
Name 3 mucosal protective agents
Sucralfate, Misoprostol, Bismuth
Quadruple therapy in H. pylori infection
Omeprazole, Bismuth, Metronidazole, Tetracycline
SE of Bismuth
Black stools, darkening of tongue, Encephalopathy
Prokinetic antimicrobial
What is the MOA?
Erythromycin
Activates motilin receptors
MOA of Metoclopramide and Domperidone
blocks D2 receptors
Drug of Choice for Diabetic Gastroparesis
Metoclopramide
Why is domperidone preferred over metoclopramide?
Domperidone does not cross the BBB
Triple therapy in H. pylori infection
Omeprazole. Ranitidine, Amox or Metronid
MOA of Psyllium
Indigestible bulky colloids that absorb water forming a bulky emollient gel that distends colon and promotes peristalsis
MOA of Docusate
stool-softening
MOA of lactulose
osmotic laxative
MOA of bisacodyl
Directly stimulate enteric nervous system