GI drugs II Flashcards

1
Q

MOA of the “Setron”s such as Ondansetron (Zofran)

A
  • 5HT3 antagonists
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2
Q

Use of Ondansetron (Zofran)

A
  • nausea and vomiting induced by chemotherapy, radiation, gastric diseases
    • NOT for motion sickness
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3
Q

MOA of Prochlorperazine

A
  • block DA, muscarinic, and histamine receptors
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4
Q

MOA of Promethazine

A
  • block DA, muscarinic, and histamine receptors
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5
Q

use for Promethazine and Prochlorperazine

A
  • highly sedating, post-op antinausea
  • will work for motion sickness, not DOC
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6
Q

MOA and use of of Dronabinol

A
  • cannabinoid
  • used for chemo-induced N/V
  • stimulates appetite
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7
Q

List the 5 types of laxatives

A
  1. bulk-forming: mild
  2. osmotic: intense
  3. mucosal agents: irritant
  4. lubricating agents
  5. stool softeners
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8
Q

Explain the bulk forming laxative

A
  • high fiber
  • take with plenty of water
  • bloating and flatulence common
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9
Q

List the bulk forming laxatives

A
  • Psyllium (Metamucil®)
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10
Q

List the types of osmotic laxatives

A
  • Magnesium hydroxide
  • Sodium salts: oral or enema
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11
Q

MOA of Polyethylene glycol

A
  • laxative
  • insoluble, holds water in intestine
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12
Q

Use of Polyethylene glycol

A
  • prep for colonoscopy: large volume consumed
  • Miralax: OTC for occasional constipation, use for up to 7 days
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13
Q

MOA and Use of Lactulose

A
  • used in cirrhosis and liver disease to decrease blood ammonia levels
  • anion trap of NH3 when it enters the GI lumen and converts it to NH4 (becomes trapped)
  • causes diarrhea
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14
Q

MOA of mucosal agents

A
  • stimulate peristalsis
  • enhance secretion/inhibit absorption H20
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15
Q

List the mild mucosal agent

A

Senna (Senokot®)

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16
Q

MOA of Docusate sodium

A
  • lubricant
  • emulsifies, softens feces
17
Q

MOA of Lubiprostone (Amitiza®)

A
  • prostaglandin E1 analogue
  • increases fluid secretion -> softens stool
    • no laxative dependence : can use long term
18
Q

contraindications to using laxatives

A
  • N/V
  • abd cramps
  • undiagnosed abd pain
  • appendicitis
  • intestinal obstruction
19
Q

MOA of Loperamide

A
  • opioid used for diarrhea
  • doe not enter CNS, low abuse
20
Q

MOA of Diphenoxylate/atropine

A
  • opioid with atropine used for diarrhea
    • reduces abuse potential, increases effectiveness
    • atropine decreases GI spasms
  • anticholinergic side effects
21
Q

contraindications to use opioids for diarrhea

A
  • infections
    • dec expulsion of pathogen
  • ulcerative colitis
    • toxic megacolon
  • recovering drug addicts
    • some abuse potential with diphenoxylate
22
Q

MOA of bismuth subsalicylate (pepto bismol)

A
  • absorbs water and pathogens
  • used for traveller’s diarrhea
  • side effects: black tongue
23
Q

MOA of Simethicone (Gas-X)

A
  • coats gas, dissipates
  • decreases bloating, flatulence