GI drugs - Pro kinetics Flashcards
What are the Prokinetic agents
- Neostigmine
- Bethanechol
- Metoclopromide
- Cisapride
- Erythromycin
What stimulates Ach secretion
Cisapride
What accelerates gastric emptying and intestinal motility
Metoclopromide
What are the cholinomimetic agents
- Neostigmine
- Bethanechol
What is the macrolide
Erythromycin
What does Cisapride act through
5-HT4
What does Erythromycin act through
Motilin
What does Metoclopromide act through
- 5-HT3, D2 blocker
- 5-HT4 = prokinetic
When do you give Neostigmine
Pseudoobstruction in hospitalized pts
When do you give Bethanechol
Gastroparesis
When do you give Metoclopromide
- Gastroparesis
- Emesis in chemo
When do you give Cisapride
- GERD
- Constipation
- Gastroparesis
What do you give for gastric emptying before endoscopy
Erythromycin
What do you give for gastroparesis
- Bethanechol
- Metoclopramide
- Cisapride
How is Erythromycin administered
IV
What can cause extrapyramidal Sx
Metoclopromide
What can cause arrythmia and so is avoided in pts with prolongued QT
Cisapride
What do you not give in gastroparesis for fear of tolerance
Erythromycin
What are the Metoclopramide AE
- Sedation
- Diarrhea
- Galactorrhea
- EPS