GI/GU Flashcards
Active ingredients in Gaviscon
Sodium Alginate
Bicarbonate (sodium or potassium)
Calcium carbonate
Dose of cyclizine
PO 25-100mg upto 3/day
IV 25-50mg upto 3/day
Mechanism of action of lactulose
Osmotic laxative (disaccharide of fructose and galactose)
Mechanism of action of Metoclopramide
Dopamine D2 receptor antagonist (also 5-HT3 receptor antagonist and 5-HT4 receptor agonist )
Dose of Metoclopramide
10-15mg upto 4 times/day
What is Movicol?
Polyethylene glycol- iso-osmotic laxative. Also electrolytes
Dose of omeprazole
20-40mg daily. Upto 80mg in Zollinger-Ellison syndrome
Ondansetron (5HT3 receptor antagonist) uses
Prevent nausea and vomiting caused by chemo/radiation therapy and surgery
Use of prochlorperazine (D2 antagonist)
Antiemetic (nausea&vertigo), typical antipsychotic, migraines
Uses of ranitidine (H2 antagonist)
Peptic ulcer, GERD, hives, prevent aspiration pneumonia in surgery
What is senna?
Stimulant laxative
Key drug interactions of PPIs
Reduced absorption of antifungals
Increase plasma concentration of cilostazol (used for intermittent claudication)
Dose of ranitidine
Ulcer/reflux: 150mg BD or 300mg nocte
NSAID prophylaxis: 300mg BD
IM: 50mg/6-8h
IV: 50mg in 20mL/6-8h
Dose of domperidone
10mg up to TDS
Dose of hyoscine
Motion sickness: PO 150-300 micrograms/6h, max 900mg
Hypersalivation: 300 micrograms TDS