GORD

Question 1

Treatment for GORD

Answer 1

Alginates

Antacids

H2 receptor antagonists (cimetidine, ranitidine, famotidine)

PPIs (omeprazole, pantoprazole, esomeprazole etc)

Question 2

What is GORD

Answer 2

Heartburn

Acid regurgitation

Question 3

Treatment for GORD in pregnancy

Answer 3

Antacids

Alginates

Omeprazole if severe

Ranitidine - discontinued - related to cancer

Question 4

Treating GORD in children

Answer 4

Thickener in feed

Change volume of feed

Question 5

What is inside antacids that makes it not suitable for some patients

Answer 5

Sodium - not good in BP or salt restricted diets

Question 6

What does aluminium and magnesium do

Answer 6

Aluminium - constipating

Magnesium - Diarrhoea

Question 7

When is sodium bicarb not appropriate

Answer 7

Salt restricted diets

Lithium pts (decreases lithium conc)

BP patients

Question 8

Can antacids interfere with other drugs

Answer 8

Yes, do not take with other drugs

E.g TCAs - take TCA after 2 hours

Question 9

What can long term calcium antacid cause

Answer 9

Hypercalcemia and alkalosis

Question 10

What do antacids contain

Answer 10

SCAM

Sodium
Calcium
Aluminium
Magnesium

Question 11

What 2 contain low sodium

Answer 11

Co-magaldrox

Co simalcite

Magnesium-somethings and Gaviscon - all high salt content. Gaviscon advance twice as much salt as gaviscon normal