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Pharm 154 > IBS > Flashcards

IBS Flashcards

1
Q

What do sufferers of IBS tend to over-react with?

A

Fructose, gluten

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2
Q

What are the symptoms of IBS?

A

Pain/Spasms
Bloating
urgency
Constipation and diarrhea
Mucous in stool

> 6 months

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3
Q

What is the most common symptom of IBS?

A

Abdominal pain, less severe after a bowel movement

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4
Q

What is the three types IBS?

A

IBSC
IBSD
IBS Mixed

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5
Q

How often do people with IBS avoid certain foods?

A

all the time

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6
Q

What are the BMs of IBS-D on bristol stool chart?

A

6-7

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7
Q

What are the BMs of IBS-C on bristol stool chart

A

1-2

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8
Q

What is Ovol?

A

This is an anti-flatulent agent, will not work for IBS

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9
Q

What will fiber do?

A

Helps with BM habits

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10
Q

What are dietary ways of managing IBS?

A

Fiber
Reducing fatty foods
Avoid offending foods

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11
Q

Most fermentable fibers are?

A

soluble

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12
Q

What often co-exists with IBS?

A

Anxiety or depression

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13
Q

What is psyllium recommended for?

A

IBS-C

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14
Q

Does miralax help with IBS-C?

A

It improves symptoms of constipation, but it does nothing to help with the spasms associated with IBS

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15
Q

What are the smooth muscle relaxants used for?

A

IBS-D or IBS-C

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16
Q

What are the smooth muscle relaxants

A

Pinaverium
Trimebutine

17
Q

What is pinaverium

A

CC antagonists in the smooth intestine, used for both C/D

18
Q

What is trimebutine?

A

Opiate receptor agonist 5HT3 antagonist

19
Q

What is loperamide used for?

A

IBS-d

20
Q

What is loperamide?

A

Imodium

21
Q

What does loperamide do?

A

decrease diarrhea not much jelp with pain though

22
Q

What is the dosing of loperamide?

A

2-4mg up to QID

23
Q

What is psyllium used for?

A

IBS-C

24
Q

What is the dose of psyllium (Metamucil)?

A

2-4 tablespoons daily with fluids

25
Q

What is peppermint Oil for?

A

Broadly used for both IBS-C and IBS-D

26
Q

What does peppermint oil do?

A

Can help with spasms, bloating, gas

27
Q

What is IBgard?

A

Concentrated peppermint oil

28
Q

What are Antidepressants (TCAs) used for?

A

IBS-D and pain

29
Q

What are the TCAs that may help?

A

amitriptyline or desipramine at low doses

30
Q

What can SSRI be used?

A

IBS-C and depression, may help reduce pain

31
Q

What is constella?

A

Moderate to severe treatment of IBS-C

32
Q

What is lubiprostone capsules used for?

A

IBS-C
Also Opioid medications

33
Q

What is Ibrela used for?

A

IBS-C

34
Q

What is eluxadoline used for?

A

IBS-D Expensive though

35
Q

What are Bentylol and Buscopan

A

Not first line agents of IBS, due to higher S/E profile

36
Q

What is rifaximin used for?

A

IBS-D

Pharm 154 (16 decks)

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