IBS

Question 1

Glucocorticosteroids

Answer 1

Standard Rx for acute exacerbatons of IBD

-prednisolone preferred to hydrocortisone and budenoside (SE)

(Oral or topical - rectally)

Question 2

Aminosalicilates

Answer 2

• local effect on colonic mucose - Rx for IBD
• mild to moderate ulcerative colitis and Chrohn’s colitis
• reduces relapse from 70% to 20%

Question 3

Sulfasalazine

Answer 3

Aminosalicylate

Question 4

Olsalazine

Answer 4

Aminosalicylate

Question 5

Mesalazine

Answer 5

Aminosalycilate

Question 6

Immunosuppressants in IBD

Answer 6

-only in pts who don’t respond to aminosalycilates or glucocorticosteroids

• use in Chrohn’s disease with recurrent fistulas NB
• in frequent relapses

Question 7

IBS Rx

Answer 7

Diet changes
Stress relief
Symptomatic Rx