IBS Treatment Mechanisms of Action Flashcards
Loperamide
Opiate
Linaclotide
Binds Guanylate cyclase receptor, activating CFTR, increasing fluid secretion
Lubiprostone
Activates Type 2 chloride channel, increasing motility
Bulk forming laxatives
yep
Amitryptyline
Anticholinergic properties reduce stool frequenchy and liquidity
Prevent painful sensation
Desipramine
Anticholinergic properties reduce stool frequency and liquidity
Prevent painful sensation
SSRI’s
Decrease reuptake of 5HT, increase afferent activity and increase peristalsis
Alosetron
Prevent 5HT3 afferent pain sensation via extrinsic sensory neurons, reducing bloating, nausea and pain
Inhibits colonic motility
Tegaserod
5HT4 agonist, which stimulates proximal bowel contraction and distal bowel relaxation