List #7- Gastrointestinal Medications Flashcards
promethazine (brand)
phenergan
promethazine (strengths)
12.5mg
25mg
50mg
promethazine (frequency)
Q4-6H prn
promethazine (use)
- prevents and treats nausea/vomitting
- motion sickness
- allergies
promethazine (counseling)
- drowsiness
- dizziness
- avoid alcohol due to enhanced drowsiness
- sun sensitivity
ondansetron (brand)
zofran
ondansetron (strength)
4mg
8mg
ondansetron (frequency)
q8h prn
ondansetron (use)
- prevents nausea
- non-FDA approved for vomiting
ondansetron (counseling)
- fatigue
- headache
- constipation or diarrhea
omeprazole (otc) (brand)
prilosec
omeprazole (otc) (strength)
10mg
20mg
40mg
omeprazole (otc) (frequency)
daily
omeprazole (otc) (use)
- acid reflux/ indigestion
- prevention and treatment of ulcers
omeprazole (otc) (counseling)
- works in 1 day; up to 4 days for full effect
- food delays absorption; take > 1 hour before food
- separate from antacids by 2 hours
famotidine (otc) (brand)
pepcid ac
famotidine (otc) (strength)
10mg
20mg
40mg
famotidine (otc) (frequency)
bid
famotidine (otc) (use)
- acid reflux/indigestion
- prevention and treatment of ulcers
famotidine (otc) (counseling)
- works in 1 hour; up to 1 day for full effect
- can be taken with antacids
magnesium hydroxide, aluminum hydroxide, simethicone (otc) (brand)
maalox
magnesium hydroxide, aluminum hydroxide, simethicone (otc) (strength)
200mg/200mg/20mg/5mL
magnesium hydroxide, aluminum hydroxide, simethicone (otc) (frequency)
2-4tsp PO QID PRN
magnesium hydroxide, aluminum hydroxide, simethicone (otc) (use)
magnesium hydroxide, aluminum hydroxide: acid reflux/indigestion
simethicone: relief of gas pressure/bloating
magnesium hydroxide, aluminum hydroxide, simethicone (otc) (counseling)
- shake well
- works within minutes
- many drug-drug interactions
- constipation from aluminum
- diarrhea from magnesium and simethicone
calcium carbonate (otc) (brand)
tums
calcium carbonate (otc) (strength)
500mg, 750mg
calcium carbonate (otc) (frequency)
chew 2-4 tabs prn
max: 7500mg/day if for indigestion
max: 2500mg/day as supplement
calcium carbonate (otc) (use)
- calcium supplement
- acute acid reflux/ indigestion
calcium carbonate (otc) (counseling)
- constipation
- chew before swallowing
- do not use >2 weeks for indigestion
docusate sodium (otc) (brand)
Colace
docusate sodium (otc) (strength)
50mg
100mg
250mg
docusate sodium (otc) (frequency)
daily
docusate sodium (otc) (use)
- stool softener to relieve constipation
docusate sodium (otc) (counseling)
- works in 1-3 days
- take with water
- diarrhea, cramps
polyethylene glycol (PEG) (otc) (brand)
GoLYTELY,
MiraLAX
polyethylene glycol (PEG) (otc) (strength)
17g
polyethylene glycol (PEG) (otc) (frequency)
Miralax (laxative):
- 17g dissolved in 8oz of liquid PO 1qd prn
GoLYTELY (colonoscopy):
- mix with water to make 1 gallon
- drink 8oz every 10 minutes
polyethylene glycol (PEG) (otc) (use)
- osmotic laxative to relieve constipation
- bowel evacuant for colonoscopy prep (non-FDA)
polyethylene glycol (PEG) (otc) (counseling)
- laxative works in 1-3 days
- do not take >1 week w/o doctor approval
- colon prep works in 1 hour
- diarrhea, cramps, bloating
bisacodyl (otc) (brand)
dulcolax
bisacodyl (otc) (strength)
5mg
10mg
bisacodyl (otc) (frequency)
laxative:
- 5-15mg po daily
- 10mg rectally daily
colonoscopy prep:
- 30mg dose (max 30/day)
bisacodyl (otc) (use)
- stimulant laxative to relieve constipation
- bowel evacuant for colonoscopy prep
bisacodyl (otc) (counseling)
- oral dose works in 8 hrs
- suppository works within 15-60 minutes
- do not take >1 week without MD approval
- diarrhea, cramps
loperamide (otc) (brand)
imodium
loperamide (otc) (strength)
2mg
loperamide (otc) (frequency)
- 2 tablets po after 1st loose stool, then 1 tablet after each loose stool
- max: 8mg/day OTC
- max: 16mg/day Rx
loperamide (otc) (use)
slow peristalsis to treat diahhrea
loperamide (otc) (counseling)
- drowsiness
- call md due to dehydration risk if not improved in 2 days