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PUP > Med List #7: Gastrointestinal Medications > Flashcards

Med List #7: Gastrointestinal Medications Flashcards

1
Q

Antiemetics

A

promethazine; ondansetron

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2
Q

Acid Reflux

A

omeprazole; famotidine; magnesium hydroxide, aluminum hydroxide, simethicone (OTC); calcium carbonate (OTC)

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3
Q

Constipation Relievers and Laxatives

A

docusate sodium (OTC); polyethylene glycol (PEG) (OTC); bisacodyl (OTC)

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4
Q

Anti-Diarrheal

A

loperamide (OTC)

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5
Q

promethazine: Brand Name

A

Phenergan

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6
Q

promethazine: Common Strengths

A

12.5mg, 25mg, 50mg

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7
Q

promethazine: Common Frequency

A

q4-6h prn

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8
Q

promethazine: Indications/Use

A
  • Prevents and treats nausea/vomiting
  • Motion sickness
  • Allergies
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9
Q

promethazine: Counseling Tips and Important Info

A
  • Drowsiness/dizziness
  • Avoid alcohol
  • Sun sensitivity
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10
Q

ondansetron: Brand Name

A

Zofran/Zofran ODT

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11
Q

ondansetron: Common Strengths

A

4mg, 8mg

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12
Q

ondansetron: Common Frequency

A

q8h prn

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13
Q

ondansetron: Indications/Use

A
  • Prevent nausea/vomiting
  • Non-FDA approved for treatment of vomiting
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14
Q

ondansetron: Counseling Tips and Important Info

A
  • Fatigue
  • Headache
  • Constipation or diarrhea
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15
Q

omeprazole (OTC): Brand Name

A

Prilosec

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16
Q

omeprazole (OTC): Common Strengths

A

10mg, 20mg, 40mg

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17
Q

omeprazole (OTC): Common Frequency

A

daily

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18
Q

omeprazole (OTC): Indications/Use

A
  • Acid reflux/indigestion
  • Prevention and treatment of ulcers
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19
Q

omeprazole (OTC): Counseling Tips and Important Info

A
  • Works in 1 day, up to 4 days for full effect
  • Food delays absorption so take >1 hour before food
  • Separate from antacids by 2 hours
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20
Q

famotidine (OTC): Brand Name

A

Pepcid AC

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21
Q

famotidine (OTC): Common Strengths

A

10mg, 20mg, 40mg

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22
Q

famotidine (OTC): Common Frequency

23
Q

famotidine (OTC): Indications/Use

A
  • Acid reflux/indigestion
  • Prevention and treatment of ulcers
24
Q

famotidine (OTC): Counseling Tips and Important Info

A
  • Works in 1 hours, up to 1 day for full effect
  • Can be taken w/ antacids
25
Q

magnesium hydroxide, aluminum hydroxide, simethicone (OTC): Brand Name

26
Q

magnesium hydroxide, aluminum hydroxide, simethicone (OTC): Common Strengths

A

200mg/200mg/20mg per 5 ml

27
Q

magnesium hydroxide, aluminum hydroxide, simethicone (OTC): Common Frequency

A

2-4 tsp PO QID PRN

28
Q

magnesium hydroxide, aluminum hydroxide, simethicone (OTC): Indications/Use

A
  • magnesium hydroxide, aluminum hydroxide: acid reflux/indigestion
  • simethicone: relief of gas pressure/bloating
29
Q

magnesium hydroxide, aluminum hydroxide, simethicone (OTC): Counseling Tips and Important Info

A
  • Shake well
  • Works within minutes
  • Many drug-drug interactions
  • Constipation from aluminum
  • Diarrhea from magnesium and simethicone
30
Q

calcium carbonate (OTC): Brand Name

31
Q

calcium carbonate (OTC): Common Strengths

A

500mg, 750mg

32
Q

calcium carbonate (OTC): Common Frequency

A

Chew 2-4 tabs prn
MAX: 7500 mg/day if used for indigestion
MAX: 2500 mg/day as supplement

33
Q

calcium carbonate (OTC): Indications/Use

A
  • Calcium supplement
  • Acute acid reflux/indigestion
34
Q

calcium carbonate (OTC): Counseling Tips and Important Info

A
  • Constipation
  • Chew before swallowing
  • Do not use > 2 weeks for indigestion
35
Q

docusate sodium (OTC): Brand Name

36
Q

docusate sodium (OTC): Common Strengths

A

50mg, 100mg, 250mg

37
Q

docusate sodium (OTC): Common Frequency

38
Q

docusate sodium (OTC): Indications/Use

A
  • Stool softener to relieve constipation
39
Q

docusate sodium (OTC): Counseling Tips and Important Info

A
  • Works in 1-3 days
  • Take with water
  • Diarrhea, cramps
40
Q

polyethylene glycol (PEG) (OTC): Brand Name

A

GoLYTELY, MiraLAX

41
Q

polyethylene glycol (PEG) (OTC): Common Strengths

42
Q

polyethylene glycol (PEG) (OTC): Common Frequency

A
  • MiraLAX (laxative): 17g (1 capful) dissolved in 8 oz of liquid PO once daily prn
  • GoLYTELY (colonoscopy prep): Mix with water to make 1 gallon, drink 8 oz every 10 min
43
Q

polyethylene glycol (PEG) (OTC): Indications/Use

A
  • Osmotic laxative to relieve constipation
  • Bowel evacuant for colonoscopy prep (Non-FDA approved)
44
Q

polyethylene glycol (PEG) (OTC): Counseling Tips and Important Info

A
  • Laxative works in 1-3 days
  • Do not take laxative longer than 1 week without MD approval
  • Colon prep works in 1 hour
  • Diarrhea, cramps, bloating
45
Q

bisacodyl (OTC): Brand Name

46
Q

bisacodyl (OTC): Common Strengths

47
Q

bisacodyl (OTC): Common Frequency

A
  • Laxative: 5-15mg PO daily, 10mg rectally daily
  • Colonoscopy prep: 20-30mg dose
    MAX: 30mg/day
48
Q

bisacodyl (OTC): Indications/Use

A
  • Stimulant laxative to relieve constipation
  • Bowel evacuant for colonoscopy prep
49
Q

bisacodyl (OTC): Counseling Tips and Important Info

A
  • Oral dose works in 8 hours
  • Suppository works within 15-60 minutes
  • Do not take longer than 1 week without MD approval
  • Diarrhea, cramps
50
Q

loperamide (OTC): Brand Name

51
Q

loperamide (OTC): Common Strengths

52
Q

loperamide (OTC): Common Frequency

A

2 tabs PO after first loose stool, then 1 tab after each subsequent loose stool
MAX: 8mg/day (OTC); 16mg/day (Rx)

53
Q

loperamide (OTC): Indications/Use

A
  • Slow peristalsis to treat diarrhea
54
Q

loperamide (OTC): Counseling Tips and Important Info

A
  • Drowsiness
  • If diarrhea not improved in 2 days, call MD due to dehydration risk

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