Medication List 7: Gastrointestinal Medications Flashcards
Promethazine: brands
Phenergan
Promethazine: common strengths
12.5mg, 25mg, 50mg
Promethazine: common frequency
q4-6h prn
Promethazine: indications/use
-prevents and treats nausea/vomiting
-motion sickness
-allergies
Promethazine: counseling tips/important info
-drowsiness
-dizziness
-avoid alcohol due to enhanced drowsiness
-sun sensitivity
Ondansetron: brands
Zofran, Zofran ODT
Ondansetron: common strengths
4mg, 8mg
Ondansetron: common frequency
q8h prn
Ondansetron: indications/use
-prevents nausea/vomiting
-non-FDA approved for treatment of vomiting
Ondansetron: counseling tips/important info
-fatigue
-headache
-constipation or diarrhea
Omeprazole (OTC): brands
Prilosec
Omeprazole (OTC): common strengths
10mg, 20mg, 40mg
Omeprazole (OTC): common frequency
QD
Omeprazole (OTC): indications/use
-acid reflux/indigestion
-prevention and treatment of ulcers
Omeprazole (OTC): counseling tips/important info
*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
Famotidine (OTC): brands
Pepcid AC
Famotidine (OTC): common strengths
10mg, 20mg, 40mg
Famotidine (OTC): common frequency
BID
Famotidine (OTC): indications/use
*Acid reflux/indigestion
*Prevention and treatment of ulcers
Famotidine (OTC): counseling tips/important info
*Works in 1 hour, up to 1 day for full effect
*Can be taken with antacids
magnesium hydroxide, aluminum hydroxide, simethicone (OTC): brands
Maalox
magnesium hydroxide, aluminum hydroxide, simethicone (OTC): common strengths
200mg/200mg/20mg per 5mL
magnesium hydroxide, aluminum hydroxide, simethicone (OTC): common frequency
2-4 tsp PO QID PRN
magnesium hydroxide, aluminum hydroxide, simethicone (OTC): indications/use
magnesium hydroxide, aluminum hydroxide:
*Acid reflux/ indigestion
simethicone:
*Relief of gas pressure/bloating
magnesium hydroxide, aluminum hydroxide, simethicone (OTC): counseling tips/important info
*Shake well
*Works within minutes
*Many drug-drug interactions
*Constipation from aluminum
*Diarrhea from magnesium and simethicone
calcium carbonate (OTC): brands
Tums
calcium carbonate (OTC): common strengths
500mg, 750mg
calcium carbonate (OTC): common frequency
Chew 2-4 tabs PRN
MAX: 7500mg/day if used for indigestion
MAX: 2500 mg as supplement
calcium carbonate (OTC): indications/use
*Calcium supplement
*Acute acid reflux / indigestion
calcium carbonate (OTC): counseling tips/important info
*Constipation
*Chew before swallowing
*Do not use > 2 weeks for indigestion
docusate sodium (OTC): brands
colace
docusate sodium (OTC): common strengths
50mg, 100mg, 250mg
docusate sodium (OTC): common frequency
QD
docusate sodium (OTC): indications/use
*Stool softener to relieve constipation
docusate sodium (OTC): counseling tips/important info
*Works in 1-3 days
*Take with water
*Diarrhea, cramps
Polyethylene glycol (PEG)
(OTC): brands
GoLYTELY, Miralax
Polyethylene glycol (PEG)
(OTC): common strengths
17g
Polyethylene glycol (PEG)
(OTC): common frequency
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 8oz every 10 minutes
Polyethylene glycol (PEG)
(OTC): indications/use
*Osmotic laxative to relieve constipation
*Bowel evacuant for colonoscopy prep (Non-FDA approved)
Polyethylene glycol (PEG)
(OTC): counseling tips/important info
*Laxative works in 1-3 days
*Do not take laxative longer than 1 week without MD approval
*Colon prep works in 1 hr
*Diarrhea, cramps, bloating
Bisacodyl (OTC): brands
Dulcolax
Bisacodyl (OTC): common strengths
5mg, 10mg
Bisacodyl (OTC): common frequency
Laxative:
5-15mg PO daily
10mg rectally daily
Colonoscopy prep:
20-30mg dose
MAX: 30mg/day
Bisacodyl (OTC): indications/use
*Stimulant laxative to relieve constipation
*Bowel evacuant for colonoscopy prep
Bisacodyl (OTC): counseling tips/important info
*Oral dose works in 8 hrs
*Suppository works within 15-60 minutes
*Do not take longer than 1 week without MD approval
*Diarrhea, cramps
Loperamide (OTC): brands
Imodium
Loperamide (OTC): common strengths
2mg
Loperamide (OTC): common frequency
2 tablets PO after first loose stool, then 1 tablet after each loose stool
MAX:
8mg/day (OTC)
16mg/day (Rx)
Loperamide (OTC): indications/use
*Slows peristalsis to treat diarrhea
Loperamide (OTC): counseling tips/important info
*Drowsiness
*If diarrhea not improved in 2 days, call MD due to de- hydration risk
Anti-emetics
Promethazine, Ondansetron
Acid reflux
Omeprazole, Famotidine, Maalox, Tums (Calcium Carbonate)
Laxatives
Docusate sodium, Polyethylene glycol, Bisacodyl
Anti-Diarrheal
Loperamide