Medication list #7 (Gastrointestinal Medications) Flashcards
Promethazine
Brand: Phenergan
ondansetron
Brand: Zofran, Zofran ODT
Omeprazole (OTC)
Brand: Prilosec
famotidine (OTC)
Brand: Pepcid AC
magnesium hydroxide, aluminium hydroxide, simethicone (OTC)
Brand: Maalox
Calcium Carbonate
Brand: Tums
docusate sodium
Brand: Colace
Polyethylene Glycol (PEG) (OTC)
Brand: GoLYTELY, MiraLAX
bisacodyl (OTC)
Brand: Dulcolax
loperamide (OTC)
Brand: Imodium
Promethazine dosing and frequency
12.5 mg, 25 mg, 50 mg
-q4-6h prn
ondansetron dosing and frequency
4mg, 8mg
-q8h prn
omeprazole dosing and frequency
10 mg, 20 mg, 40 mg
-qd
famotidine dosing and frequency
10 mg, 20 mg, 40 mg
-BID
magnesium hydroxide, aluminum hydroxide, simethicone dosing and frequency
200mg/200mg/20mg per 5 ml
-2-4 tsp PO QID PRN
calcium carbonate dosing and frequency
500 mg, 750 mg
chew 2-4 tabs prn
MAX: 7500 mg/day if used for ingestion
MAX: 2500 mg/day if used as supplement
docusate sodium dosing and frequency
50 mg, 100mg, 250 mg\
-qd
Polyethylene glycol (PEG) dosing and frequency
17 g
-MiraLAX: 17 g (1 capful) dissolved in 8 oz of liquid PRN QD PO
-GoLYTELY (colonoscopy prep) mix w a gallon, drink 8 oz every 10 minutes
bisacodyl dosing and frequency
laxative: 5-15 mg PO Daily, 10 mg rectally
Colonoscopy prep: 20-30 mg dose
MAX: 30 mg/day
loperamide dosing and frequency
2 mg
2 tabs PO first, then 1 tab PO
Max: 8mg/day (OTC)
16mg/day (Rx)
Promethazine indication and side effects
Indication:
Prevents/treat nausea/vomiting
motion sickness
allergies
Side Effects:
Drowsiness/Dizziness
avoid alcohol
sun sensitivity
ondansetron indication and side effects
Indication:
Prevent nausea/vomiting
non-FDA approved for treatment of vomiting
Side Effects:
Fatigue, Headache, Constipation or diarrhea
omeprazole indication and side effects
Indication:
acid reflux/indigestion
prevention and treatment of ulcers
Side Effects:
works in 1 day, up to 4 days for full effect
food delays absorption so take >1 hour before food
separate from antacids 2 hours
famotidine indication and side effects
Indication:
acid reflux/ indigestion
prevention and treatment of ulcers
Side Effects:
works in 1 hour, up to 1 day for full effect
can be taken with antacids
magnesium hydroxide, aluminum hydroxide, and simethicone indication and side effects
Indication:
magnesium hydroxide, aluminum hydroxide- acid reflux/indigestion
simethicone- relief of gas pressure/bloating
Side effects:
shake well, works within minutes, many drug-drug interactions, constipation form aluminum, diarrhea from magnesium and simethicone
calcium carbonate indication and side effects
Indication:
calcium supplement, acute acid reflux/indigestion
Side Effects:
constipation, chew before swallowing, do not use >2 weeks for indigestion
docusate sodium indication and side effects
Indication:
stool softener to relieve constipation
Side effects:
works in 1-3 days, take with water, Diarrhea, cramps
Polyethylene Glycol (PEG) indication and side effects
Indication:
osmotic laxative to relieve constipation, bowel evacuant for colonoscopy prep
Side Effects:
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 indications and side effects
Indications:
stimulant laxative to relieve constipation, bowel evacuant for colonoscopy prep
Side Effects:
oral dose works in 8 hours, suppository works within 15-60 minutes, do not take longer than 1 week without MD approval
Diarrhea, cramps
loperamide indications and side effects
Indications:
slows peristalsis to treat diarrhea
Side Effects:
drowsiness, if not diarrhea not improved in 2 days, call MD due to dehydration risk