MEDLIST 7 - Gastrointestinal Medications Flashcards
Phenergan
Generic name
Promethazine
Common strength
Promethazine
12.5mg
25mg
50mg
Common Frequency
Promethazine
q4-6h prn
Indication and use
Promethazine
- Prevents and treats nausea/vomiting
- Motion sickness
- Allergies
Counseling tips and important Info
Promethazine
*Sun sensitivity
*Drowsiness/dizziness
*Avoid alcohol
Zofran, Zofran ODT
Generic name
ondansetron
Common Strength
ondansetron
4mg
8mg
Common Frequency
ondansetron
q8h prn
Indication and use
ondansetron
- Prevent nausea/vomiting
- Non-FDA approved for treatment of vomiting
Counseling tips and important info
ondansetron
- Fatigue
- Headache
- Constipation or diarrhea
Prilosec
Generic name
omeprazole
(OTC)
Common strength
omeprazole
(OTC)
10mg
20mg
40mg
common frequency
omeprazole
(OTC)
daily
indication and use
omeprazole
(OTC)
- Acid reflux/ indigestion
- Prevention and treatment of ulcers
Counseling tips and important info
omeprazole
(OTC)
- Works in 1 day, up to 4 days for full effect
- (TAKE ON EMPTY STOMACH) Food delays absorption so take >1 hour before food
- Separate from antacids by 2 hours
Pepcid AC
Generic name
famotidine
(OTC)
common strengths
famotidine
(OTC)
10mg
20mg
40mg
common frequency
famotidine
(OTC)
BID
indication and use
famotidine
(OTC)
- Acid reflux/ indigestion
- Prevention and treatment of ulcers
Counseling tips and important info
famotidine
(OTC)
- Works in 1 hour, up to 1 day for full effect
- Can be taken with antacids (CAN TAKE WITH TUMS)
Maalox
Generic name
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)
common strengths
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)
200mg/200mg/20mg per 5 ml
common frequency
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)
2-4 tsp PO QID PRN
indication and use
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)
magnesium hydroxide, aluminum hydroxide:
* Acid reflux/ indigestion
simethicone:
* Relief of gas pressure/ bloating
counseling tips and important information
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)
- Shake well
- Works within minutes
- Many
drug-drug interactions - Constipation from aluminum
- Diarrhea from magnesium and simethicone
Tums
Generic name
calcium carbonate (OTC)
common strength
calcium carbonate (OTC)
500mg
750mg
common frequency
calcium carbonate (OTC)
Chew 2-4 tablets prn
MAX: 7500 mg/day if used for indigestion
MAX: 2500 mg/day
as supplement
indication and use
calcium carbonate (OTC)
- Calcium supplement
- Acute acid reflux / indigestion (heart burn)
Counseling tips and important info
calcium carbonate (OTC)
- Constipation
- Chew before swallowing
- Do not use > 2 weeks for indigestion (b/c it can harden arteries)
GoLYTELY, MiraLAX
Generic name
Polyethylene glycol (PEG)
(OTC)
common strength
Polyethylene glycol (PEG)
(OTC)
17g
common frequency
Polyethylene glycol (PEG)
(OTC)
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
indication and use
Polyethylene glycol (PEG)
(OTC)
- Osmotic laxative to relieve constipation
- Bowel evacuant for colonoscopy prep (Non-FDA approved)
Counseling tips and important info
Polyethylene glycol (PEG)
(OTC)
- 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
Colace
Generic name
docusate sodium (OTC)
common strength
docusate sodium (OTC)
50mg
100mg
250mg
common frequency
docusate sodium (OTC)
daily
indication and use
docusate sodium (OTC)
- Stool softener to relieve constipation
Counseling tips and important info
docusate sodium (OTC)
- Works in 1-3 days
- Take with water (needed to soften the stool)
- Diarrhea, cramps
Dulcolax
Generic name
bisacodyl
(OTC)
Common strengths
bisacodyl
(OTC)
5mg
10mg
Common frequency
bisacodyl
(OTC)
Laxative: 5-15mg PO daily, 10mg rectally daily Colonoscopy prep:
20-30mg dose
MAX: 30mg/day
Indication and use
bisacodyl
(OTC)
- Stimulant laxative to relieve constipation
- Bowel evacuant for colonoscopy prep
Counseling tips and important info
bisacodyl
(OTC)
- Oral dose works in 8 hrs
- Suppository works within 15-60 minutes
- Do not take longer than 1 week without MD approval
- Diarrhea, cramps
Imodium
Generic name
loperamide
(OTC)
Common strengths
loperamide
(OTC)
2mg
Common frequency
loperamide
(OTC)
2 tablets PO after first loose stool, then 1 tablet after each subsequent loose stool
MAX:
8mg/day (OTC)
16mg/day (Rx)
Indication and use
loperamide
(OTC)
- Slows peristalsis to treat diarrhea (commonly seen in those for opioid constipation)
Counseling tips and important info
loperamide
(OTC)
- Drowsiness
- If diarrhea not improved in 2 days, call MD due to de- hydration risk
- (may be locked up in pharmacy due to potential abuse)