Pharm- Diarrhea & Antispasmotic Flashcards
Metoclopramide- Indications
Antiemetic- chemotherapy
Metoclopramide- MOA
Dopamine receptor antagonist. Stimulates GI tract motility
Metoclopramide- AE
Sedation, diarrhea, extrapyramidal symptom
Dicyclomine- MOA
Anticholinergic- relaxes smooth muscle, inhibits bradykinin and histamine
Dicyclomine- Indications
IBS- antimotility agent
Dicyclomine- AE
Dry mouth, dizziness, blurred vision, psychosis, hallucination
Hyocyamine- MOA
Anticholinergiic- antagonizes acetylcholine
Hyocyamine- Indications
IBS, antispasmotic on smooth muscle
Hyocyamine- AE
Dry mouth, eyes, urinary retention, anaphylaxis
Antiparistaltic agents- MOA
Activate opioid receptors in enteric NS, decreaseing paristalsis and inhibiting acetylcholine
Antiparistaltic agents- Indications
Diarrhea control
Antiparistaltic agents-AE
Drowsiness, abd. Cramps, dizziness
Adsorbents- Indications
Diarrheal control, least effective
Adsorbents- MOA
Adsorb toxins & microorgs, coat and protect intestinal mucosa
Adsorbents- AE
Impaired absorption of other drugs
Bismuth subsalicylate- MOA
Decreases fluid secretion in bowel,
Bismuth subsalicylate- Indications
Travellers diarrhea,
Bismuth subsalicylate- AE
Black tongue & stools
Polycarbophil- MOA
Bulk laxative
Polycarbophil- Indications
Promotes regularity, relives constipation
Polycarbophil- AE
GI obstruction, bleeding, abd pain & distension
Bile acid sequestrants- MOA
Bind to bile acids, increasing excretion in feces
Bile acid sequestrants-Indications
Diarrhea associated with excess fecal bile acid
Bile acid sequestrants- AE
Constipation, flatulence, inpaired absorption