Pharmacology Flashcards
Antacid MOA
Neutralize gastric acid
Protect gastric mucosa
Promote angiogenesis in injured mucosa.
Suppress H. Pylori
H2 blocker types
Cimetidine (tagamet)
Ranitadine (zantac)
Fomotidine (pepcid)
Nizatidine (axid)
H2 blocker indications
PUD
GERD
Dyspepsia
H2 MOA
Inhibit acid secretion by blocking H2 receptors
H2 SE
Pancytopenia
Thrombocytopenia
Anemia
General myelosuppression
Sulcralfate (Carafate)
Sucrose octasulfate-aluminum hydroxide.
Prevents chemical induced mucosal damage
Heals chronic ulcers
Sulcralfate (Carafate) MOA
Stimulates angiogenesis and formation of tissue.
Should be given 30-60 minutes prior to meals
Proton pump inhibitors
End in prazole
Tx of all acid related disorders
Block acid secretion
Administer before first meal of day
PPE SE
Diarrhea
HA
Flatulence
Omeprazole has significant drug interaction with?
Plavix
Which PPI has the least amount of interactions?
Pantoprazole (protonix)
When should PPI’s be taken?
30-60 mins before first meal of day.
Bismuth
Suppresses H. pylori infection
not helpful in any other condition
Bismuth MOA
Inhibition of peptic activity bot not pepsin secretion
Promotes ulcer healing
Metaclopramide (Reglan)
First line for gastroparesis for no longer than 12 wks.
Improved gastric emptying but increasing contractions.