PHARMACOLOGY Flashcards
Example of antacids
Aluminium Hydroxide
Magnesium Hydroxide
How to antacids work
Neutralise stomach acid
Treat the symptoms of GORD and dyspepsia but not the cause
Side effects of aluminium/magnesium hydroxide (antacids)
Aluminium - constipation
Magnesium- diarrhoea
Proton pump inhibitor example
Omeprazole
Mechanism of action of PPIs
Activated by HCl
Block active H+ pumps
Prevent pumping of H+ ions therefore inhibits the secretion of HCl (stomach acid)
What are PPIs used to treat and what are their side effects
GORD
Peptic Ulcer
Zollinger-Ellison syndrome (gastrin secreting tumour in pancreas)
Side effects
Constipation
Diarrhoea
Headache
Example of an H2 receptor antagonist
Ranitidine
Mechanism of H2 receptor antagonist
Blocks the action of histamine secreted by enterochromaffin cells
Histamine triggers the production of HCl so therefore decreases HCl production
What are H2 receptors used to treat and what are their side effects
Dyspepsia
Peptic ulcers
GORD
Side effects
Hypotension
Headache
Diarrhoea/constipation
Example of mucosal strengtheners
Sucralfate
Bismuth chealate
What is the mechanism of action of mucosal strengtheners
Binds to the base of an ulcer as it is +vely charged
Forms a protective mucosal barrier over the ulcer
What are mucosal strengtheners used to treat and what are their side effects
GORD
Ulcers
Side effects
Constipation
Examples of anti motility drugs
Loperamide
Codeine
Mechanism of action of anti motility drugs
Decrease peristalsis and segmentation therefore causing constipation
Cause sphincter constriction and increased fluid absorption
What are anti-motility drugs used to treat and what side effects to they have
Diarrhoea
Side effects
Drowsiness
Constipation
Urinary retention