| Term 
 | Definition 
 
        | Antacid se- constipation
 Calcium antacids taste like chalk.
 |  | 
        |  | 
        
        | Term 
 
        | Bulk Laxatives (fiber) Saline/Osmotic Laxatives (glycerine,sorbitol)
 Irritant or Stimulant Laxatives (bisacodyl, phenolphalein, seena, castor oil)
 Stool Sofener (docusates)
 |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Omeprazole and other Prazoles
 |  | Definition 
 
        | PPIs Mech: Permanently disable H/P ATP pump on parietal cells.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | prostglandins- mucous layer protecting agent |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | coating agents   mech: fills ulcers; protects from acid |  | 
        |  | 
        
        | Term 
 
        | helicobacter pylori treatment |  | Definition 
 
        | 2 antibiotics (clarithromycin, amoxicillin) and  1 PPI |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | 1. metoclopramide   2. domperidone |  | Definition 
 
        | prokinetic   mech: D2 agonist   action: stim GI motility and anti emetic (central)   SE: tardive dyskinesia + stims prolactin release (leads to gynecomastia)   1. can pass BBB more SE 2. no passage thru BBB, less effective |  | 
        |  | 
        
        | Term 
 
        | 1. tegaserod   2. prucalopride |  | Definition 
 
        | prokinetic approved under restricted use- no heart probs, must sign waiver
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | prokinetic   mech: motilin agonist on muscle and nerves   SE diarrhea   also antibiotic derp derp |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | post-operative ileus (hospital only) |  | 
        |  | 
        
        | Term 
 
        | 1. methylnaltrexone   2. alvimopan |  | Definition 
 
        | μ-opoid antagonist   1. constipation - SE flatulence   2. post op ileus- 7 day use only (mi risk) only used in hospital   only drug for IBS really |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opiod w/ no cns activity   DO NOT USE WITH IBD can cause toxic megacolon |  | 
        |  | 
        
        | Term 
 
        | 1. glucocorticoids ( budesonide)   2. sulfasalazine |  | Definition 
 
        | IBD   2. maintains IBD remission prodrug, cleaved by colonic bacteria 5A-salacylic acid derivative  5(ASA)   tx- folate deficiency, reversible male infertility |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | immunosuppresants for IBD   mech: TNF-α inhibitors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 5ht3 receptor agonist female patients with diarrhea predominant IBS
 |  | 
        |  | 
        
        | Term 
 
        | ondansetron tropisetron granisteron palosetron |  | Definition 
 
        | anti emetics   5-HT3 antagonist (vagal) |  | 
        |  |