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Upper GI Pharmacology (Diarrhea)
cards
42
Audiology
Pre-School
09/04/2011

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Term
metoclopramide
Definition
controls intestinal motility
Term
Ioperamide
Definition
controls intestinal motility
Term
Diethylpropion HCl
Definition
appetite suppressant; sympathomimetic - increases catecholamines; can be habit forming and has side effects and interactions w/ other drugs
Term
Cotazym
Definition
aid to digestion; pancreatic supplement for pancreatic insufficiency (may be from pork); taken before meals
Term
Decholin
Definition
aid to digestion; tri-keto bile salt that increases bile flow - forms micelles and increases osmotic pressure of bile
Term
Medium chain triglycerides
Definition
aid to digestion; do not require bile salt micelles to go into solution
Term
Chendiol
Definition
for gallstones; suppresses hepatic cholesterol synthesis
Term
Actigall
Definition
for gallstones; shifts bile acid:phospholipid:cholesterol phase diagram to liquid crystal zone
Term
Cholate
Definition
for retained duct gall stones
Term
heparin
Definition
for retained duct gall stones
Term
monooctanoin
Definition
for retained duct gall stones
Term
chendiol/actigall
Definition
given together for gallstones after treatment with lithotripsy (ultrasound)
Term
Aspirin
Definition
can cause gastric and duodenal ulcers b/c they are COX-1 inhibitors which decrease prostaglandins which cause mucus secretion
Term
Ibuprofen/Motrin
Definition
can cause gastric and duodenal ulcers b/c they are COX-1 inhibitors which decrease prostaglandins which cause mucus secretion
Term
Acetaminophen
Definition
good alternative for pt. w/ gastric or duodenal ulcers
Term
Celebrex
Definition
good alternative for pt. w/ gastric or duodenal ulcers (b/c a COX-2 inhibitor)
Term
Alka-Seltzer
Definition
treatment of excess acid; antacid
Term
Maalox
Definition
treatment of excess acid; antacid
Term
Tums
Definition
treatment of excess acid; antacid
Term
Cimetidine
Definition
treatment of excess acid; H-2 receptor antagonist
Term
Sucralfate
Definition
treatment of excess acid; mucosal protecting agents; binds covalently to an ulcer, producing a shield, must be activated by acid
Term
Omeprazole
Definition
treatment of excess acid; H+,K+ATPase inhibitor; a PRO-DRUG (R and S enantiomers) - absorbed in the inactive R form and converted by the acid from the parietal cell to the S form; then binds to the H+/K+ATPase and inactivates it; used to treat Zollinger-Ellison syndrome (ZE syndrome)
Term
Combination therapy
Definition
treatment of excess acid; eradication of h. pylori
Term
NaHCO3
Definition
antacid; rapid effect, absorbed
Term
CaCO3
Definition
antacid; rapid neutralization, some absorbed, night time acid rebound
Term
Mg(OH)2
Definition
antacid; neutralizes acid, low absorption can cause diarrhea
Term
Al(OH)3
Definition
antacid; slower acid neutralization, low absorption, can complex certain drugs, causes constipation
Term
Sucralfate (aluminum sucrose sulfate)
Definition
mucosal protecting agent; binds covalently to ulcer, producing a shield, requires acid to be activated
Term
Carbenoxolone (derivative of glycyrrhizinic acid)
Definition
mucosal protecting agent; alters mucus production, has aldosterone-like side effect
Term
Misoprostol
Definition
mucosal protecting agent; a PGE1 analog (prostaglandin), lowers c-AMP in parietal cells, many side effects, induces labor
Term
Cimetidine
Definition
H2-receptor antagonist; prevents elevation of parietal cell c-AMP mediated by the H2 receptor
Term
Ranitidine
Definition
H2-receptor antagonist; prevents elevation of parietal cell c-AMP mediated by the H2 receptor; much more potent than cimetidine; low side effects
Term
Famotidine
Definition
H2-receptor antagonist; prevents elevation of parietal cell c-AMP mediated by the H2 receptor
Term
Nizatidine
Definition
H2-receptor antagonist; prevents elevation of parietal cell c-AMP mediated by the H2 receptor
Term
Pirenzepine
Definition
M-receptor antagonist; prevents Ca2+ entry into cells
Term
Tetracycline
Definition
treatment of H. pylori associated ulcer disease (an antibiotic)
Term
Metranidazole
Definition
treatment of H. pylori associated ulcer disease (an antibiotic)
Term
Bismuth subsalicylate
Definition
treatment of H. pylori associated ulcer disease (an antibiotic)
Term
Stimulants of appetite
Definition
alcoholic drinks, appetizers (spicy hors d'oeuvres), alkaloids (vagal stimulation), thyroid hormone, insulin
Term
Cholinergic receptors
Definition
Muscarinic (M1 and M3) - G-protein coupled Ach receptor that activates phospholipase C to make inositol phosphates and intracellular Ca
- Nicotinic - Ach receptor that uses an ion channel mechanism
Term
Adrenergic receptors
Definition
- Adrenoreceptors - G-protein coupled receptor that responds to the catecholamines adrenaline and noradrenaline
- also to alpha-phenylephrine, beta-isoprenaline, and dopamine
Term
Serotonin 5-HT3 receptors
Definition
- member of the Cys-loop superfamily of ligand-gated ion channels; not a G-protein coupled receptor
- METOCLOPRAMIDE is a weak serotonin antagonist
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