psycillium

Metamucil

polycarbophil

Fibercon

docusate sodium

Colace

docusate calcium

Surfak

senna

Senokot

bisacodyl

Ducolax

magnesium hydroxide

Milk of Magnesia

magnesium citrate

Citrate of Magnesia

sodium phosphate

Phospho-soda Fleet

polyethylene glycol-electrolyte

Golytely

lactulose

Cephulac

polyethylene glycol

Miralax

Laxatives

Actions and Uses

constipation

prep for surgery or diagnostic tests

decrease absorption of ammonia in hepatomegaly

Bulk Forming - psyllium (Metamucil)

Surfacant - docusate sodium (Colace)

Stimulant - biscodyl (Dulcolax

Osmotic - magnesium hydroxide (Milk of Magnesia)

Mucosal Protectants

Action and Uses

Action - Local protectant action

adheres to surface

promotes healing, prevents injury

Uses - short term theory of duodenal & gastric ulcers

prevention of stress ulcers

relief of pain from oral & mucosal ulcers

sucralfate

Carafate

Local acting - bismuth subsalicylate (Pepto Bismol)

kaolin (Kaopectolin)

altapulgite (Rheaban)

Systemic - paregoric (opium)

codiene

diphenoxylate/atropine (lomotil) - also an opiod)

difenoxin/atropine (Motofen)

loperamide (Imodium)

Antidiarrheals

Action and Uses

Uses - symptomatic relief

decrease in # and volume of stools in pts w/ostomies

bismuth subsalicylate

Pepto-Bismol

kaolin

Kaopectolin

attapulgite

Rheaban

paregoric

Tincture of Opium

diphenoxylate/atropine

Lomotil

systemis anti diarrheal

also an opiod

difenoxin/atropine

Motofen

lopermide

Immodium

Antiemetics

Action and Uses

aprepitant/fosaprepitant

Emend

promethazine

Phenergan

procholrperazine

Compazine

metoclopramide

Reglan

doperidol

Inapsine

dronabinol

Marinol

scopolamine

Transderm Scop

dimenhydrinate

Dramamine

meclizine

Antivert

palonsetron

Aloxi

dolasetron

Adzemet

granisetron

Granisol, Kytril, Sanusco

ondansetron

Zofran

alostetron (Lotronex)

tegaserod (Zelnorm)

What antibiotics are used to treat

H. pylori?

bismuth (not an actual antibiotic)

clarithromycin

amoxicillin

tetracycline

metronidazole

Nonsystemic - calcium carbonate

magnesium hydroxide

aluminum hydroxide

Systemic - sodium bicarbonate

Antacids

Actions and Uses

Action: neutralize gastric acid

increase pH to above 5

best taken 7x/day - 1 and 3 hours after meals

Uses:  acid indigestion, heartburn, reflux

esophagitis, peptic ulcers

hyperphosphatemia (aluminum only)

contraindindication - renal dysfuntion except aluminum

calcium carbonate

Tums, Rolaids

aluminum hydroxide

Amphogel

magnesium hydroxide

Milk of Magnesia

sibutramine

Merida

orlistat

Xenical, Alli

cimetidine

famotidine

nizatidine

ranitidine

Histamine H₂ Antagonists

Actions and Uses

Action - inhibits gastric acid secretions

Uses - ↓ symptoms of peptic ulcer disease

↓ heartburn

prevent stress ulcers

GERD

Zollinger-Ellison syndrome

H. pylori

ranitidine

Zantac

nizatidine

Axid

famotidine

Pepcid

cimetidine

Tagamet

Prostaglandins

Action and Uses

Action - inhibits gastric acid secretion and promotes mucus production

Use - prevention of NSAID induced ulcers

*need a pregnancy test

misoprostol

Cytotec

omeprazole

esomeprazole

rabeprazole

pantoprozole

Proton Pump Inhibitors

Action and Uses

Action - suppress gastric acid secretion

block enzyme meeded for acid formation

Uses - active ulcer disease, erosive esophagitis

GERDs

omeprazole

Prilosec

esomeprazole

Nexium

lansoprazole

Previcid

rabeprazole

Aciflex

pantoprazole

Protonix