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10 Cards in this Set

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Aluminum Hydroxide
Antacid, used when patient unable to tolerate primary therapies. Symptomatic relief of dyspepsia of GERD, gastritis, peptic ulcers
Reacts with HCl to form aluminum chloride causing constipation. May reduce bioavailability of TC,, digoxin, and antimuscarinics
Magnesium Hydroxide (milk of magnesia)
Antacid, used when patient unable to tolerate primary therapies. Symptomatic relief of dyspepsia of GERD, gastritis, peptic ulcers
Diarrhea. Digoxin and TC absorption may be reduced
Calcium carbonate (tums)
Antacid, used when patient unable to tolerate primary therapies. Symptomatic relief of dyspepsia of GERD, gastritis, peptic ulcers. Adjuvant in osteoporosis
Nephrolithiasis and dense fecal matter formation
Cimetidine (tagamet)
H2 receptor blocker. Gastric and duodenal ulcers
Headache, dizziness, diarrhea, muscle pain. Confusion and hallucinations in elderly. Gynecomastia, galactorrhea, and reduced sperm count
Famotidine (pepcid)
H2 receptor blocker. Gastric and duodenal ulcers. More potent than cimetidine and ranitidine.
Headache, dizziness, diarrhea, muscle pain. Confusion and hallucinations in elderly.
Ranitidine (Zantac)
H2 receptor blocker. Gastric and duodenal ulcers
Headache, dizziness, diarrhea, muscle pain. Confusion and hallucinations in elderly.
Nizatidine (Axid)
H2 receptor blocker. Gastric and duodenal ulcers. No first pass metabolism (100% bioavail)
Headache, dizziness, diarrhea, muscle pain. Confusion and hallucinations in elderly.
Omeprazole
PPI. Suppress acid secretion within 2 hours. Preferred for Erosive esophagitis, active duodenal ulcer, long term zollinger ellison, gastrin tumor. Approved for GERD. Reduce bleeding from NSAID ulcer and hemmorhagic ulcer
May cause low B12 due to low gastric acid which is required to absorb. Reports of diarrhea and clost dificile colitis. Inhibits metabolism of warfarin, phenytoin, diazepam, cyclosporine.
Sucralfate (aluminum hydroxide and sulfated sucrose)
Long term maintainence after ulcer by forming a gel with epithelial cells to protect.
Requires acidic pH so should not be gicen with H2 blockers or antacids
Bismuth Subsalicylate
Coat and protect ulcer craters by inhibiting pepsin, increase mucus, and interacting with glycoproteins. Also has antimicrobial actions