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20 Cards in this Set

  • Front
  • Back
how do prostaglandins work?
reduce stomach acidity by affecting proton pump
milder acting than proton pump inhibitors
useful for NSAID induced ulcerations
name an common prostaglandin.
cytotec
name three side effects of prostaglandins.
nausea
diarrhea
can cause uterine contractions in pregnancy
how do anti muscarinics work?
block normal functioning of cholinergic receptors that activate proton pump
they decrease GI motility and gastric secretions
name the two major side effects of anti muscarinics.
arrhythmias
urinary retention
what is sucralfate?
enhances mucosal layer
adheres to damaged ulcer tissue
protects against acid and enzymes
stimulates prostaglandin secretion
what is an antimicrobial agent that can eradicate H. pylori?
bismuth

antimicrobial and forms protective mucosal lining
what are some drug interactions that can occur with cimetidine?
inhibits P450 and can slow metabolism of warfarin, diazepam, phenytoin, quinidine
what are drug/herb side effects with omeprazole?
interferes with oxidation of warfarin, phenytoin, and diazepam
what are drugs interaactions with sucralfate? (IMPORTANT)
it needs an acidic environment so should not be combined with histamine antagonists or antacids.
name three herbs that reduce stomach acidity.
hai paio xiao
wu zhu yu
huang lian
what are the three main types of anti diarrheals?
antimotility agents
adsorbents
agents that modify fluid and electrolyte transport
what are antimotility agents?
decrease peristalsis and slow the action of the intestines by activating presynaptic opioid receptors in the enteric nervous system
inhibits acetylcholine release
what are adsorbents?
absorb intestinal toxins or microorganisms by protecting or coating the mucosa

provides bulk as a laxative
how do agents that modify fluid and electrolyte transport work?
they inhibit prostaglandin synthesis (pepto bismol)
what are the c/cs with adsorbents?
the interfere with the absorption of other drugs.
what are the c/cs with antidiarrheals?
because they interfere with intestinal function, herbs should be given four hours before or after to ensure absorption.
what are the 3 types of laxatives?
irritants/stimulants
bulking agents
stool softeners
how do bulking agents work?
fiber causes intestines to distend thus causing peristalsis
what are two side effects of laxatives?
electrolyte imbalance
habituation