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peptic ulcers

sores that affect the mucous membranes of the digestive system. 75% because of H. Pylori, 25% because of NSAIDs

tx for H. Pylori and peptic ulcers

Prevpa- prepackaged dosage of
*amoxicillin
*clarithromycin
*lansoprazole

Herbal Alert- Comfrey

is hepatotoic or damaging to liver cells

Antisecretory agents

H2 Blockers
PPI
PGE2 analogue

H2 blockers

Tagament- to tx peptic ulcers and Zollinger-Ellison syndrome (combo of peptic ulcer and pacreatic tumors
Pepcid
Zantac

Tagament alert for older patients

causes mental confusion, aggitation, dizziness, psychosis, and hallucination. Galactoria, gynecomastia and impotence in men

PPIs

Nexium
Prevacid
Prilosec
Protonix

PGE2 analogue

Cytotec

antacids- destroy the gastric acid

aluminum hydroxide gel- Amphogel
magnesium oxide
sodium carbonate- baking soda
Carafate

Herbal alter- Ginger

can be used for heartburn, antiemetic, antiinflammatory, laxative, motion sickness and morning sickness. Inhances antiplatelet action of NSAIDS and warfarin. Should be avoided in pts with gallstones and bleeding disorders

digestants

Lactaid
Ku-Zyme, Pancrease

Herbal alert- Cayenne

taken orally, stimulates the production of gastric juices and helps relieve gas. Reduces the effect of antihypertensive medication

Absorption inhibitors

Xenical

Xenical alert

not recommended for pregnant or nursing women becasue it may reduce the gastric absorption of fat soluble vitamins and beta-carotene

Emetics- produce vomiting

ipecac syrup

Antimetics- relieve nausea and vomiting

Dramamine
Antivert

Herbal Alert- Chamomile

used for nervous stomach- inhances the effects of sedatives, warfarin and the antiplatelet effects fo NSAIDS

Cathartics-relieve constipation

bulk increasing laxatitives
lubricant laxatives
saline cathartics
irritant cathartics
fecal softeners
enemas

bulk increasing laxatives

agar- Agoral
Citrucell
Metamucil

lubricant laxatives

mineral oil- *disadvantage-prevents absorption of fat-soluble vitamins

Saline cathartics

Go-LYTELY- for colonoscopies and enemas
milk of magnesium - mildest, preferred for childred
magesium citrate solution

irritant cathartics

Dulcolax
castor oil
Senokot

fecal softners

Surfak

enemas

made from mineral oil or soap suds

Antidiarrheals for simple diarrhea

Demulcents- boiled starch and boiled milk
Absorbents- activated charcoal, Kaolin and Kaopectate

Antidiarrheals for severe diarrhea

Lomotil
Imodium

Antisecretory

OTC Pepto-Bismol (Bismuth) antimibrobial

opiums

antidiarrhea medication

antidiarrheals

demulcents
absorbents
antisecretory
opiums

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