OTC agents for Diarrhea, Constipation, Hemorroids and Heartburn
Terms
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- Castor Oil indication and dose
- Stimulant laxative action within 2 - 6 hours. Dose 15-60 mls
- Castor oil contraindication
- In pregnant women. May induce premature labor
- Colase (Docusate)
- Emollient laxative 50-300 md daily. half dose for children
- Kaopectate (attapulgite) Indication ans dosage
- Is an antidiarrheal adsorbant alluminum magnese silicate. 600-1200 mg after each loose stool
- Fibercon (calcium Polycarbophil) Indication and dosage
- Adsorbant antidiarrheal. 1 g qd - qid
- Pepto bismol (bismuth salicylate)
- 2 tabs qh prn max 8 doses in 24 h
- Pepto bismol caution
- Children after chicken pox or flu because may cause Reye's syndrome for its salicylate
- Tums (Calcium carbonate)
- usefull to treat GERD but may cause constipation
- Milk of magnesia (magnesium hydroxide)
- Usefull in heartburn frecuently causes diarrhea
- Maalox (magnesium -aluminum)
- Very common treatment for heartburn, secondary effect diarrhea
- Tagamet drug, MOA and dose
- Cimetidine. Inhibit acid secretion by competitively bloking H2 receptors on the parietal cells. 200 md bid
- Cimetidine interactions
- Increase serum concentrations of warfarin, phenytoin and theophyllin
- Pepcid drug, MOA and dose
- Famotidine. Inhibit acid secretion by competitively bloking H2 receptors on the parietal cells. 10 md bid
- Zantac drug, MOA and dose
- Ranitidine. Inhibit acid secretion by competitively bloking H2 receptors on the parietal cells. 75 mg bid or 150 md qd
- Prilosec drug, MOA
- Omeprazole. Proton pump inhibitor.
- Omeprazole interactions
- Inhibits hepatic metabolism and thus increase the serum concentration of phenytoin, warfarin and diazepam
- Prevacid drug. MOA
- Lanzoprazole. Proton pump inhibitor
- Psyllium
- Bulk forming laxative take up to 24-72 hours to work
- Glycerin and biscodyl
- produce stool movement within few hours
- Enema fleet shouldn't be use in
- Children younger that 2 years because of the risk of hyperphosphatemia, hypocalcemia and hypokalemia
- Emollient laxatives shouldn't be use in
- Acute constipation because they take 24 to 72 hours to work
- Citrucel Drug
- Methycellulose.
- Citrucel MOA
- Fiber laxative. Bulk forming agent.
- Citrucel warnings
- Take it with enough liquids or patient may shock
- Dulcolax active ingredient
- Docusate
- Dulcolax MOA
- Stool softener, laxative
- Dulcolax time of action
- 12-72 hours
- citrucel time of action
- 12-72 hours
- Ex-lax Active ingredient
- Sennosides
- Ex-lax MOA
- Stimulant laxative
- Ex-lax time of action
- 6 - 12 hours
- Metamucil/Fibersure Active ingredient
- Psyllium husk
- Metamucil/Fibersure & pregnancy
- Safe category B
- Metamucil/Fibersure Indication
- IBS (intestinal bowel Syndrome), constipation, senility
- Gas-Ex Active ingredient
- simethicone
- Gas-Ex indication
- Pressure, bloating commonly referred to as gas
- Imodium Active ingredient
- Loperamide
- Imodium tablets Dosage
- 2 tablets after the first loose stool, the 1 tablet after each subsecuent loose stool, but no more that 4 in 24 hours. Don't use for more than 2 days
- Gaviscon Active ingredients
- Aluminum Hydroxide + Magnesium carbonate
- Gaviscon indication
- Heartburn, sour stomach, upset stomach, acid indigestion
- Maalox active ingredients
- Aluminum Hydroxide + Magnesium hydroxyde
- Maalox indication
- Heartburn, sour stomach, upset stomach, acid indigestion