#7 Gastrointestinal

Question 1

BRAND NAME: promethazine

Answer 1

Phenergan

Question 2

COMMON STRENGTHS: promethazine

Answer 2

12.5mg, 25mg, 50mg

Question 3

COMMON FREQUENCY: promethazine

Answer 3

q4-6h prn

Question 4

INDICATIONS/USE: promethazine

Answer 4

• prevents and treats nausea/vomiting
• motion sickness
• allergies

Question 5

COUNSELING TIPS: promethazine

Answer 5

• drowsiness
• dizziness
• avoid alcohol due to enhanced drowsiness
• sun sensitivity

Question 6

BRAND NAME: ondansetron

Answer 6

Zofran

Question 7

COMMON STRENGTHS: ondansetron

Answer 7

4mg, 8mg

Question 8

COMMON FREQUENCY: ondansetron

Answer 8

q8h prn

Question 9

INDICATIONS/USE: ondansetron

Answer 9

• prevents nausea/vomiting
• non-FDA approved for treatment for vomiting

Question 10

COUNSELING TIPS: ondansetron

Answer 10

• fatigue
• headache
• constipation or diarrhea

Question 11

BRAND NAME: omeprazole (OTC)

Answer 11

Prilosec

Question 12

COMMON STRENGTHS: omeprazole (OTC)

Answer 12

10mg, 20mg, 40mg

Question 13

COMMON FREQUENCY: omeprazole (OTC)

Answer 13

QD

Question 14

INDICATIONS/USE: omeprazole (OTC)

Answer 14

• acid reflux/indigestion
• prevention and treatment of ulcers

Question 15

COUNSELING TIPS: omeprazole (OTC)

Answer 15

• works in 1 day, up to 4 days for full effect
• food delays absorption so take >1 hour before food
• separate from antacids by 2 hours

Question 16

BRAND NAME: famotidine (OTC)

Answer 16

Pepcid AC

Question 17

COMMON STRENGTHS: famotidine (OTC)

Answer 17

10mg, 20mg, 40mg

Question 18

COMMON FREQUENCY: famotidine (OTC)

Answer 18

BID

Question 19

INDICATIONS/USE: famotidine (OTC)

Answer 19

• acid reflux/indigestion
• prevention and treatment of ulcers

Question 20

COUNSELING TIPS: famotidine (OTC)

Answer 20

• works in 1 hours, up to 1 day for full effect
• can be taken with antacids

Question 21

BRAND NAME: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 21

Maalox

Question 22

COMMON STRENGTHS: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 22

200mg/200mg/20mg per 5ml

Question 23

COMMON FREQUENCY: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 23

2-4 tsp PO QID PRN

Question 24

INDICATIONS/USE: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 24

• magnesium hydroxide, aluminum hydroxide: acid reflux/indigestion
• simethicone: relief of gas pressure/bloating

Question 25

COUNSELING TIPS: magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 25

- shake well - works within mins - many drug-drug interactions - constipation from aluminum - diarrhea from magnesium and simethicone

Question 26

BRAND NAME: calcium carbonate (OTC)

Answer 26

Tums

Question 27

COMMON STRENGTHS: calcium carbonate (OTC)

Answer 27

500mg, 750mg

Question 28

COMMON FREQUENCY: calcium carbonate (OTC)

Answer 28

- chew 2-4 tabs prn - max: 7500mg/day if used for indigestion - max: 2500mg/day as supplement

Question 29

INDICATIONS/USE: calcium carbonate (OTC)

Answer 29

- calcium supplement - acute acid reflux/indigestion

Question 30

COUNSELING TIPS: calcium carbonate (OTC)

Answer 30

- constipation - chew before swallowing - do not use >2 weeks for indigestion

Question 31

BRAND NAME: docusate sodium (OTC)

Answer 31

Colace

Question 32

COMMON STRENGTHS: docusate sodium (OTC)

Answer 32

50mg, 100mg, 250mg

Question 33

COMMON FREQUENCY: docusate sodium (OTC)

Answer 33

QD

Question 34

INDICATIONS/USE: docusate sodium (OTC)

Answer 34

stool softener to relieve constipation

Question 35

COUNSELING TIPS: docusate sodium (OTC)

Answer 35

- works in 1-3 days - take with water - diarrhea, cramps

Question 36

BRAND NAME: polyethylene glycol (PEG) (OTC)

Answer 36

GoLYTELY, MiraLAX

Question 37

COMMON STRENGTHS: polyethylene glycol (PEG) (OTC)

Answer 37

17g

Question 38

COMMON FREQUENCY: polyethylene glycol (PEG) (OTC)

Answer 38

- MiraLAX (laxative): 17g (1 capful) dissolved in 8 oz of liquid PO once daily prn - GoLYTELY (colonoscopy prep): mix with water to make 1 gallon, drink 8 oz every 10 mins

Question 39

INDICATIONS/USE: polyethylene glycol (PEG) (OTC)

Answer 39

- osmotic laxative to relieve constipation - bowel evacuant for colonoscopy prep (non-FDA approved)

Question 40

COUNSELING TIPS: polyethylene glycol (PEG) (OTC)

Answer 40

- laxative works in 1-3 days - do not take laxative longer than 1 week w/o MD approval - colon prep works in 1 hr - diarrhea, cramps, bloating

Question 41

BRAND NAME: bisacodyl (OTC)

Answer 41

Dulcolax

Question 42

COMMON STRENGTHS: bisacodyl (OTC)

Answer 42

5mg, 10mg

Question 43

COMMON FREQUENCY: bisacodyl (OTC)

Answer 43

- laxative: 5-15mg PO daily, 10mg rectally daily - colonoscopy prep: 30mg dose (max: 30mg/day)

Question 44

INDICATIONS/USE: bisacodyl (OTC)

Answer 44

- stimulant laxative to relieve constipation - bowel evacuant for colonoscopy prep

Question 45

COUNSELING TIPS: bisacodyl (OTC)

Answer 45

- oral dose works in 8 hrs - suppository works within 15-60 ins - do not take longer than 1 week w/o MD approval - diarrhea, cramps

Question 46

BRAND NAME: loperamide (OTC)

Answer 46

Imodium

Question 47

COMMON STRENGTHS: loperamide (OTC)

Answer 47

2mg

Question 48

COMMON FREQUENCY: loperamide (OTC)

Answer 48

- 2 tablets PO after first loose stool, then 1 tablet after each loose stool - max: 8mg/day (OTC), 16mg/day (Rx)

Question 49

INDICATIONS/USE: loperamide (OTC)

Answer 49

slows peristalsis to treat diarrhea

Question 50

COUNSELING TIPS: loperamide (OTC)

Answer 50

- drowsiness - if diarrhea not improved in 2 days, call MD due to dehydration risk