IBS-M Flashcards
1
Q
tx options
A
antidepressants
fiber
non-pharm
2
Q
antidepressants used
A
amitriptyline or nortriptylineto improve pain and global sx
3
Q
antidepressants dosing
A
amit: 50-100mg qd
nor: 25-75mg qd
start dose for both is 10mg po qd d/t anticholinergic side effects
4
Q
TCAs AE
A
sedation, drowsiness, xerostomia, constipation could worsen
5
Q
fiber options
A
pollium, oat branm bailey, beans (SOLUBLE fibers»»»>)
6
Q
why do we want soluble fibers and not insolubel fibers
A
soluble fibers pull h2o into gut, gel forms which resists colonic fermentatoin and bacteria wont metabolize it and produce bacteria/gas
7
Q
non-pharm options for IBS-M
A
psychotherapy/counseling
relaxation and stress management
cognitive behavioral therapy
