MEDLIST 7 - Gastrointestinal Medications

Question 1

Phenergan
Generic name

Answer 1

Promethazine

Question 2

Common strength
Promethazine

Answer 2

12.5mg
25mg
50mg

Question 3

Common Frequency
Promethazine

Answer 3

q4-6h prn

Question 4

Indication and use
Promethazine

Answer 4

• Prevents and treats nausea/vomiting
• Motion sickness
• Allergies

Question 5

Counseling tips and important Info
Promethazine

Answer 5

*Sun sensitivity
*Drowsiness/dizziness
*Avoid alcohol

Question 6

Zofran, Zofran ODT
Generic name

Answer 6

ondansetron

Question 7

Common Strength
ondansetron

Answer 7

4mg
8mg

Question 8

Common Frequency
ondansetron

Answer 8

q8h prn

Question 9

Indication and use
ondansetron

Answer 9

• Prevent nausea/vomiting
• Non-FDA approved for treatment of vomiting

Question 10

Counseling tips and important info
ondansetron

Answer 10

• Fatigue
• Headache
• Constipation or diarrhea

Question 11

Prilosec
Generic name

Answer 11

omeprazole
(OTC)

Question 12

Common strength
omeprazole
(OTC)

Answer 12

10mg
20mg
40mg

Question 13

common frequency
omeprazole
(OTC)

Answer 13

daily

Question 14

indication and use
omeprazole
(OTC)

Answer 14

• Acid reflux/ indigestion
• Prevention and treatment of ulcers

Question 15

Counseling tips and important info
omeprazole
(OTC)

Answer 15

• Works in 1 day, up to 4 days for full effect
• (TAKE ON EMPTY STOMACH) Food delays absorption so take >1 hour before food
• Separate from antacids by 2 hours

Question 16

Pepcid AC
Generic name

Answer 16

famotidine
(OTC)

Question 17

common strengths
famotidine
(OTC)

Answer 17

10mg
20mg
40mg

Question 18

common frequency
famotidine
(OTC)

Answer 18

BID

Question 19

indication and use
famotidine
(OTC)

Answer 19

• Acid reflux/ indigestion
• Prevention and treatment of ulcers

Question 20

Counseling tips and important info
famotidine
(OTC)

Answer 20

• Works in 1 hour, up to 1 day for full effect
• Can be taken with antacids (CAN TAKE WITH TUMS)

Question 21

Maalox
Generic name

Answer 21

magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)

Question 22

common strengths
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)

Answer 22

200mg/200mg/20mg per 5 ml

Question 23

common frequency
magnesium hydroxide, aluminum hydroxide, simethicone
(OTC)

Answer 23

2-4 tsp PO QID PRN

Question 24

indication and 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 and important information magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

Answer 25

* Shake well * Works within minutes * Many drug-drug interactions * Constipation from aluminum * Diarrhea from magnesium and simethicone

Question 26

Tums Generic name

Answer 26

calcium carbonate (OTC)

Question 27

common strength calcium carbonate (OTC)

Answer 27

500mg 750mg

Question 28

common frequency calcium carbonate (OTC)

Answer 28

Chew 2-4 tablets prn MAX: 7500 mg/day if used for indigestion MAX: 2500 mg/day as supplement

Question 29

indication and use calcium carbonate (OTC)

Answer 29

* Calcium supplement * Acute acid reflux / indigestion (heart burn)

Question 30

Counseling tips and important info calcium carbonate (OTC)

Answer 30

* Constipation * Chew before swallowing * Do not use > 2 weeks for indigestion (b/c it can harden arteries)

Question 31

GoLYTELY, MiraLAX Generic name

Answer 31

Polyethylene glycol (PEG) (OTC)

Question 32

common strength Polyethylene glycol (PEG) (OTC)

Answer 32

17g

Question 33

common frequency Polyethylene glycol (PEG) (OTC)

Answer 33

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 8oz every 10 minutes

Question 34

indication and use Polyethylene glycol (PEG) (OTC)

Answer 34

* Osmotic laxative to relieve constipation * Bowel evacuant for colonoscopy prep (Non-FDA approved)

Question 35

Counseling tips and important info Polyethylene glycol (PEG) (OTC)

Answer 35

* Laxative works in 1-3 days * Do not take laxative longer than 1 week without MD approval * Colon prep works in 1 hr * Diarrhea, cramps, bloating

Question 36

Colace Generic name

Answer 36

docusate sodium (OTC)

Question 37

common strength docusate sodium (OTC)

Answer 37

50mg 100mg 250mg

Question 38

common frequency docusate sodium (OTC)

Answer 38

daily

Question 39

indication and use docusate sodium (OTC)

Answer 39

* Stool softener to relieve constipation

Question 40

Counseling tips and important info docusate sodium (OTC)

Answer 40

* Works in 1-3 days * Take with water (needed to soften the stool) * Diarrhea, cramps

Question 41

Dulcolax Generic name

Answer 41

bisacodyl (OTC)

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: 20-30mg dose MAX: 30mg/day

Question 44

Indication and use bisacodyl (OTC)

Answer 44

* Stimulant laxative to relieve constipation * Bowel evacuant for colonoscopy prep

Question 45

Counseling tips and important info bisacodyl (OTC)

Answer 45

* Oral dose works in 8 hrs * Suppository works within 15-60 minutes * Do not take longer than 1 week without MD approval * Diarrhea, cramps

Question 46

Imodium Generic name

Answer 46

loperamide (OTC)

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 subsequent loose stool MAX: 8mg/day (OTC) 16mg/day (Rx)

Question 49

Indication and use loperamide (OTC)

Answer 49

* Slows peristalsis to treat diarrhea (commonly seen in those for opioid constipation)

Question 50

Counseling tips and important info loperamide (OTC)

Answer 50

* Drowsiness * If diarrhea not improved in 2 days, call MD due to de- hydration risk * (may be locked up in pharmacy due to potential abuse)