Pharm - Drugs for Diarrhea and Inflammatory Bowel Disease Flashcards
(20 cards)
Antibiotic Tx for hepatic encephalopathy
Rifaximin
Unlabeled use in Tx of C diff diarrhea
Rifaximin
Inhibits bacterial RNA sythess by binding to bacterial DNA-dependent RNA polymerase
Rifaximin
Rifamycin derivative
Rifaximin
First in class agent useful for different types of secretory diarrhea. Oral delayed release
Crofelemer
Inhibits CFTR channel, Ca activated Cl channel (CaCC)
Crofelemer
You’re basically giving yourself Cystic Fibrosis. Respiratory SEs aligned with this concept
Provides relief for NONINFECTIOUS diarrhea. Especially for HIV/AIDS pts
Crofelemer
Must rule out infectious diarrhea before use
Crofelemer
Significant adverse rxn related to URI, bronchitis
Crofelemer
Human monoclonal Abs
Adalimumab and Golimumab
SQ induction dose followed by maintenance doses every other week
Adalimumab
SQ autoinjector or self-injection that begins with induction doses and maintenance doses every 4 weeks
Golimumab
Chimeric (mouse/human) antibody that neutralizes TNF alpha, preventing binding to its receptor
Infliximab
IV chimeric antibody
Infliximab
Its target is integrin
Vedolizumab
Anti TNF agents are used to treat which Dz?
Ulcerative colitis
Targets alpha4beta1 inhibiting VCAM and alpha4beta7
Natalizumab
Blocks alpha4beta7-integrin only
Vedolizumab
Leads to progressive multifocal leukoencephalopathy (PML)
Natalizumab
5-ASA bound by an azo bond inhibiting prostaglandins and leukotrienes
Basalazide
(Also Sulfasalazine, Osalazine) they are prodrugs for mesalazine “5-ASA”