Shared Flashcard Set

Details

Antacids
Pharmacy Counseling Points
16
Pharmacology
Graduate
12/30/2015

Additional Pharmacology Flashcards

 


 

Cards

Term
Drugs requires ACIDIC (No antacids/H2Antagonists/PPIs) environment for absorption
Definition
Ketoconazole (Nizoral)

Iron salts (Feosol) FQs (Cipro,Levaquin)

Cimetidine (Tagamet) isoniazid (INH)

Digoxin itraconazole (sporanox)

Salicylates Phenytoin (Dilantin)

Nitrofurantoin (Macrodbid, Macrodantin)

Tetracycline (minocycline,doxycycline)


TAKE MEDICINE 1 HR BEFORE OR 2 HOURS AFTER
Term
Alka-Seltzer(Original) CI in conditions?
Definition
contains 2000 mg SODIUM bicarbonate avoid in: HTN, CHF, edema, renal impairment, or pregnancy.
Term
Enteric coated drugs and antacids intx
Definition
If taken with antacids can irritate stomach; causes drug to release in stomach instead of the intestines (Voltaren, dulcolax, ecotrin, etc.)
Term
Which calcium form is good for patients taking antacids?
Definition
Calcium citrate is best because calcium carbonate for calcium supplementation requires ACIDIC environment
Term
H2 antagonist that interact and must be taken 1 hour before or 2 hours after antacid
Definition
Ranitidine (Zantac)

Cimetidine (Tagamet)
Term
How often can H2 ANTAGONISTS be taken daily
Definition
TWICE
Term
Which H2 BLOCKER IS NOT FOR PREVENTION (30 MIN-1HR BEFORE)
Definition
RANITIDINE (ZANTAC) ONLY FOR ACTIVE TREATMENT
Term
PPI COUNSELING POINT
Definition
NOT FOR IMMEDIATE RELIEF/TAKEN ONCE DAILY

MAY TAKE UP TO 4 DAYS FOR EFFECT SOME GET RELIEF IN 24 HRS

USE FOR 14 DAYS MAX AND EVERY 4 MONTH UNLESS DIRECTED BY MD

DELAYED RELEASE/DO NOT CRUSH/CHEW/BREAK SWALLOW WHOLE WITH GLASS OF WATER
Term
SODIUM BICARBONATE ANTACID
Definition
aLKA-SELZTER (VARIOUS)
BAKING SODA

CONTAIN ASA (BLEEDING RISK IN PT ON ANTICOAGULANT)


COMPLETELY ABSORBED/POTENT NEUTRALIZER
CAN CAUSE SX ALKALOSIS

INCREASES URINE PH

WATCH FOR SODIUM OVERLOAD IN SPECIFIC POPULATIONS
Term
CALCIUM CARBONATE
Definition
TUMS, CALCITABS, CHOOZ,ETC.

CHELATES VARIOUS DRUGS
CAN LEAD TO HYPERCALCEMIA/KIDNEY STONES

MAY CAUSE BLOATING/INTESTINAL GAS


10% ABSORBED SYSTEMICALLY/ REQUIRES ACIDIC PH FOR ABSORPTION
Term
MAGNESIUM HYDROXIDE ANTACID
Definition
MILK OF MAGNESIA (MOM)

ALONE CAN CAUSE DIARRHEA/TX CONSTIPATION
(ADD ALUMINUM OFFSETS THAT EFFECT)
Term
AlOH ANTACIDS
Definition
ALTERNAGEL
NOR VERY EFFECTIVE AS ANTACID/USED TO DECREASE PHOSPHATE LEVELS 2NDARY TO RENAL FAILURE

MAY BE CONSTIPATING
Term
ALUMINUM -MAGNESIUM COMBOS
Definition
MAALOX, MYLANTA (SIMETHICONE -GAS; ALONE GAS-X OR MYLICON DROPS FOR INFANTS)
Term
BRAND-GENERIC H2 ANTAGONIST
Definition
CIMETIDINE-TAGAMET

NIZATIDINE-AXID
FAMOTIDINE-PEPCID AC; PEPCID COMPLETE-CA/MAG HYDROXIDE (ANTACID BUILT IN)
RANITIDINE-ZANTAC
Term
BISMUTH SUBSALICYLATE BSS/PEPTO-BISMOL
Definition
TOPICALLY COATES STOMACH LINING

CAUSE STOOL DARKENING (DO NOT CONFUSE WITH BLEED)
SHAKE WELL; NOT AN ANTACID FOR HEARTBURN/INDEGESTION,UPSET STOMACH,DIARRHEA

CONTAINS SALICYLATE-REYES SYNDROME/BLEED RISK
Term
GAVISCON?
Definition
SODIUM ALGINATE, NA BICARBONATE, ALOH, MGCARBONATE -FDA ONL RECOGNIZES OTHER ACTIVE INGREDIENTS AS SAME IN MAALOX CLAIM "REACT WITH SALIVA TO FORM VISCOUS RAFT THAT FLOATS ATOP STOMACH CNTENTS TO FORM A BARRIER TO REFLUX -TOTAL BS!!!
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