GASTROI
NTESTI
NALSYSTEM
ANTACI
DS
- Neut
r
al
i
zeaci
di
nt
hest
omach.
- Maycausedi
ar
r
heaorconst
i
pat
i
on
- Canal
t
erabsor
pt
i
onofmanydr
ugs.
- Taken13hour
saf
t
ereat
i
ng.
CLASSI
FI
CATI
ON
ANTACI
DS
GENERI
C
NAME
BRAND
NAME
CONTRAI
NDI
CATI
ONS
CALCI
UM SALTS Cal
ci
um
Car
bonat
e
Tums
ALUMI
NUM
SALTS
Al
umi
num
Hy
dr
oxi
de
MAGNESI
UM
SALTS
Magnesi
um
Hy
dr
oxi
de,
Mi
l
kof
magnesi
a
Maal
ox,
Gav
i
scon
(
combi
nat
i
on)
Maal
ox,
*
I
fal
umi
num and
Gav
i
scon
Magnesi
um ar
e
(
combi
nat
i
on) combi
ned-el
i
mi
nat
e
const
i
pat
i
on
SODI
UM
BI
CARBONATENaHCO3(
baki
ng
soda)
SI
DE
EFFECT
Mi
l
k,
y
ogur
t
,
Vi
t
ami
n Const
i
pat
i
on
D,
canhav
eaci
d
andki
dney
r
eboundi
fusedt
oo
st
ones
much.(
gast
r
i
nr
el
ease
HCLsecr
et
i
on)
Const
i
pat
i
on
Di
ar
r
hea
Supr
aci
d,
Al
kaSel
t
zer
 Si
met
hi
cone
- Ant
i
f
l
at
ul
ent
- Notanant
aci
d.
- Al
t
er
sel
ast
i
ci
t
yofmucuscoat
edbubbl
es,
causi
ngt
hem t
obr
eak.
CONTRAI
NDI
CATI
ONS:
1.Al
l
er
gy
.
2.El
ect
r
ol
y
t
eoraci
dbasei
mbal
ance,
GIobst
r
uct
i
on,
r
enal
dy
sf
unct
i
on.
3.Pr
egnancyandl
act
at
i
on-pot
ent
i
al
adv
er
seef
f
ectont
hef
et
us.
4.Sodi
um Ant
aci
ds–shoul
dnotbeusedf
orCHFandHTNpat
i
ent
s.
HI
STAMI
NE2RECEPTORANTAGONI
ST(
H2ANTAGONI
STSorH2BLOCKERS)
- ReduceHCl
aci
dsecr
et
i
onandpr
oduct
i
onbutdonotst
opaci
dpr
oduct
i
on.
- Theybl
ockHi
st
ami
ner
ecept
or
sonpar
i
et
al
cel
l
s.
- Bestt
akenwi
t
hf
oodatbedt
i
me.
- “
t
i
di
ne”
GENERI
CNAME
Ci
met
i
di
ne
Famot
i
di
ne
BRANDNAME
Tagamet
Pepci
d
I
NDI
CATI
ON
GERD,
esophagi
t
i
s,
PUD,
Page1of1
GASTROI
NTESTI
NALSYSTEM
Rani
t
i
di
ne
GIBl
eedi
ng,
pr
ev
entst
r
ess
ul
cer
s
Zant
ac
NURSI
NGCONSI
DERATI
ONS:
1.Usedwi
t
hcaut
i
oni
nconf
usedandel
der
l
y–r
i
skoft
oxi
ci
t
y
,
r
i
skf
orneur
ochanges(
psy
chosi
s,
depr
essi
on,
anxi
et
y
)–canpassBBBi
nel
der
l
y
2.I
nhi
bi
tabsor
pt
i
onofdr
ugst
hatr
equi
r
eanaci
di
cenv
i
r
onment
.
3.Assessf
oral
l
er
gi
es,
i
mpai
r
edr
enal
andl
i
v
erf
unct
i
on.
PROTONPUMPI
NHI
BI
TOR(
PPI
)
- Tot
al
i
nhi
bi
t
i
onofgast
r
i
caci
dsecr
et
i
on.
- Usedt
omanageGIbl
eedi
ngi
npept
i
cul
cer
sbyi
ncr
easi
ngcl
otf
or
mat
i
on.
- “
pr
azol
e”
- Takenwi
t
houtf
ood,
or3060mi
nsbef
or
eeat
i
ng,
orwi
t
happl
esauceonl
y
.
GENERI
CNAME
Lansopr
azol
e
Omepr
azol
e
Pant
opr
azol
e
Esomepr
azol
e
Rabepr
az
ol
e
BRANDNAME
Pr
ev
aci
d
Pr
i
l
osec
Pr
ot
oni
x,
Pant
or
Nexi
um
Aci
pHex
I
NDI
CATI
ON
GERD,
esophagi
t
i
s,
duodenal
ul
cer
,
gast
r
i
cul
cer
.
NURSI
NGCONSI
DERATI
ONS:
1.Saf
ef
orshor
tt
er
m useandhav
ef
ewadv
er
seef
f
ect
s,
r
i
skf
orgast
r
i
ct
umor
s.
2.I
fusedf
orl
ongt
er
m,
maycauseOst
eopor
osi
s.
3.Maypr
edi
sposepat
i
entt
ogast
r
i
ci
nf
ect
i
onsbecauseaci
dpr
oduct
i
oni
dt
empor
ar
i
l
yst
opped,
t
hest
omachcan’
tf
i
ghtof
fi
nf
ect
i
onl
i
kei
tnor
mal
l
ycan.
4.Mayi
ncr
easebl
oodl
ev
el
sofDi
l
ant
i
nandAnt
i
coagul
ant
s.
5.Mayi
ncr
easechancef
orbl
eedi
ngwi
t
hwar
f
ar
i
n.
OTHERGIDRUGS:
Sucr
al
f
at
e(
Car
af
at
e)
- Cy
t
opr
ot
ect
i
v
edr
ug-Coatul
cer
,
gi
v
espr
ot
ect
i
on.
- Takeanhourbef
or
emeal
.
- SE:
Const
i
pat
i
on,
nausea,
dr
ymout
h.
- Ot
hermedi
cat
i
onsshoul
dbegi
v
en2hour
sbef
or
eoraf
t
er–i
mpai
rabsor
pt
i
on.
Mi
sopr
ost
ol(
Cy
t
ot
ec)
- Thi
smedi
cat
i
oni
susedt
opr
ev
entst
omachul
cer
swhi
l
ey
out
akeNSAI
Ds(
suchasaspi
r
i
n,
i
bupr
of
en,napr
oxen)
,especi
al
l
yi
fy
ouar
eatr
i
skf
ordev
el
opi
ngul
cer
sorhav
eahi
st
or
yof
Page2of2
GASTROI
NTESTI
NALSYSTEM
ul
cer
s.
- I
ncr
easesBi
car
bonat
el
i
ni
ngoft
hest
omach.
- Thi
smedi
cat
i
onpr
ot
ect
sy
ourst
omachl
i
ni
ngbyl
ower
i
ngt
heamountofgast
r
i
caci
d.
- CI
:
Pr
egnancy–ut
er
i
necont
r
act
i
on.
Page3of3