tegaserod, prucalopride
Which drugs act on Serotonin-4 receptors? (2)
5HT-4 agonists; releases acetylcholine; causing peristalsis to occur
Serotonin 4-agonist MOA?
b,d
Which drugs have a BBW for suicidal ideation?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
plecanatide, linaclotide, tenapanor, lubipristone
What are the Intestinal Secretagogues? (4)
severe diarrhea/dehydration
What is the BBW associated with Intestinal Secretagogues?
e
Which drug activates Chloride receptors directly?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
f
Which drug inhibits sodium reabsorption?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
poorly absorbable carbs that increase osmotic load/bacterial growth in the gut
What are FODMAPS, and how do they impact IBS-C?
recurrent abdominal pain/discomfort >=1x per week in last 3 months with >=2 of the following: relieved with defecation, change in frequency, change in appearance
What is the ROME IV Criteria for IBS? (4)
IBS-C in women <65 yo
What is the indication for Tegaserod?
b
Which has a Boxed Warning for major CV events?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
tegaserod, lubirpristone
Which medications ONLY have IBS-C indications in women? (2)
b
Which can be used in men with OIC?
a) Tegaserod
b) Lubipristone
Chronic idiopathic constipation
What is the indication for Prucalopride?
a,c
Which act on GC-C?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
methylcellulose, psyllium, polycarbophil
What are the bulk-forming laxatives? (3)
PEG, lactulose, magnesium hydroxide, sorbitol, glycerin
What are the Osmotic Laxatives? (5)
senna, bisacodyl
What are the stimulant laxatives? (2)
stool softener
Docusate is a _________.
hyoscyamine, dicyclomine, Librax, Donnatal
What are the antispasmodics? (4)
inhibits NHE3 transporter in small intestine; reduces sodium absorption, increasing water secretion into lumen
Tenapanor MOA?
agonists of guanylate cyclase c-receptors on intestinal epithelium; increasing fluid secretion into lumen
GC-C agonists MOA?
activates type 2 cl channels of epithelial cells; increasing cl/water secretion in the intestinal lumen
Lubiprostone MOA?
a
Increased serotonin =
a) diarrhea
b) constipation
b
Decreased serotonin =
a) diarrhea
b) constipation
beans/legumes, wheat, dairy products w/lactose, high fructose corn syrup, artificial sweeteners, some fruits/veggies
What are some foods to avoid when on a low-FODMAPS diet? (6)
c
Which should be taken >=30 min before meals for best absorption?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
e
Which should be taken with food & water?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor
d
Which should be taken at the same time each day for the best results?
a) Plecainatide
b) Tegaserod
c) Linaclotide
d) Prucalopride
e) Lubipristone
f) Tenapanor