110 likes | 476 Views
Chapter 73. Drugs for Peptic Ulcer Disease. Drugs for Peptic Ulcer Disease. Peptic ulcer disease Upper GI disorders Degrees of erosion of the gut wall Cause Imbalance between mucosal and aggressive factors. Defensive factors Mucus Bicarbonate Blood flow Prostaglandins.
E N D
Chapter 73 Drugs for Peptic Ulcer Disease
Drugs for Peptic Ulcer Disease • Peptic ulcer disease • Upper GI disorders • Degrees of erosion of the gut wall • Cause • Imbalance between mucosal and aggressive factors
Defensive factors Mucus Bicarbonate Blood flow Prostaglandins Aggressive factors Helicobacter NSAIDs Gastric acid Pepsin Smoking Pathogenesis of Peptic Ulcers
Classes of Antiulcer Drugs • Antibiotics • Antisecretory agents • Mucosal protectants • Antisecretory agents that enhance mucosal defenses • Antacids
Helicobacter pylori • Test: breath test or serum • Treatment—(two antibiotics are prescribed) • Bismuth • Clarithromycin • Amoxicillin • Tetracycline • Metronidazole
Histamine-2 Receptor Antagonists • Cimetidine (Tagamet) • Ranitidine (Zantac) • Ranitidine bismuth citrate (Tritec) • Famotidine (Pepcid) • Nizatidine (Axid)
Proton Pump Inhibitors • Omeprazole (Prilosec) • Inhibits gastric secretion • Short half-life • Used for short-term therapy • Adverse effects • Headache • Gastrointestinal
Sucralfate (Carafate) • Protective barrier up to 6 hours • Uses • Acute ulcers • Adverse effects • Constipation • Drug interactions