Guide to Gastrointestinal Medications

May 19, 2025

Overview of Medications for Gastrointestinal Disorders

H2 Blockers

  • Examples:
    • Famotidine (brand name: Pepcid)
    • Ranitidine (brand name: Zantac)
  • Mechanism of Action:
    • Block histamine receptors in the stomach.
    • Reduce production of stomach acid.
  • Common Uses:
    • Acid reflux
    • GERD
    • Ulcers

Proton Pump Inhibitors (PPIs)

  • Examples:
    • Omeprazole (Prilosec, Nexium)
    • Pantoprazole (Protonix)
    • Lansoprazole (Prevacid)
    • Esomeprazole (Nexium)
  • Mechanism of Action:
    • Inhibit the proton pump in the stomach lining.
    • Reduce acid production, providing relief from acid reflux and GERD symptoms.
  • Common Stem in Generic Names:
    • Ends in "-prazole"

5-Amino Salicylates

  • Example:
    • Mesalamine (brand name: Asacol)
  • Mechanism of Action:
    • Act as anti-inflammatory agents.
    • Reduce inflammation in the intestinal lining.
  • Common Uses:
    • Ulcerative colitis

Antihistamines

  • Example:
    • Promethazine (brand name: Phenergan)
  • Mechanism of Action:
    • Alleviate nausea and vomiting.
  • Common Stem in Generic Names:
    • Ends in "-zine"

Laxatives

  • Example:
    • Polyethylene glycol (brand name: Glycolax)
  • Common Use:
    • Treat constipation

Quiz Example

  • Question: A patient comes into the pharmacy complaining of frequent acid reflux. Which one of the following drugs would you choose?
    • Options: "dine", Polyethylene glycol, Omeprazole, Docusate
  • Correct Answer: Omeprazole (Proton pump inhibitor, used to reduce stomach acid production)

Key Takeaway

  • Each medication has its own unique mechanism of action and specific indications.
  • Understanding their classifications ensures safe and effective use for patients.