Note: Sir Gerard types these.

Antacids
1. Neutralizers
Mg(OH)2, Al(OH)3 (lake) Maalox (SA), Mylanta
+ Simethicone antiflatulent
+ Alginic (cytoprotective) Gaviscon
+ NaHCO3 + Omeprazole Zegacid
2. Prostaglandins
Misoprostol (Cytotec)
3. Cytoprotectives
Sucralfate (Iselpin 1g, Carafate Syr., Wyeth)
Rebamipide (Mucosta Tab., Otsuka)
4. H2-blockers
Cimetidine (Tagamet, GSK) 2x Inhibitor

Ranitidine (Zantac 150/300mg, GSK)*2x

Famotidine (H2Bloc, Westmont, UL) 2x
5. PPI *IV
Lansoprazole (Prevacid 15/30 FDT, Takeda)
Esomeprazole (Nexium 20/40 MUPS, AZ)*
Rabeprazole (Pariet, Aciphex) Inhibitor

Omeprazole (Losec 20/40, AZ)*

 Pantoprazole (Pantoloc 40mg, XX)***
6. Cholagogue increases bile secretion
Ursodeoxycholic acid (Ursofalk)
Lactulose
7. Peptic Ulcer H. pylori (70%, even for esophageal ulcer
= GERD)
Clarithromycin 500mg BID + Metronidazole 500mg
TID or Amoxicillin 500mg TID + PPI OD
8. GERD, in addition to antacids & cytoprotectant, use
Prokinetic agent = Metoclopramide (Plasil Tab/IV/Syr)
Anticholinergic
Domperidone (Motilium 10mg, J)
Tab., Syr.
Cisapride (Prepulsid)
9. Laxatives, Purgative, Cathartic
Bisacodyl (Dulcolax, Boehr 10mg/Syr/Supp.) bulk
Sodium picosulate
Lactulose (Duphalac, Abbott) stool softener, NH3
Enemas = Fleet (xxxxxxxxxxxxxxxxx), Golytely,
Nulytely, docusate na
Senna/Biguerlai stimulant/peristalsis +H20
 Pp

Cardiovascular
1. Positive inotropic agent
a. digoxin (lanoxin gsk = tab, syr, iv) nakatpase
toxicity increased by Ca
digitoxin
strophantidin
oleandrin
tevetin
Keddes test, Keller-Killiani
b. dobutamine (dobutrex), dopamine = IV

Arrythmia
Amiodarone (cordarone 200mg) = prolonged QT
Torsades de point
1a, 1b, 1c = sodium channel inhibitor
1a = quinidine etc. 1b = lidocaine etc
1c = flecainide (tambocor) etc.
2 = b-adrenergic blockers
Carvedilol (dilatrend) = 6.25mg (coreg)
 25mg = HPTN
3 = potassium channel inhibitor (amiodarone)
4 = calcium channel inhibitor = not for CHF
5 = atypical

Hypertension
1. diuretics and/or b-blockers
Loops = furosemide (Lasix 40/IV), torsemide,
. hypokalemia
Aldosterone inhibitors = spironolactone (aldactone)
25, 50, 100
. Hyperkalemia
Thiazides = HCTZ (Hytaz 12.5/25mg) = hypokalemia
Aggravate DM, increase uric acid
Spironolactone + butizide = aldazideTM
Osmotic diuretics = mannitol (glaucoma)
Carbonic anhydrase inhibitors = acetazolamide
(Diamox, wyeth)
Dorzolamide
Brinzolamide
HCO3 = decrease
 Beta-adrenergic blockers
1. non-specific block B1 & B2 = cant be use or asthma
Propranolol (Inderal 10/40 AZ) = hyperthyroidism
2. B1 specific blockers = safe for asthma
Metoprolol (betaloc 50/100 AZ, neobloc 50/100 gxi)
Atenolol (50/100, Tenormin AZ, therabloc LRI-T)
Carvedilol, betaxolol, bisoprolol (ziac)
3. B blockers with ISA
Pindolol (visken)
Calcium Channel Blockers
amlodipine
nifedipine (calcibloc 5/10, od30, adalat gits 20/30/40)
verapamil (isoptin 40, 80, 180, 240)
diltiazem (dilzem 30/60 +++ pf) = sinus br
felodipine (plendil er 5/10 AZ, versant 5mgxr W)
nicardepine (cardepine) IV HPTN crisis
lacidipine (lacipil 2, 4, 6 mg, gsk)
lercanidipine (zanidip)

ACE inhibitors = cough (