Antiemetic Drugs Classification and Mechanism
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Questions and Answers

What is the mechanism of action of ondansetron, granisetron, and dolasetron?

  • They increase the release of dopamine
  • They increase the motility of the esophagus, stomach, and intestine
  • They block 5-HT3 receptors (correct)
  • They stimulate the vomiting center
  • What is the main mechanism of action of bulk-forming laxatives?

  • Inhibiting gastric acid secretion
  • Reducing fluid absorption in the large intestine
  • Increasing contraction of muscles in the intestine (correct)
  • Stimulating the healing of duodenal and gastric ulcers
  • Which of the following drugs can cause extrapyramidal side effects?

  • Metoclopramide (correct)
  • Psyllium
  • Ondansetron
  • Domperidone
  • What is a potential complication of using bulk-forming laxatives without increasing fluid intake?

    <p>Constipation</p> Signup and view all the answers

    What is the effect of metoclopramide and domperidone on gastric emptying time?

    <p>It is shortened</p> Signup and view all the answers

    Which of the following medications should not be used in combination with magnesium salts in laxatives?

    <p>Ha antagonist</p> Signup and view all the answers

    What is the mechanism of action of histamine type anticholinergic drugs?

    <p>They compete with histamine for H₂ receptors</p> Signup and view all the answers

    What is a common side effect of using bulk-forming laxatives?

    <p>Dry mouth</p> Signup and view all the answers

    What is the effect of metoclopramide and domperidone on reflux into the esophagus?

    <p>It is decreased</p> Signup and view all the answers

    Why should patients with impaired kidney function avoid using laxatives containing magnesium salts?

    <p>They can be absorbed by the kidney and cause complications</p> Signup and view all the answers

    Which of the following drugs is classified as a stimulant laxative?

    <p>Bisacodyl</p> Signup and view all the answers

    What is the primary purpose of using bulk-forming laxatives in colonoscopies and intestinal surgery?

    <p>To clean the colon and prepare it for surgery</p> Signup and view all the answers

    Study Notes

    Anti-Emetics

    • Prevent nausea and vomiting by blocking 5-HT3 receptors
    • Examples: ondansetron, granisetron, dolasetron (used to prevent chemotherapy-induced nausea and vomiting)

    Dopamine Antagonists

    • Metoclopramide: blocks D₂ receptors, increases motility of esophagus, stomach, and intestine, reduces nausea and vomiting
    • Domperidone: increases motility of esophagus, stomach, and intestine, reduces nausea and vomiting

    Anti-Histamine/Anticholinergic

    • Examples: dimenhydrinate, cinnarizine, meclizine (used to treat motion sickness and morning sickness)

    Laxatives

    • Types: stimulant (e.g. senna, bisacodyl), osmotic (e.g. lactulose), bulk-forming (e.g. psyllium, methylcellulose)
    • Stimulant laxatives increase muscle contraction in the intestine to induce bowel movement
    • Osmotic laxatives pull large amounts of water into the large intestine to soften stool
    • Bulk-forming laxatives absorb water to increase stool bulk and stimulate bowel movement

    Side Effects of Laxatives

    • Constipation, diarrhea, abdominal discomfort, flatulence, hypokalemia

    H₂ Antagonists

    • Examples: cimetidine, famotidine, ranitidine (used to inhibit gastric acid secretion)
    • Used in peptic ulcer therapy in combination with antimicrobial drugs

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    Description

    Test your knowledge of antiemetic drugs, including serotonin, dopamine, and histamine type medications. Learn about their classification, generic and trade names, and mechanisms of action.

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