medicatia aparatului digestiv. antiulceroase
TRANSCRIPT
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8/18/2019 Medicatia Aparatului Digestiv. Antiulceroase
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MEDICATIA APARATULUI DIGESTIV
ANTIULCEROASE
ANTIACIDE – COMBINATII
Rennie® - compr. masticabile
- continut: carbonat de calciu, carbonat de Mg
Almagel® - suspensie- continut: Al hidroxat gel, Mg hidroxat pasta
Dicarbcalm® - cp.
- continut: carbonat de calciu, carbonat de Mg, trsilicat de Mg
Maal!®" Ma#cl® - cp. masticabile, suspensie
Ga$%rben® - continut: hidroxid de Al, hidroxid de Mg
N&al!® - cp. masticabile, suspensie
- continut: Al glicinat, oxid de Mg
Al'gel® - gel oral
- continut: fosfat de Al coloidal, hidroxid de Al
Ulcer%ra%® - cp.
- continut: azotat bazic de bismut, carbonat bazic de Mg, carbonat acid de Na, coaja de crusan, radacina de calam
ANTISECRETORII
BLOCANTE H2
Cime%i(ina )Cimedin®, Histodil ®* - cp/cps !! mg, fiole !!mg/ml
Rani%i(ina " Arnetin®, Ulcoran®, Zantac®# - cp "filmate#/cps $%! mg, &!! mg, fiole %!mg/ml
+am%i(ina (Famodin®, Quamatel®, Ulceran®)- cp "film#/dj ! mg, '! mg, pulb.inj.! mg
Ni,a%i(ina ( Axid ®) – cps $%! mg, &!! mg, fiole %! mg/ml
INHIBITORI AI POMPEI DE PROTONI
Omera,l (Losec®, Omeran ®, Omez ®) - cps. enterosolubile ! mg, pulb. inj '!mg/$! ml
Lan$ra,l (Lanzap ®) - cps. enterosolubile &! mgPan%ra,l (Controloc ®) - cp ! mg, '! mg, pulb inj '! mg
Rabera,l ( Pariet ®) - cp film enterosolubile ! mg
E$mera,l ( exium ®) - cp film ! mg, '! mg, pulb inj '! mg
PARASIMPATOLITICE
Pran%elina - dj $% mg
Piren,eina - cp % mg
PROTECTOARE ALE MUCOASEI GASTRICE
S#cral'a% (!astro"ait®, #ucralan®, $enter®) - cp $ g
Bi$m#% $#bci%ra% (%e&ol ®) - cp $! mg
ANTIBIOTICE SI C.IMIOTERAPICE UTILI/ATE IN TRATAMENTUL .0 P1LORI
Am!icilina (%uomox®,'oxilen®, Ospamox®)- cps/cp %! mg, %!! mg
- cp filmate %!! mg, (%! mg, $!!! mg
- suspensie/pulb. pt suspensie orala $%/%!/&(% mg/% ml
Clari%rmicina (lacid®) - cp film %! mg, %!! mg
- granule pr suspensie orala $%mg/% ml, %!! mg/%ml
- pulb inj %!! mg
Te%raciclina - cps %! mg
Me%rni(a,l " Fla*l®# - cp %! mg, susp int $%mg/% ml, sol perf !.% )
Tini(a,l (Fasi*n®) - cp "film# %!! mg, sol perf !.)Cmbina%ii
Helicocin® : $ cp film o*al (%! mg amoxicilina, $ cp film rotund %!! mg metronidazol
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Pre$crieri – e!emle
- ulcerul duodenal, tratament pentru pro"ilaxia recurentelor
+p. +anitidina cps $%! mg
Nr.
s intern, cate $ cps seara, la culcare
- ulcer duodenal, in"ectie H+ P*lori
+p$# meprazol cps ! mg Nr.
s intern cate $ capsula de ori pe zi
+p# 0ismut subcitrat "e-Nol# cp
Nr. 1222
s intern cate $ dimineata cu 3 ora inainte de masa si seara la culcare
+p Amoxicilina cp $!!! mg
Nr. 1222
s intern cate $ cp de ori pe zi
+p'# 4laritromicina cp %!! mg
Nr. 1222
s intern cate $ cp de ori pe zi
MEDICATIA ANTIVOMITIVA
An%agni$%i 2-.T3
On(an$e%rn ) Zo"ran®, Osetron ®* - cp ' mg, 5 mg, sol inj mg/ml 6 fiole ml, ' ml
Grani$e%rn (*tril®) - cp, sol orala, sol inj
Tri$e%rn (ao-an®# - cps, sol inj
Dla$e%rn " Anzemet®) - cps, sol inj
Al%e an%i&mi%i&e
Prclrera,ina ( .metiral ®) - dj % mg, supoz % mg, % mgMe%clrami( - an%ieme%ic "mecanism antidopaminergic# si r4ine%ic
"mecanism colinergic, %78'#9 nu se asociaza cu
anticolinergice
- cp $! mg, sol interna, sol inj $! mg/ml
Dmeri(na " 'otilium ®# - mecanism asemanator metoclopramidului
- cp $! mg
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ANTISPASTICE
- substante care impiedica spasmul musculaturii netede "gastro-intestinale, biliare, a tractului urinar
si a aparatului genital#
- grupe farmacodinamice
- neurotrope 6 parasimpatolitice/anticolinergice 6 antagonisti la ni*elul receptorilor M
- musculotrope "papa*erinice# 6 actioneaza direct la ni*elul musculaturii netede
Antispastice parasipatolitice
- actiuni de tip atropinic
- diminueaza tonusul si inhiba peristaltismul stomacului si intestinului 6 efect constipant
- diminueaza secretiile digesti*e "efect antisecretor#
- actiunea antispastica la ni*elul tractului biliar si urinar este relati* slaba
- relaxeaza *ezica urinara, fa*orizeaza contractia sfincterului *ezical 6 42 adenom de prostata
- bronhodilatatie
- stimularea inimii
- midriaza, cicloplegie si cresterea presiunii intraoculare 6 42 glaucom
B#%il$clamina )#co-util ®, /uscopan®#- compus cuaternar de amoniu 9 actiune slaba la ni*elul ;N4
9 absorbtie partiala si inegala din tubul digesti*
- dj/cp $! mg, supoz $! mg, sol inj ! mg/ ml 6 fiole $ ml
- #co-util compus® - asociere cu metamizol .% g
Mebe&erina (Colospasmin®#- cp $!! mg, cp elib prelung !! mg
Pran%elina – dj $% mg
O%ilni#m brmi(#m (#pasmomen®# 6 cp '! mg
Antispastice !sc!lotrope
Paa&erina - cp %! mg, $!! mg, !! mg, sol inj '! mg/ml
Dr%a&erina (opa®, #pasmocalm) 6 cp '! mg, 5! mg, sol inj ! mg/ml 6 fiole ml, ' ml
Pre$crieri – e!emle
& reata, oma in cursul tratamentului cu citostatice
+p#
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MEDICATIA .IPOLIPIDEMIANTA
STATINE
Sim&a$%a%in " 'iastin®, #imcor®,#imor®,, $asilip®, Zocor®#
- cp "filmate# %mg, $! mg, ! mg, '! mg, 5! mg 6 "$!-'!# mg /zi, seara
L&a$%a%in ('eacor®) - cp !mg, '! mg 6 "!-'!# mg/zi, seara 9 5!mg/zi in
prizePra&a$%a%in " Lipostat®,, Pralip®,) & cp $!mg, !mg, '!mg - 6 "$!-'!# mg /zi, seara
+l#&a$%a%in (Lescol®,) - cp $!mg, ! mg, elib prel 5! mg 6 "$!-'!# mg /zi, seara
A%r&a$%a%in (#ortis®,) - cp film $!mg, ! mg, '! mg, 5! mg 6 intial $! mg/zi,
seara
R$#&a$%a%in )Crestor®) & cp film $!mg, ! mg, '! mg - 6 intial $! mg/zi, seara
+IBRATI
Be,a'ibra% (0eadrin /®) & dj !! mg 6 $ dj x &/ zi, la mese
Gem'ibr,il " 1polipid ®) - caps &!! mg 6 doza unica, seara
+en'ibra% (Lipant22*l®, Lipo"i-®) - cps $!!mg, !! mg, caps elib prel ";+# %! mg, $!!
mgx&/zi, la meseCir'ibra% ) Lipanor®) & cps $!! mg -$!!mg/zi, doza unica
ACID NICOTINIC
Aciim! (Ol-etam®) & caps %! mg, %!!-(%! mg/zi, in -& prize, la mese
E/ETIMIBA
(.zetrol ®) - cp $! mg, $/zi