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Level 13

Gastroenterology (drug use)


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Antacids
dyspepsia (symptomatic relief)
Proton pump inhibitor
dyspepsia (persistent symptoms)
Proton pump inhibitor
gastro-oesophageal reflux disease
Prokinetic drug
gastro-oesophageal reflux disease
Vitamin K IV
liver disease causing coagulopathy
Potassium sparing diuretics
ascites
Laxative
constipation-predominant IBS
Antimotility drugs
diarrhoea-predominant IBS
Antispasmodic drugs
painful IBS
very low dose TCA
pain and diarrhoea in IBS
IV hydrocortisone
acute severe ulcerative colitis
Rectal hydrocortisone
acute severe ulcerative colitis
LMWH
acute severe ulcerative colitis
IV fluids 3L/day
acute severe ulcerative colitis
Ciclosporin OR infliximab
acute severe ulcerative colitis (poor response on day 3)
local aminosalicylates
mild-moderate active UC affecting the rectum or sigmoid
local corticosteroid
mild-moderate active UC affecting the rectum or sigmoid
high dose oral aminosalicylates
extensive ulcerative colitis
high dose oral steroids
persistent rectal bleeding with UC or Crohn's
Oral aminosalicylates
maintenance of remission of ulcerative colitis
Immunomodulators
frequent remissions of UC or Crohn's
Monoclonal antibodies
Crohn's refractory to steroids or immunomodulators
Antimotility drugs
diarrhoea
Bulk-forming laxatives
chronic relief of small, hard stools (e.g. in IBS or diverticulosis)
Osmotic laxatives
chronic relief of constipation
Stimulant laxatives
acute relief of constipation
Faecal softeners
relief in painful anal conditions (e.g. fissure, haemorrhoids)
Antiemetic (5-HT3 receptor antagonist)
post-operative nausea and vomiting (prevention)
Antiemetic (antihistamine, antimuscarinic)
post-operative nausea and vomiting (treatment)
Antiemetic (antihistamine, antimuscarinic)
mechanical bowel obstruction
Antiemetic (antimuscarinic)
motion sickness, labyrinthine disorders
Antiemetic (antihistamine, phenothiazine, metoclopramide)
vomiting in pregnancy
Antiemetic (dopamine antagonist)
drug-induced vomiting
Antiemetic (corticosteroid)
raised ICP