Drugs Used in Peptic Ulcer
Various drugs are used to treat.
gastric ulcers. The selection of the drug used in the treatment of ulcers
depends on by various patient-specific factors, as well as the underlying cause
of the ulcer.
Peptic ulcer disease is most often caused by an infection with the
gram-negative bacteria Helicobacter pylori or by taking nonsteroidal
anti-inflammatory drugs (NSAIDs). Increased production of hydrochloric acid. (HCl) and a lack of protection. of the membrane from stomach acid also play a
part. Following are the approaches to manage peptic ulcer
1) Getting rid of the H. pylori infection
2) Lowering the amount of stomach acid with PPIs or H2 receptor
blockers.
3) Protecting the gastric mucosa from damage
Classification of Drugs
PPIs are an essential component of peptic ulcer therapy. They
reduce the formation of stomach acid and promote in ulcer repair.
Omeprazole
Esomeprazole
Lansoprazole
Pantoprazole
Rabeprazole
Histamine-2 Receptor Antagonists (H2 Blockers)
H2 blockers reduce.
gastric acid production by blocking histamine-2 receptors on parietal cells in
the stomach.
Ranitidine
Famotidine
Cimetidine
Nizatidine
Antacids
By neutralising stomach acid, antacids can
give symptomatic relief. They are frequently used as a supplement to therapy
for short-term symptom mitigation.
Antacids provide short-term relief by neutralizing stomach acid. They work by raising the pH of the stomach contents, reducing the acidity.
- Non-systemic
Aluminum Hydroxide
Magnesium Hydroxide
Calcium Carbonate
Magnesium Trisilicate
- Systemic
Sodium Bicarbonate
Sodium Citrate
Antibiotics
When a peptic ulcer is attributed to an infection. caused by Helicobacter pylori (H. pylori),
the recommended course of action involves prescribing a combination of
antibiotics to effectively eliminate the bacteria.
Amoxicillin
Clarithromycin
Metronidazole
Tetracycline
Minocycline
Cytoprotective Agents
Sucralfate forms a protective barrier. on the ulcer surface, shielding it from
gastric acid and promoting healing.
Sucralfate
Colloidal bismuth salts
Prostaglandin Analogues
Ulcers that are caused by nonsteroidal anti-inflammatory medicines
(NSAIDs) can be treated with the use of prostaglandin analogues.
Misoprostol