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Repost from PDFology
إيه الفرق بين
Metoclopramide 🆚 Ondansetron
🧠 Mechanism of Action:
- Metoclopramide:
Primarily works as a dopamine receptor antagonist.
It enhances gastrointestinal motility and accelerates gastric emptying, making it effective for nausea and vomiting related to gastroparesis and gastrointestinal disorders.
- Ondansetron:
Functions as a selective serotonin 5-HT3 receptor antagonist.
It blocks the action of serotonin, a natural substance that may cause nausea and vomiting, particularly effective in chemotherapy-induced nausea and postoperative nausea.
💊 Indications:
- Metoclopramide:
Commonly prescribed for nausea and vomiting related to gastroparesis, migraine headaches, and postoperative recovery.
It is also used for gastroesophageal reflux disease (GERD) when other treatments fail.
- Ondansetron:
Primarily used to prevent nausea and vomiting associated with chemotherapy, radiation therapy, and surgery. It's also useful for treating nausea and vomiting in pregnancy when other treatments are ineffective.
⚖️ Efficacy:
- Metoclopramide:
Effective for a broader range of gastrointestinal-related nausea and vomiting due to its prokinetic effects. However, its efficacy may vary based on the underlying cause.
- Ondansetron:
Highly effective for nausea and vomiting induced by chemotherapy and surgery.
Its targeted action on serotonin receptors makes it very effective in these contexts.
🛡️ Side Effects:
- Metoclopramide:
Can cause extrapyramidal symptoms (such as tardive dyskinesia), drowsiness, fatigue, and diarrhea.
Long-term use can lead to more severe neurological side effects.
- Ondansetron: Generally well-tolerated, but can cause headaches, constipation, and dizziness.
It has a lower risk of severe side effects compared to metoclopramide.
🔒 Safety and Precautions:
- Metoclopramide:
Not recommended for long-term use due to the risk of serious side effects.
It should be used with caution in patients with a history of depression or Parkinson's disease.
- Ondansetron:
Considered safer for long-term use compared to metoclopramide. However, it should be used cautiously in patients with a history of heart rhythm disorders.
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Repost from PDFology
قال أبي سعيد الخدري رضي الله عنه: قال رسول الله صلى الله عليه وسلم: من قرأ سورة الكهف في يوم الجمعة، أضاء له من النور ما بين الجمعتين. رواه الحاكم والبيهقي وصححه الألباني.
﴿ إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا﴾
[ الأحزاب: 56]
🚨 اعلانات التلجرام تظهر بشكل إجباري ولا يمكن إلغائها فضلاً عمل ريبورت لأي إعلان قد يظهر به شبهة حرمانية 🚨
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Repost from PDFology
A two year-old girl is diagnosed with a first case of otitis media.
Which of the following is the best treatment for this patient?Anonymous voting
- Trimethoprim-sulfamethoxazole
- Azithromycin
- Linezolid
- High-dose amoxicillin
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Repost from PDFology
تفريغ أدوية السكر د طارق المقطري
#Pharmacy
#Endocrine
#Tafreghat
#رفح_الان 🇵🇸
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https://www.linkedin.com/company/coursemia/
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Challenging Question of the week
Let's do it
https://www.facebook.com/photo/?fbid=842851394531460&set=a.197108452439094
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Repost from PDFology
إيه الفرق بين
Ezetimibe 🆚 Statins?
🔬 Mechanism of Action:
* Ezetimibe: Acts as a cholesterol absorption inhibitor, specifically targeting Niemann-Pick C1 Like 1 (NPC1L1) protein in the small intestine.
This reduces dietary cholesterol uptake.
* Statins: Function as HMG-CoA reductase inhibitors, acting within the liver to decrease cholesterol synthesis.
📉 LDL-C Reduction:
* Ezetimibe: Provides a modest reduction of LDL-C (low-density lipoprotein cholesterol) by 15-22%.
* Statins: Offer a more potent effect, lowering LDL-C by 30-50%.
⚕️ Clinical Use:
* Ezetimibe: May be used as monotherapy for mild hypercholesterolemia or in combination therapy with statins for patients requiring a more aggressive LDL-C reduction strategy.
* Statins: Represent the first-line treatment for lowering LDL-C due to their efficacy.
💊 Side Effect Profile:
* Ezetimibe: Generally well-tolerated with minimal adverse effects reported.
* Statins: May be associated with muscle aches, fatigue, and, in rare cases, liver dysfunction.
🤔 Considerations for Selection:
* Individual risk factors for cardiovascular disease.
* Baseline LDL-C levels.
* Patient tolerability to medications.
🔚 Conclusion:
Both ezetimibe and statins play a role in managing cholesterol levels. Statins offer a more robust LDL-C reduction, making them the preferred initial therapy.
Ezetimibe serves as a valuable tool for patients with statin intolerance or those requiring additional LDL-C lowering alongside a statin regimen.
The optimal choice depends on individual patient characteristics and should be determined in consultation with a physician.
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