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Discussion Topics, Chapter 57, Drugs Affecting Gastrointestinal

Secretions

Discussion Topics Learning


Objective(s)
1. Marcus has Zollinger-Ellison syndrome and will be placed on 2, 3, 4,
lansoprazole (Prevacid) 30 mg orally daily to decrease the production of
hydrochloric acid.
a. How does lansoprazole decrease gastric acid production?
b. What is the difference between the actions of lansoprazole and
ranitidine?
2. Miko has been receiving treatment for an eroded ulcer site from using 2, 3, 4, 5
aspirin and is being treated with sucralfate (Carafate) and lansoprazole.
She calls the clinic concerned because her general practitioner has given
her ciprofloxacin for a urinary tract infection.
a. What is the concern with a drug–drug interaction between
sucralfate and ciprofloxacin?
b. What are the key teaching points for patients taking sucralfate
and lansoprazole?

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