Page 344 - ATP-P 11th Ed

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• 4 generation: Same as 3 generation: plus broad anaerobic coverage.
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° Examples: gatifloxacin, moxifloxacin, trovafloxacin
Contraindications: Known allergy to medication
Pregnancy Category C
®
Rabeprazole (Aciphex )
Description: GI agent – proton pump inhibitor (PPI)
• Gastric PPI that specifically suppresses gastric acid secretion by inhibiting the acid
secretion in the cells of the stomach. Does not have H2 histamine receptor-blocking
properties.
Indications: For healing and maintenance of erosive or ulcerative gastroesophageal reflux
disease (GERD), duodenal ulcers, and hypersecretory conditions.
Contraindications:
• PPI hypersensitivity
• Pregnancy
SECTION 3 Adult dose: 20mg PO daily
Pregnancy Category B
Pediatric dose: Contraindicated
Side-effects:
• Headaches
• Nausea
• Vomiting
• Diarrhea
• Abdominal cramps
• Elevated temperature
Adverse reactions:
• Stevens-Johnson syndrome
• Toxic epidermal necrolysis (Fatalities have been reported.)
Other notes:
• This medication should be swallowed whole. It should not be crushed or chewed.
TMEP use: Abdominal Pain Protocol
Ranitidine (Zantac )
®
Aviation personnel are grounded for 72 hours when taking an H2 blocker for the
first time. There is no grounding period if aviation personnel have taken before without
any no side-effects.
Description: H2 blocker; reduced secretion of stomach acid
Note: Drug Interactions: reduced absorption of oral diazepam

334 SECTION 3 RECOMMENDED DRUG LIST (RDL)