Macrolides · Pharmacology

A patient taking Erythromycin reports significant gastrointestinal cramping and nausea. This is most likely due to the drug's agonism of which receptor?

  1. Serotonin 5-HT3 receptors
  2. Motilin receptors
  3. Dopamine D2 receptors
  4. Neurokinin-1 receptors
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Correct answer: Motilin receptors

Erythromycin and its metabolites act as agonists at motilin receptors in the gastrointestinal tract. This stimulates migrating motor complexes, leading to increased gastric emptying and intestinal motility, which causes cramping.

Difficulty: Medium Question 3 of 20

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