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Flashcards in 00 OTC Deck (91):
1

What is a Class I drug recall?

Use or exposure will cause serious adverse health consequences or death

2

What is the classification of Premature?

< 38 weeks

3

What is the classification of Newborn/Neonate?

Birth - 1 month

4

What is the classification of Infant/Baby?

1 - 12 months

5

What is the classification of Toddler?

1 - 3.5 years

6

What is the classification of Preschool?

3.5 - 6 years

7

What is the classification of Older Child?

6 - 12 years

8

What is the classification of Adolescent?

13 - 18 years

9

At what age do packages for cough/cold products say "do not use"?

< 4 years (FDA recommends < 2 years)

10

At what age does the FDA say "do not use" for antihistamines?

< 2 years

11

How do basal thermometers work for ovulation?

Resting BBT below normal during first part of reproductive cycle. After ovulation, BBT raises 0.4-1 degree F d/t increase in progesterone. Most fertile period X24-36 hours after BBT rises

12

What hormone do female ovulation products detect?

Changes in LH, which increases sharply just prior to ovulation (~12-36 hours before)

13

What are some ovulation detection products?

Clearblue easy, First response, OvuQuick

14

What is considered a Low Sperm Count?

< 20 million/mL

15

What hormone do home pregnancy tests detect?

hCG in urine, usually detectable 1-2 weeks following conception. Use AM urine

16

What hormone do menopausal tests detect?

FSH in urine. Perimenopausal FSH in urine: 110, Positive result: > 25

17

What are some menopause test products?

Menocheck, Estroven, Menopause monitor

18

What product can be used for home HIV testing?

Home Access kits

19

What do Fecal Occult Blood Tests detect?

Detect occult blood in feces with a colorimetric assay for Hgb (blue-green +). Can get false positive d/t red meat and iron supplements

20

What are some Fecal Occult Blood Test products?

ColoCare, EZ Detect

21

What products detect Ketones in the Urine?

Ketostix, Acetest, Chemstrip K. This is good during sick days in DM patients

22

What types of samples can be used for at home drug tests?

Urine or Hair. Usually mail in sample and wait for results

23

What are the names of the different B vitamins?

The Rabbit Needs Prayer For Comfort: Thiamine (B1), Riboflavin (B2), Niacin (B3), Pyridoxine (B6), Folic acid (B9), Cyanocobalamin (B12)

24

Which calcium has the highest % elemental calcium?

Carbonate (needs to be taken with food)

25

Which calcium has the highest bioavailability?

Citrate (can take without meals)

26

What are the different Irons and their % of elemental iron?

Fumarate (33%), Sulfate (22%), Gluconate (11%)

27

What is Bitter Orange?

Herbal stimulant, used for weight loss

28

What herbals are often used to help with sleep?

Valerian, melatonin

29

What are the most common herbals that INCREASE anti-coagulant effect, increase INR?

(4 Gs): Garlic, Ginger, Ginko, Glucosamine

30

What are the most common herbals that DECREASE anti-coagulant effect, decrease INR?

Ginseng, Green Tea

31

How do you decide which strength nicotine gum to use?

1st cig < 30 min after waking: 4mg. If its > 30 min after waking: 2mg

32

What is the generic name of Nicorette?

Nicotine gum or Lozenge

33

What is the max amount of nicotine gum that can be chewed in a day?

Do NOT exceed 24 pieces/day

34

How do you decide which strength nicotine lozenge to use?

1st cig < 30 min after waking: 4mg. If its > 30 min after waking: 2mg

35

What is the max amount of nicotine lozenge that can be used in a day?

Max: 20 lozenges/day

36

What is the generic name of Nicoderm CQ?

Transdermal nicotine

37

How do you decide the dosing schedule for transdermal nicotine?

> 10 cigs/day: 21mg x6 weeks, 14mg x2 weeks, 7mg x2 weeks. If < 10 cigs/day: 14mg x6 weeks, 7mg x2 weeks

38

What are the Rx Smoking Cessation products?

Nicotrol NS (Nasal Spray, 1 spray in each nostril). Nicotrol Inhaler (10mg/puff, ~4mg delivered). Zyban. Chantix

39

What premixed insulins can you buy OTC?

Humulin 70/30, Humulin 50/50, Novolin 70/30

40

What is the MOA of decongestants?

Alpha-adrenergic agonists (sympathomimetics). Constrict blood vessels in nasal passages to reduce blood flow to sinuses and associated pressure

41

What is a common topical nasal decongestant?

Oxymetazoline (Afrin)

42

What caution should be used with nasal decongestants?

Rebound congestion: Limit use to < 72 hours duration

43

What is a common topical ophthalmic decongestant?

Oxymetazoline

44

What is the OTC Pseudoephedrine Federal Law?

Maximum 3.6g/day; 9g in 30 days (7.5g mail-order)

45

What is the MOA of Dextromethorphan?

Antitussive: decreases medullary cough center signals in CNS, interrupts cough impulse transmission

46

When should you use caution with systemic antihistamines?

Narrow angle glaucoma, BPH. Caution: Elderly, CVD/arrhythmia, MAOIs, Asthma, Hyperthyroidism

47

What are the common ophthalmic antihistamine agents?

Ketotifen (Zaditor), Pheniramine, Antazoline

48

What are the OTC antihistamines used as sleep aides?

Doxylamine, Diphenhydramine. Can also be used for motion sickness

49

What is the brand name for OTC Intranasal steroids (INS)?

Nasacort Allergy 24hr (Triamcinolone) - for allergic rhinitis

50

At what age should you refer to MD if fever present?

Infants < 3 months, see MD if temp > 100F

51

If someone has an ASA allergy, what can they use from a similar class?

Non-Acetylated Salicylates (Magnesium salicylate, Sodium salicylate)

52

What are the choices for Urinary Analgesics?

Phenazopyridine (Azo, Prodium, Uristat). Sodium salicylate (Cystex)

53

What is the best protectant to apply to avoid diaper rash?

Zinc oxide (need at least 25%): Desitin Ointment

54

Which UV rays are the most harmful?

UVA > UVB > UVC

55

What chemical should you always look for in sunscreen?

Avobenzone (covers full UVA spectrum): absorbs UV light so skin doesn't

56

What is the active ingredient found in Lotrimin AF?

Clorimazole 1%

57

What is the active ingredient found in Micatin?

Miconazole 2%

58

What is the active ingredient found in Tinactin?

Tolnaftate 1%

59

What is the active ingredient found in Lamisil AT?

Terbinafine 1%

60

What is the active ingredient found in Lotrimin Ultra?

Butenafine 1%

61

What is the active ingredient found in Monistat-3 and -7?

Miconazole

62

What is the active ingredient found in Monistat-1?

Tioconazole

63

What is the active ingredient found in Gyn-Lotrimin 3 and 7 day?

Clotrimazole

64

What is the active ingredient found in Polysporin?

Polymyxin and Bacitracin

65

What is the active ingredient found in Neosporin?

Neomycin, Polymycin, and Bacitracin

66

What Antacids have Magnesium as an active ingredient?

Maalox, Mylanta (combo w/ aluminum). Avoid CrCl < 30, causes diarrhea

67

What Antacids have Aluminum as an active ingredient?

AlternaGel, Amphojel

68

What is found in Gaviscon?

Alginic acid combined with sodium bicarb and other antacids to relieve GERD symptoms

69

What is the generic name of Pepcid AC?

Famotidine

70

What is the generic name of Zantac?

Ranitidine

71

What is the generic name of Axid AR?

Nizatidine

72

What is the generic name of Cimetidine?

Tagamet HB (MANY DDIs!!!)

73

What is the generic name of Prilosec OTC?

Omeprazole

74

What is the generic name of Zegerid OTC?

Omeprazole + Sodium bicarb

75

What is the generic name of Prevacid 24HR?

Lansoprazole

76

What is the generic name of Nexium?

Esomeprazole

77

What are two commonly used products for diarrhea?

Loperamide. Bismuth subsalicylate

78

What is the DOC in pediatrics for constipation?

Glycerin suppositories

79

What is the generic name of Miralax?

Polyethylene Glycol (Hyperosmotic laxative)

80

What is the generic name of Senokot?

Senna (Stimulant laxative)

81

What is the generic name of Ex-Lax?

Senna (Stimulant laxative)

82

What is the generic name of Dulcolax?

Bisacodyl (Stimulant laxative)

83

Why type of laxative is Castor Oil?

Stimulant laxative

84

What is the generic name of Oxytrol for Women?

Oxybutynin OTC patch for overactive bladder in WOMEN ONLY

85

What is the generic name of Abreva?

Docosanol

86

What is the generic name of Nix?

Permethrin (DOC for lice). No repeat needed. Use like conditioner (after shampoo)

87

What is the generic name of Rid?

Pyrethrin/Piperonyl butoxide (Repeat/Dry hair)

88

What is the active ingredient found in emergency contraception?

Levonorgestrel 1.5mg

89

What is Simethicone?

Used to alleviate symptoms of gas (Phazyme, Gas-X, Mylanta Gas)

90

What is the only approved OTC agent for the removal of cerumen (ear wax)?

Carbamide peroxide

91

Beriberi is caused by a deficiency in what vitamin?

Thiamine (B1)