Cough & Cold Flashcards
(21 cards)
Natural product used often for cold treatment and prevention
Zinc
Lozenges may decr cold duration
not much evidence for cold prevention
Zinc dosing for cold treatment
every 2 hrs while awake
start w/in 24 hrs of symtoms
Max duration of zinc therapy
5-7 days
Why were zinc nasal formulations removed from the market>
Caused loss of smell
Other natural products that are “possibly effective” for the cold
Vitamin C (doses around 2 g/day) Echinacea
When would an expectorant be recommended?
When a pt is having a productive cough
Max daily doses of guaifenesin
Adults: 2.4 g/day
6-11: 1.2 g/day
4-5: 600 mg/day
Guaifenesin side effects
nausea (dose related) vomiting dizziness HA stomach pain
Dextromethorphan/codeine MOA
acts on the cough center in the medulla
Dextromethorphan should generally not be used with what type of drugs?
MAO inhibitors w/in the past 14 days
serotonergic drugs; risk of serotonin syndrome
Dextromethorphan max dose
120 mg/day for adults
6-12 yrs: 60 mg
4-6: 30 mg
Dextromethorphan side effects
N/v
drowsiness
Benzonatate MOA
topical anesthetic action of respiratory stretch receptors
Benzonatate brand and dose
Tessalon Perles
100-200 mg TID prn
Do not use in kids < 10 y/o
Bromfed DM
brompheniramine/pseudoephedrine/Dextromethorphan
Tussionex
Tussicaps
Chlorpheniramine/hydrocodone
Codeine containing combo products can be classified as C-V if…
there is no more than 200 mg of codeine/ 100 ml
FDA recommends against the use of OTC cough and cold products in children less than…
2 years old
American Academy of pediatrics recommends against the use of OTC cough and cold products in children less than…
6 years old
APAP pediatric dosing
10-15 mg/kg/dose q4-6hr
max 5 doses/day
Ibuprofen pediatric dosing
5-10 mg/kg/dose q6-8 hrs
max 40 mg/kg/day
