ENT Meds Backup COPY Flashcards by Therese Rowe

Q

CiprofloxaCIN

A

Anti-infective w/o steroid

Fluoroquinilone; Strong abx - use for Pseudomonas (cellulitis present)

Otitis Externa <1 week - culture; could be fungal>

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Q

OfloxaCIN

A

Anti-infective w/o steroid

Fluoroquinilone; Strong abx - use for Pseudomonas (cellulitis present)

Otitis Externa <1 week - culture; could be fungal>

AOM

**OK for TUBED EARS!

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Q

NeomyCIN

A

Anti-infective w/o steroid

Otitis Externa <1 week - culture; could be fungal>

Ototoxic* - NEVER in TUBED EARS!
Itchy rash* common

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Q

BacitraCIN

A

Anti-infective w/o steroid

Otitis Externa <1 week - culture; could be fungal>

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Q

MupiroCIN

A

Anti-infective w/o steroid

Otitis Externa <1 week - culture; could be fungal>

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Q

polymyxin B/neomyCIN/bacitraCIN (OTC)

A

Anti-infective w/o steroid

Otitis Externa <1 week - culture; could be fungal>

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Q

CiprofloxaCIN/hydrocortisone

A

Anti-infective w/ corticosteroid

(Corticosteroid reduces inflam, relieves symptoms)

Otitis Externa <1 week - culture; could be fungal>

Contraindication: Hypersensitivity

Side Effects: Ear pain, irritability, residue

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Q

CiprofloxaCIN/dexamethasone

A

Anti-infective w/ corticosteroid

(Corticosteroid reduces inflam, relieves symptoms)

Otitis Externa <1 week - culture; could be fungal>

Contraindication: Hypersensitivity

Side Effects: Ear pain, irritability, residue

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Q

Hydrocortisone/neomyCIN/polymyxin B

A

Anti-infective w/ corticosteroid

(Corticosteroid reduces inflam, relieves symptoms)

Otitis Externa <1 week - culture; could be fungal>

Contraindication: Hypersensitivity

Side Effects: Ear pain, irritability, residue

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Q

Hydrocortisone/neomyCIN/colistin

A

Anti-infective w/ corticosteroid

(Corticosteroid reduces inflam, relieves symptoms)

Otitis Externa <1 week - culture; could be fungal>

Contraindication: Hypersensitivity

Side Effects: Ear pain, irritability, residue

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Q

Chloroxylenol/pramoxine/hydrocortisone

A

Anti-infective w/ corticosteroid

(Corticosteroid reduces inflam, relieves symptoms)

Otitis Externa <1 week - culture; could be fungal>

Contraindication: Hypersensitivity

Side Effects: Ear pain, irritability, residue

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Q

Acetic ACID/aluminum acetate

A

Acid-alcohol solution

Use: Otitis Externa <1 week- culture; could be fungal>

Caution: tubes/perforated eardrums

Side Effects: Stinging/burning, local irritation

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Q

Acetic ACID/propylene glycol

A

Acid-alcohol solution

Use: Otitis Externa <1 week- culture; could be fungal>

Caution: tubes/perforated eardrums

Side Effects: Stinging/burning, local irritation

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Q

Acetic ACID/propyleneglycol/hydrocortisone

A

Acid-alcohol solution

Use: Otitis Externa <1 week- culture; could be fungal>

Caution: tubes/perforated eardrums

Side Effects: Stinging/burning, local irritation

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Q

Isopropyl ALCOHOL/glycerine

A

Acid-alcohol solution

Use: Otitis Externa <1 week- culture; could be fungal>

Caution: tubes/perforated eardrums

Side Effects: Stinging/burning, local irritation

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Q

Isopropyl ALCOHOL/propylene glycol

A

Acid-alcohol solution

Use: Otitis Externa <1 week- culture; could be fungal>

Caution: tubes/perforated eardrums

Side Effects: Stinging/burning, local irritation

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Q

Isopropyl ALCOHOL(95%)/anhydrous glycerine(5%)

A

Alcohol solution

Water clogged ears

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Q

50:50 acetic ACID (5%) + isopropy ALCOHOL (95%)

A

Acid-alcohol solution

Water clogged ears

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Q

Ibuprofen, Acetaminophen

A

Analgesic

AOM

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Q

Amoxicillin

A

Oral Antibiotic

AOM

<6 mo+ Bilateral or Unilateral AOM + severe signs/symptoms; 6-23mo Bilateral AOM>

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Q

Amoxicillin/clavulanate

A

Oral Antibiotic

B-lactamase coverage necessary if recent amoxicillin usage or past resistance

AOM

<6 mo+ Bilateral or Unilateral AOM + severe signs/symptoms; 6-23mo Bilateral AOM>

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Q

Carbamide peroxide 6.5%

A

Cerumenolytic- MAX 4 DAYS - can damage TM

Contraindication- Tubes/Perforated Eardrums

Side effects/Adverse Rxn - Mild itching, burning, ear pain, erythema of ear canal, Allergic Rxns (EMERGENCY)

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Q

Triethanolamine polypeptide oleate

A

Cerumenolytic- MAX 4 DAYS - can damage TM

Contraindication- Tubes/Perforated Eardrums

Side effects/Adverse Rxn - Mild itching, burning, ear pain, erythema of ear canal, Allergic Rxns (EMERGENCY)

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Q

1:1 3% Hydrogen Peroxide and Warm Water

A

Cerumen softener

Contraindication- Tubes/Perforated Eardrums

Side effects/Adverse Rxn - Mild itching, burning, ear pain, erythema of ear canal, Allergic Rxns (EMERGENCY)

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Glycerin

Emollient, humectant for Cerumen Impaction Contraindication- Tubes/Perforated Eardrums Side effects/Adverse Rxn - Mild itching, burning, ear pain, erythema of ear canal, Allergic Rxns (EMERGENCY)

Olive oil aka "sweet oil"

Cerumen Softener Contraindication- Tubes/Perforated Eardrums Side effects/Adverse Rxn - Mild itching, burning, ear pain, erythema of ear canal, Allergic Rxns (EMERGENCY)

Amino Esters

Anesthetic for Opthalmic exam/procedure

Proparacaine solution

Anesthetic for Opthalmic exam/procedure Damage if used for days (shouldn't be anyway) Systemically Toxic

Tetracaine solution

Anesthetic for Opthalmic exam/procedure Damage if used for days (shouldn't be anyway)

Lidocaine

Anesthetic for Opthalmic exam/procedure Damage if used for days (shouldn't be anyway)

Sulfacetamide

Bacteriostatic Conjunctivitis Irritation falsely can look like failed tx Contraindication - Sulfa allergy/hypersensitivity Superinfections possible w/LT use

Tobramycin, gentamycin

Bacteriocidal Conjunctivitis Irritation falsely can look like failed tx Contraindication - Hypersensitivity Superinfections possible w/LT use

Bacitracin

Bacteriostatic Conjunctivitis Superinfections possible w/LT use

Erythromycin

Bacteriostatic Conjunctivitis Superinfections possible w/LT use

Ciprofloxacin

Inhibit DNA synthesis in bacteria; Fluoroquinilone; Good for Contact wearers Conjunctivitis Superinfections possible w/LT use

Moxifloxacin

Inhibit DNA synthesis in bacteria; Fluoroquinilone; Good for Contact wearers Conjunctivitis Superinfections possible w/LT use

Polymyxin B

Kills bacteria by causing cell wall permeability Conjunctivitis Superinfections possible w/LT use

Nedocromil 2% solution

Mast cell stabilizer - opthalmic Allergic Conjunctivitis, Keratitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

**Cromolyn sodium** 4% solution

Mast cell stabilizer - opthalmic Allergic Conjunctivitis, Keratitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Lodoxamide 0.1% solution

Mast cell stabilizer - opthalmic Allergic Conjunctivitis, Keratitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Azelastine

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Epinastine

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Emedastine

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

**Ketotifen** (OTC)

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Levocabastine

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

**Olopatadine** (RX)

Antihistamine Allergic Conjunctivitis Side effects - Stinging, blurred vision, photophobia, mydriasis, rhinitis, headache

Phenylephrine

Vasoconstrictor/Decongestant Red Eye Relief Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma Side effects/Adverse Rxn - Rebound congestion/redness with overuse; systemic - tachycardia, arrhythmia aggravation; local - mydriasis, stinging, blurry vision \*\*increase pressor effects if used with MAOIs and tricyclics (INCREASED BP EFFECTS!)

**Naphazoline**

Vasoconstrictor/Decongestant Red Eye Relief Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma Side effects/Adverse Rxn - Rebound congestion/redness with overuse; systemic - tachycardia, arrhythmia aggravation; local - mydriasis, stinging, blurry vision

Tetrahydrozoline

Vasoconstrictor/Decongestant Red Eye Relief Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma Side effects/Adverse Rxn - Rebound congestion/redness with overuse; systemic - tachycardia, arrhythmia aggravation; local - mydriasis, stinging, blurry vision

Oxymetazoline

Vasoconstrictor/Decongestant Red Eye Relief Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma Side effects/Adverse Rxn - Rebound congestion/redness with overuse; systemic - tachycardia, arrhythmia aggravation; local - mydriasis, stinging, blurry vision

Naphazoline + pheniramine

Vasoconstrictor/Decongestant Allergic Conjunctivitis Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma

Naphazoline + antazoline

Vasoconstrictor/Decongestant Allergic Conjunctivitis Avoid if CVD, HBP, enlarged prostate, contacts Contraindication - Narrow-angle glaucoma

Cellulose derivatives

Lubricants for Dry Eye

Polyvinal alcohol

Lubricants for Dry Eye

Povidone and dextran 70

Lubricants for Dry Eye

Lanolin, mineral oil, petrolatum, white ointment, white or yellow wax

Lubricants for Dry Eye - usually ointments - try if drops not sufficient

Cyclosporin

Cyclosporine - inhibits IL2 for T-cell activity - for Dry Eye Side effects - Immunosuppressant, burning \*\*Don't prescribe

Sodium Chloride (2-5%)

Pulls fluid out of eye - for Corneal Edema

Cyclopentolate

Pupillary Dilation (Mydriasis) Agents MOA - muscarinic agent - block PSNS Receptors (that would normally cause pupils to constrict if stimulated) Differing times of effect Contraindication - Closed-angle glaucoma Side effects - Tachycardia, flushing, blurry vision, photophobia, dry mouth, slurred speech, drowsiness, hallucinations (VERY UNLIKELY), congestion, irritated eyes

Homotropine

Pupillary Dilation (Mydriasis) Agents MOA - muscarinic agent - block PSNS Receptors (that would normally cause pupils to constrict if stimulated) Differing times of effect Contraindication - Closed-angle glaucoma

_Tropicamide_

Pupillary Dilation (Mydriasis) Agents MOA - muscarinic agent - block PSNS Receptors (that would normally cause pupils to constrict if stimulated) Differing times of effect Contraindication - Closed-angle glaucoma

Fluorescein

Yellow, water-soluble dye used to Detect corneal defects/abrasions Can stain contacts

**LatanoPROST**

Prostaglandin agonist; Increase outflow to decrease IOP Open-angle Glaucoma Side Effects - Lengthening of eyelashes, iris pigmentation, eyelid darkening, intraocular inflammation, keratitis, macular edema, hyperemia

**BimatoPROST**

Prostaglandin agonist; Increase outflow to decrease IOP Open-angle Glaucoma Side Effects - Lengthening of eyelashes, iris pigmentation, eyelid darkening, intraocular inflammation, keratitis, macular edema, hyperemia

**TafluPROST**

Prostaglandin agonist; Increase outflow to decrease IOP Open-angle Glaucoma Side Effects - Lengthening of eyelashes, iris pigmentation, eyelid darkening, intraocular inflammation, keratitis, macular edema, hyperemia

**TravoPROST**

Prostaglandin agonist; Increase outflow to decrease IOP Open-angle Glaucoma Side Effects - Lengthening of eyelashes, iris pigmentation, eyelid darkening, intraocular inflammation, keratitis, macular edema, hyperemia

**UnoPROSTone**

Prostaglandin agonist; Increase outflow to decrease IOP Open-angle Glaucoma Side Effects - Lengthening of eyelashes, iris pigmentation, eyelid darkening, intraocular inflammation, keratitis, macular edema, hyperemia

TimOLOL

B Antagonist "Blocker" of SNS in ciliary epithelium, decreasing aq. humor formation, decrease IOP Open-angle Glaucoma Bradycardia, bronchospasm, depression, fatigue, dry eye

**CarteOLOL**

B Antagonist "Blocker" of SNS in ciliary epithelium, decreasing aq. humor formation, decrease IOP Open-angle Glaucoma Bradycardia, bronchospasm, depression, fatigue, dry eye

**LevobunOLOL**

B Antagonist "Blocker" of SNS in ciliary epithelium, decreasing aq. humor formation, decrease IOP Open-angle Glaucoma Bradycardia, bronchospasm, depression, fatigue, dry eye

**MetipranOLOL**

B Antagonist "Blocker" of SNS in ciliary epithelium, decreasing aq. humor formation, decrease IOP Open-angle Glaucoma Bradycardia, bronchospasm, depression, fatigue, dry eye

**BetaxOLOL**

B Antagonist "Blocker" of SNS in ciliary epithelium, decreasing aq. humor formation, decrease IOP Open-angle Glaucoma Most selective, least likely to have systemic cardiac effects; Bradycardia, bronchospasm, depression, fatigue, dry eye

BrimonIDINE

α-2 Adrenergic Agonist, Vasoconstriction, decrease production of aq. humor, decrease IOP Open-angle Glaucoma Side Effects - Ocular allergy, somnolence, bitter taste, dry mouth, hypotension, irregular heart rate

ApraclonIDINE

α-2 Adrenergic Agonist, Vasoconstriction, decrease production of aq. humor, decrease IOP Open-angle Glaucoma Side Effects - Ocular allergy, somnolence, bitter taste, dry mouth, hypotension, irregular heart rate

AcetaZOLAMIDE

Carbonic anhydrase inhibitor; MOA - decrease volume of aq. Humor by slowing carbonic anhydrase, decrease IOP Open-angle Glaucoma Contraindication - Sulfa Allergy Side effect - Ocular irritation, sour taste *ORAL interacts with: Aspirin, Cyclosporine, Lithium, Phenytoin*

DorZOLAMIDE

Carbonic anhydrase inhibitor; MOA - decrease volume of aq. Humor by slowing carbonic anhydrase, decrease IOP Open-angle Glaucoma Contraindication - Sulfa Allergy Side effect - Ocular irritation, sour taste

BrinZOLAMIDE

Carbonic anhydrase inhibitor; MOA - decrease volume of aq. Humor by slowing carbonic anhydrase, decrease IOP Open-angle Glaucoma Contraindication - Sulfa Allergy Side effect - Ocular irritation, sour taste

MethaZOLAMIDE

Carbonic anhydrase inhibitor; MOA - decrease volume of aq. Humor by slowing carbonic anhydrase, decrease IOP Open-angle Glaucoma Contraindication - Sulfa Allergy Side effect - Ocular irritation, sour taste

DichlorphenAMIDE

Carbonic anhydrase inhibitor; MOA - decrease volume of aq. Humor by slowing carbonic anhydrase, decrease IOP Open-angle Glaucoma Contraindication - Sulfa Allergy Side effect - Ocular irritation, sour taste

Pilocarpine

Direct Acting Cholinergic: ACh cholinergic agonist/PSNS activation.. Contracts iris sphincter.. Miotic. Open canal of Schlemm.. Increase outflow.. Decrease IOP (When pupil is small - iris can spread out away from trabecular meshwork) Open-angle Glaucoma Side Effects - Blurred vision, poor night vision, eye pain, headache

Carbachol

Direct Acting Cholinergic: ACh cholinergic agonist/PSNS activation.. Contracts iris sphincter.. Miotic. Open canal of Schlemm.. Increase outflow.. Decrease IOP (When pupil is small - iris can spread out away from trabecular meshwork) Open-angle Glaucoma Side Effects - Blurred vision, poor night vision, eye pain, headache

Echothiophate

Indirect Acting Cholinergic: bind to and inactivate cholinesterases.. Contracts iris sphincter.. Miotic. Open canal of Schlemm.. Increase outflow.. Decrease IOP (When pupil is small - iris can spread out away from trabecular meshwork) Open-angle Glaucoma *IRREVERSIBLE*, Very long half life; Blurred vision, poor night vision, eye pain, headache

Timolol 0.5% + dorzolamide 2%

Combination Drop Open-angle Glaucoma

Mannitol, Glycerin

Hypertonic gradient pulls water f/intraocular and spinal fluids, decreases IOP Closed-angle Glaucoma Side effects - Headache, back pain, diuresis, circ overload, pulmonary edema, cerebral hemorrhage

Pilocarpine Acetazolamide, Oral Glycerine

Aggressive combination approach Closed-angle Glaucoma (Emergency)

Beclomethasone

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

Budesonide

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

Ciclesonide

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

Flunisolid

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

**Fluticasone furoate**

Corticosteroid (Alcohol Free!) Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

**Fluticasone propionate**

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

**Mometasone**

Corticosteroid Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

**Tramcinolone acetonide**

Corticosteroid (Alcohol free!) Allergic Rhinitis Side effects - Bitter aftertaste, burning, epistaxis, headache, nasal dryness, possible systemic effects, stinging, throat irritation

Chlorpheniramine

1st Gen Antihistamine, H1 Agonist (Oral) Allergic Rhinitis Contraindication - Driving, alcohol use, narrow angle glaucoma, prostatic hyperplasia can occur Side effect - Cross BBB - Sedation, Fatigue, Impaired mental status; Paradoxical stimulation in some children, elderly; Dry mouth

Brompheniramine

1st Gen Antihistamine, H1 Agonist (Oral) Allergic Rhinitis Contraindication - Driving, alcohol use, narrow angle glaucoma, prostatic hyperplasia can occur Side effect - Cross BBB - Sedation, Fatigue, Impaired mental status; Paradoxical stimulation in some children, elderly; Dry mouth

**Diphenhydramine**

1st Gen Antihistamine, H1 Agonist (Oral) *\*\*#1 Most effective! (aka Benadryl)* Allergic Rhinitis Contraindication - Driving, alcohol use, narrow angle glaucoma, prostatic hyperplasia can occur Side effect - Cross BBB - Sedation, Fatigue, Impaired mental status; Paradoxical stimulation in some children, elderly; Dry mouth

Clemastine

1st Gen Antihistamine, H1 Agonist (Oral) Allergic Rhinitis Contraindication - Driving, alcohol use, narrow angle glaucoma, prostatic hyperplasia can occur Side effect - Cross BBB - Sedation, Fatigue, Impaired mental status; Paradoxical stimulation in some children, elderly; Dry mouth

Loratadine

2nd Gen Antihistamine, H1 Agonist Allergic Rhinitis

**Cetirizine**

2nd Gen Antihistamine, H1 Agonist *#2 most effective* Allergic Rhinitis

Fexofenadine

2nd Gen Antihistamine, H1 Agonist Allergic Rhinitis

Desloratadine

2nd Gen Antihistamine, H1 Agonist Allergic Rhinitis

Azelastine

Antihistamine, Block H1 Receptors Allergic Rhinitis

**Olopatadine**

Antihistamine, Block H1 Receptors Allergic Rhinitis

Phenylephrine

Decongestant, Alpha-adrenergic agonist.. vasoconstriction Allergic Rhinitis, Cold *Oral form does NOT work! Topical is Effective and lacks the side effects!* AVOID with Uncontrolled Hypertension, Precaution with - heart disease, diabetes, hyperthyroidism, enlarged prostate, narrow-angle glaucoma Side Effects- Headache, elevated bp & IOP, tremor, urinary retention, dizziness, tachycardia, insomnia

Pseudoephedrine

Decongestant, Alpha-adrenergic agonist.. vasoconstriction Allergic Rhinitis, Cold Controlled - ask pharmacist for this AVOID with Uncontrolled Hypertension, Precaution with - heart disease, diabetes, hyperthyroidism, enlarged prostate, narrow-angle glaucoma Side Effects- Headache, elevated bp & IOP, tremor, urinary retention, dizziness, tachycardia, insomnia

Oxymetazoline

Decongestant, Alpha-adrenergic agonist.. vasoconstriction Allergic Rhinitis, Cold

Sinus Rinse

Allergic Rhinitis, Cold

Cromolyn

Mast cell stabilizer Allergic Rhinitis, Cold May see allergist prescribe, not 1st line tx - 4-6x/day & 2-3 wks before works

Ipratropium

Cholinergic Antagonist - block ACh R (block PSNS, decrease mucus) Allergic Rhinitis

MonteLUKast

Leukotriene R Antagonists Allergic Rhinitis, Asthma \*elevates alanine transaminase, aspartate transaminase, bilirubin

Immunotherapy

Subcutaneous injections for Allergic Rhinitis, Allergic Asthma 5-7 yrs, up to 12 yrs

Common Cold Non-Pharm, Home Remedies

Humidifiers, rest, fluids *\*Common cold is usually viral*

Acetaminophen

Analgesic Fever, pain, headaches associated with common cold, AOM

NSAIDS - ibuprofen, naproxen

Analgesic Fever, pain, headaches associated with common cold, AOM

Cough/cold meds

Ineffective Not Safe for KIDS \<6yo

Codeine with Guaifenesin

Antitussive (Oral); Centrally mediated - opioid R - analgesia, sedation, cough suppression Narcotic; Ineffective, just a sleep aid; Pro-drug w/variable metabolism: ineffective w/poor met., MORPHINE OVERDOSE w/high met. Avoid in children \<12yo Side effects - SEDATION, nausea, constipation; AVOID Alcohol

Hydrocodone with Chlorpheniramine

Antitussive; Centrally mediated - opioid R - analgesia, sedation, cough suppression Narcotic; Ineffective, just a sleep aid Avoid in children \<12yo Side effects - SEDATION, nausea, constipation; AVOID Alcohol

Dextromethorphane

Antitussive; Centrally mediated - at medulla - elevates threshold for cough reflex Nonproductive cough Maybe has benefit Side effects - DROWSINESS, GI effects *Interacts with MAO Inhibitors* - Serotonin Syndrome (muscle twitching, tremors, shivering or stiffness, fever, heavy sweating, heart palpitations, restlessness, confustion, agitation, trouble w/coordination, or severe diarrhea)

Benzonatate

Antitussive; Anesthetizes resp passage, lung, pleural stretch receptors (reduces cough reflex) Maybe has benefit; Prodrug Hypersensitivity, GI upset, sedation

Guaifenesin

Expectorant; thinning of mucus to enhance clearance Productive cough Maybe has benefit \*Counsel to Increase Fluid Intake Side effects - GI effects

Benzocaine, Dyclonine, Phenol, Menthol

Local Anesthetic (Topical) for Sore throat, cough

Non pharm, Sore throat, Cough Remedies

Saline gargle, buckwheat honey, lots of water