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Flashcards in Module 4 drugs Deck (52)
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1

(if not for the controlled status of this drug it would be our best decongestant, with the added benefit of great local anesthesia – it is still used in some ENT practices

4% topical cocaine (Decongestants)

2

phenylephrine (Neo-Synephrine), oxymetazoline (Afrin Nasal Spray)
*phenylephrine is widely available but marginally helpful

topical decongestants (without ephedrine)

3

pseudoephedrine (Sudafed), but they are kept behind the counter for pharmacist supervision. Note: because it was so widely abused under the street name “herbal ecstasy”, ephedrine has been dropped from most products, occasionally you can find ephedrine still, but it is sold behind the counter with the pseudoephedrine.

non-OTC oral decongestants

4

diphenhydramine (Benadryl), brompheniramine, (Dimetane), chlorpheniramine (Chlor-Trimeton), promethazine (Phenergan)

1st generation anithistamines

5

loratadine (Claritin).

2nd gen antihistamine

6

fexofenadine (Allegra), cetirizine (Zyrtec).

3rd gen antihistamines

7

Singulair (montelukast)

Leukotriene rc blocker

8

beclomethasone (Beconase), triamcinolone (Nasacort),
fluticasone (Flonase), mometasone (Nasonex) – as with all “real” corticosteroids, all of these are prescription drugs;
*the only OTC corticosteroid is the weak, weak 1% hydrocortisone found in some dermatologic preparations.

Corticosteroids --for intranasal admin

9

beclomethasone

Beconase

10

triamcinolone

Nasacort

11

fluticasone

Flonase

12

mometasone

Nasonex

13

montelukast

Singulair

14

fexofenadine

Allegra

15

cetirizine

Zyrtec

16

loratadine

Claritin

17

diphenhydramine

Benadryl

18

brompheniramine

Dimetane

19

chlorpheniramine

Chlor-Trimeton

20

promethazine

Phenergan

21

pseudoephedrine

Sudafed

22

phenylephrine

Neo-Synephrine

23

oxymetazoline

Afrin Nasal Spray

24

Cromolyn sodium (NasalCrom – also available in a solution that can be nebulized (made into a mist and inhaled) for the lungs (more about this in Chapter 15).

Mast Cell Stabilizers

25

A good side effect of many antihistamines is their tendency to have an antinausea effect. Only some of the 1st generation drugs are used for this purpose: diphenhydramine (Benadryl), Phenergan.
•dextromethorphan or “DMX” (Robitussin) is a synthetic non-addicting opioid-like drug, while morphine, codeine, and hydrocodone (Hycodan) are all schedule III narcotics
•guaifenesin is the most popular OTC expectorant

Antitussives & Expectorants

26

clotrimazole (Mycelex), nystatin (Mycostatin) given as a “swish and swallow” liquid for thrush infections of the mouth

Antifungals

27

Oral antibiotics include: penicillin VK, amoxicillin, clarithromycin (Biaxin), ciprofloxacin (Cipro).

Some antibiotics are too toxic for routine oral administration, so they are used mainly in topical preparations for outer ear infections: chloramphenicol (Chloromycetin Otic Drops), Neosporin (a topical combination of neomycin, bacitracin, and polymyxin B), Bactroban (mupirocin), Floxin (ofloxacin otic solution).

Antibiotics

28

Cerumenex Ear Drops, hydrogen peroxide (H2O2);
local anesthetics (LAs) like benzocaine and lidocaine (Xylocaine – 4-10%);
salt water (Ocean Spray);
silver nitrate;
Vicks VapoRub

miscellaneous ENT drugs

29

Allegra-D, Claritin-D, NyQuil, Otobiotic Otic

Combination ENT drugs

30

the “D” stands for decongestant: fexofenadine plus the Decongestant pseudoephedrine

Allegra-D