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Flashcards in OTC Products Deck (108):
1

Os-Cal

- SEs

Ca+ carbonate + Vit D3

- Vit D = cholecalciferol = skin makes when exposes to sun. 3x more effective than Vit D2

- SEs: constipation
- Best take with meals

2

Iron Supplement

- Dose
- Administration
Avoid given with:
Abs is enhanced with:
- ADEs

- Dose: 100-200 mg elemental iron QD
- Administration: empty stomach with water = best abs. If become irritated, can take w/ food, but NOT with cereal, milk, tea, coffee, eggs or fibers. Abs is enhance with Vit C.

ADEs
- Constipation, diarrhea
- Heart burn, GI distress
- Black stools
- Oral sol'n can temporary staining of teeth

3

Tylenol

- Indication
- Dose for children
* Hydrated:
* Dehydrated
* Max
* Liquid Dosage form

- Adult dosing
- Max Dose:
R strength 325mg
Extra strength 500 mg
ER 650mg

Acetaminophen

- Indication: pain/fever, analgesic/antipyretic

Dose for children: Max: 75mg/kg.d
- Well hydrated child: 15mg/kg Q4-6H
- Dehydrated: 10mg/kg Q4-6H
- Dosage form: 160mg/5mL

Adult dosing
- 650 mg PO Q4-6H.

- Max Dose:
R strength 325mg: 3250mg/day
Extra strength 500 mg: 3g/d
ER 650mg: 3900mg/d

4

NAC
Acetadote

- Indication
- Dosing
- Duration

N-Acetylcysteine
Acetadote: IV form

- Indication: tx tylenol toxicity. Level > 150 indicates tx

Dosing
- 1st dose: NAC 140mg/kg up to 14g
- Subsequent doses: NAC 70mg/kg Q4H x 17 doses

- Duration: Standard course is 72H

5

ASA

- MOA/Dosing
- ADEs
- CI
- DDI
- Overdose

MOA/Dosing
- Anti-inflammatory effect: 4g/d max
- Analgesic effect: 650-1000mg Q4-6H
- Antipyretic: same as above
- Platelet effects: 81-325mg/d.

ADEs
- GI: PUD/GI bleeding
- CNS: salicylism
- Central respiratory effects: depression or apnea
- Uric acid change
- Asymptomatic hepatitis
- Renal insufficiency
- Hypersensitivity

CI
- Rey's syndrome
- Gout hypersensitivity of ASA
- Active PUD
- Aspirin induced fetal or neonatal toxicity

DDI
- Ibuprofen: inactivates ASA's anticoagulation effects => compete for the same preceptor

Overdose
- Activated charcoal
- Na bicarbonate to increase pH

6

NSAIDs

- MOA
- ADEs
- C/I

- MOA: blocks cyclooxygenase COX 1 and COX2

ADEs
- GI: #1
- Renal adverse events
- Bleeding risk
- HA
- CNS effects

C/I
- PUD
- Renal insufficency
- Bleeding risk
- Hypersensitivity
- Avoid in 3rd trimester (Cat B in 1st and 2nd; Cat C in 3rd)

7

Meclomen

- Indication

Meclofenamate

- NSAID

8

Voltaren
Voltaren Gel

Diclofenac
Diclofenac gel

- NSAIDs

9

Arthrotec

- Indication
- Avoid in

Diclofenac 50mg + Misoprostel 200mcg

- NSAID
- Preg Cat X

10

Cytotec

- Preg Cat
- Indication

Misoprostel:

- Preg Cat X

Indications:
- Prevention of NSAID-induced gastric ulcers
- Medical termination of pregnancy

11

Pennsaid

- Form

Diclofenac

- Form: Topical Sol'n

12

Flector

- Form
- Duration

Diclofenac

- Form: patch Q12H. Apply to most painful area

13

Maxicam

- Dosing frequency

Isoxicam

- Long half life: QD
- NSAID

14

Feldene

- Dosing frequency

Piroxicam

- Long half life: QD
- NSAID

15

Motrin

Ibuprofen

16

Duexis

Ibuprofen 800mg + famotidine 26.6mg TID

17

Naprosyn

- Dose

Naproxen

- Dose 500mg Q12H
- Lowest cardiovascular risk

18

Nalfon

- Indication

Fenoprofen

- OA, RA, mild to moderate pain

19

Orudis

- Indication

Ketoprofen

- Dysmenorrhea
- OA, RA

20

Daypro

- Indication

Oxaprozin

- OA, RA

21

Lodine

- Indication

Etodolac

- Acute pain
- OA, RA

22

Relafen

Nabumetone

23

Indocin

Indomethacin

24

Clinoril

Sulindac

25

Tolectin

- Indication
- Class:

Tolmetin Na

- Indication: inflammation arthritis
- Class: SNAIDs

26

Toradol

Ketorolac

27

Celebrex

- MOA
- C/I

Celecoxib

- MOA: COX 2 selective = less GI SEs
- C/I: sulfonamide allergy

28

Zostrix

- Indication
- MOA
- ADEs
- Precaution

Capsaicin

- Indication: Pain due to RA, OA, post herpetic neuralgia, DM neuropathies
- MOA: deplete substances P
- ADEs: burning sensation
- Precaution: wash hand

29

1st Generation if Antihistamines

- Agents
- Indications
- SEs

Brompheniramine
Chlorpheniramine
Diphenydramine
Doxylamine

- Indications: allergic rhinitis, antiemetic, anaphylaxis

SEs
- Sedation
- Anticholinergic: hallucinations, blurred vision, agitation
- Worsen BPH, glaucoma
- Dizziness, resp depression
- Tachycardia, Torsades, SZ

30

2nd Generation of antihistamine

Fexofenadine - Allegra
Loratadine - Claritin
Desloratadine - Clarinex
Cetirizine - Zyrtec

31

Allegra

- Sedating
- Efficacy

Fexofenadine

- Least sedating
- Most effective agent

32

Claritin

- Sedating
- Potent

Loratadine

- Sedating at higher doses
- Less potent than allegra and zyrtec

33

Zyrtec

- Sedating
- Efficacy

Cetirizine

- Sedating at rec dose: most sedating
- Most effective agent

34

Debrox
Murine Ear

- Indication
- Dose
- Harmless SEs

Carbamide peroxide

- Used: earwax buildup by softening, loosening, and removing the earwax
- Dose: 5-10 drops in ear BID x 4d. Drop remain in ear for 15min
- May cause crackling sound in ears. This harmless effect is temp and due to med foaming and loosing the earwax

35

Swim Ear

Isoprolyl alcohol + anhydrous glycerins

- Use: dries/clears trapped ear-water

36

Ocean
SeaMist

Saline Nasal spray

- Nasal dryness/washing sinuses

37

Sudafed

- Indication
- Can buy
- Store
- Log

Pseudoephedrine

- Indication: decongestant
- Can buy: 3.6g/d or 9g per 30d. Mail order 7.5g
- Store: behind counter or locked in cabinet
- Log: customer ID, names, address, signatures x 2 yrs

38

Afrin

- Indication
- Dose
- Overuse

Oxymetazoline

- Indication: nasal decongestant
- Dose: 2 sprays/nostril BID 2-3d
- Overuse: may lead to rebound congestion

39

Neo-Synephrine

- Dose
- Indication

Phenylephrine nasal spray

- Dose: 2-3 sprays/nostril Q4H prn x 2-3d
- Indication: decongestant

40

Robitussin

- Indication
- Half life:

Guaifenesin (OTC)

- Indication: Expectorants
- Half life: shortest half life

41

Tessalon Pearls

- Indication

Benzonatate (Rx)

- Indication: antitussive for cough

42

Codeine

- Indication

Indication: night time cough (Rx)

43

Hydrocodone

- Indication

- Indication: Antitussive/Expectorants. For pain
- (Rx)

44

Delsym

- Indication
- Form
- Avoid in

Dextromethorphan

- Indication: Cough
- F: ER Q24H
- Avoid if pt also on MAOIs

45

Robitussin AC

- Indication

Guaifenesin with codeine

- Indication: cough suppressants

46

Hycotuss

- Indication
- CS

Hydrocodone + Guaifenesin

- Indication: cough suppressants
- CS II

47

Hycodan

- Indication
- CS

Hydrocodone + Homatropin

- Indication: cough suppressants
- CS II

48

Vituz

- Indication
- CS

Hydrocodone + chlorpheniramine

- Indication: cough, allergy, or cold sx
- CS II

49

Psyllium

- MOA
- Indication
- Max dose

Metamucil

- MOA: Bulk laxative
- Indication: constipation
- Max dose: 10g/d

50

Citrucel

- MOA
- Max dose:

Methylcellulose

- MOA: Bulk laxative
- Max dose: 6g/d

51

Fibercon

Calcium Polycarbophil

- MOA: Bulk laxative

52

Colace

- MOA:
- Max dose:

Docusate stole softener

- MOA: Emollient
- Docusate max: 400mg/d

53

Milk of Magnesia

- SE
- CI

Mg laxatives

SEs for all osmotic laxative
- HyperMg
- HypoCa

C/I: renal failure

54

GoLytely

- MOA

Polyethylene glycol lavage sol'n

- MOA: osmotic laxative

55

Senokot

- MOA

Senna Extract

- MOA: stimulant laxative

56

Senokot-S

- MOA

Senna + Docusate

- MOA: stimulant laxative

57

Dulcolax

- MOA
- Form and OSA

Bisacodyl

- MOA: stimulant laxative
- PO: 6-12H
- PR: 1H

58

Visicol

- Indication

Na phosphate (Rx)

- Indication: Bowel prep

59

OsmoPrep

- Indication

Na phosphate (Rx)

- Indication: Bowel prep

60

Polyethylene glycol (PEG)

- GoLytely
- NuLytely, TriLyte
- HalfLytley, MoviPrep, Suclear

=> PEG preparation

- Indiction: Bowel prep

- GoLytely
- NuLytely, TriLyte: Sulfate-free
- HalfLytley, MoviPrep, Suclear: Low volume

PEG preparation
- Use PEG powder 17 gram
- Dissolve in 240mL water or juice
- May chill sol'n or mix w/ flavoring to improve taste

61

Prepopik

- Indication
- Direction

Na picosulfate, Mg oxide, anhydrous citric acid

Dose - smaller volume
- Two packets, each one is mixed with only 5 ounces of water
- Fill the supplied dosing cup with cold water up to 5 ounces line on the cup and pour in the contents of once packet of PREPPIE powder
- Drink five 8-ounce glasses of clear liquid after the 1st dose and 3 after the 2nd one

62

Constipation in kids

- Increase fluid, fruits, and vegetables (prune and pear)
- Need something to work FAST: glycerin suppositories
- Osmotic laxative: Miralax
- Docusate: help but take several days to work
- Stimulant: for rescue therapy when other tx fail

63

Constipation in pregnancy

- Safe to use
- C/I

- 1st line: pysllium
- Osmotic laxatives (Mg citrate): long term use = hyperMg, hyperPO4
- Stool softener
- Castor oil: Preg Cat X = uterine contraction/rupture

64

Pepto-bismol

- Indication
- Dose
- ADEs
- CI

Bismuth subsalicylate

- Indication: traveler's diarrhea
- Dose: 2 tab PO QID
- ADEs: turn tongue and stool black

CI
- Salicylate allergy
- On coumadin
- Do not exceed 3 wks of use

65

Imodium

- Dose

Loperamide 2mg

Dose
- Initial 4mg PO for single first dose
- Titrate: 2mg PO after each loose stool
- Max: 16mg/d Rx. 8mg/d OTC

66

Sandostatin

- Indication

Octreotide

- Indication: diarrhea ass with carcinoid tumors
- Route: SC/IV/IM

67

Sandostatin LAR

- Dose
- Indication

Octreotide

- Dose: IM Q4W x 2 months
- Indication: diarrhea ass with carcinoid tumors

68

Gas-X

- Indication

Simethacone

- Indication: flatulence

69

DEET

- Indication
- Form
- Age
- Direction

N,N-diethyl-meta-toluamide

- Indication: inset repellent products
- Form: spray, lotion, towelette
- Age: kid over 2 months

Direction:
- Apply sunscreen prior to application of DEET
- Do not apply over cuts, wounds, or irritant skin
- Do not apply to hands or near eyes and mouth of young children
- Do not allow young children to apply this product
- Use just enough repellent to cover exposed skin and/or clothing. Do not use under clothing
- After returning indoors, wash treated skin with soap and water
- Wash treated clothing before wearing it again
- To apply to face, spray on hands first and then rub on face. Do not spray directly onto face

70

Nix

- Indication
- Age
- Clothes

Permethrin (OTC) 1%: 1st line

- Indication: head lice
- Age: FDA approved for children as young as 2 mo
- Clothes: Machine wash clothes, bedding, towels in hot water (130 degree), and dry them in a hot dryer (20 min). Items that can't be washed can be vacuumed or put in a sealed plastic bag for 2 weeks.

71

RID

- Indication
- Age
- Clothes

Pyrethrins

- Indication: head lice
- Age: FDA approved for children 2 y.o or older
- Clothes: same as above

72

How to apply RID shampoo

- Repeat

- Apply thoroughly to DRY HAIR.
- Let set for 10 min:
- Wash Out
- Comb out to remove lice, eggs, and nits from hair
- Repeat - use these products 3x: tx must be done in 9 day to kill any newly hatched lice.

73

Ulesfia

- Indication
- Form
- Age
- MOA

Benzyl EtOH lotion 5% (Rx)

- Indication: head lice
- Form: lotion apply in head for 10 min
- Age: > 6 mo
- MOA: Suffocating lice

74

Natroba

- Indication
- Age
- Direction
- Repeat

Spinosad - Rx

- Indication: topical head lice
- Age: > 4 y.o

Direction:
- Shake before use
- Applied to dry hair and scalp
- Rinse after 10 min
- If after 7 days there are still live lice, a second application is necessary

75

Ovide

- Indication
- Form
- Age:
- Counseling

Malathion lotion (Rx)

- Indication: topical head lice
- F: location
- Age: > 6 y.o
- Counseling: very flammable, keep medication and wet hair from heat sources such as hair dryers, heat, and open flames

76

Stromectol

- Form
- Weight
- Indication

Ivermectin - Rx

- 3mg PO
- Weight: > 15kg
- Used if all the other method failed. It kills lice within 24H

77

Sklice

- Indication
- Form
- Direction

Ivermectin lotion Rx

- Indication: lice
- Form: lotion

Direction
- Used on dry hair. Can use up to 1 tube to cover
- Allow lotion to stay on hair and scalp for 10 min after it has been applied
- Then rinse
- Use ONCE

78

Asthmanefrin

- Indication

Racepinephrine - OTC

- SOB
- Tightness of chest
- Wheezing due to bronchial

79

Oxytrol

- Indication
- Form:
- Dose
- ADEs

Oxybutynin patch for Women (OTC)

- Indication: overactive bladder
- Form: Patch
- Dose: 3.9mg/day patch is applied to the skin Q4d
- ADEs: anticholinergic ADEs

80

Ferro-Grand 500

Ferrous Sulfate + Ascorbic acid (Vit C)

81

Vitelle

Ferrous Sulfate + Ascorbic acid (Vit C)

82

Cambia

- Form

Diclofenac

- Form: Packet TID

83

Cataflam

- Form

Diclofenac

- PO

84

Zipsor

- Form

Diclofenac Potassium

- PO

85

Zorvolex

- Form

Diclofenac acid

- PO TID

86

Anaprox

- Form

Naproxen

- 550mg PO Q12H

87

Rexaphenac

- Form

Diclofenac (phenac = fenac)

- Cream

88

Vimovo

Naproxen + esomeprazole

89

Sprix

- Form

Ketolodac

- Spray

90

Acular

Ketolodac

- Form: eye drop
- Conjunctivitis

91

Acuvail

Ketolodac

- Form: eye drop
- Conjunctivitis

92

Karbinal

- Class:
- Form
- C/I

Carbinoxamine

- 1st Gen of Histamine
- Form: Sol'n
- C/I: in children

93

Alavert

- Indication
- Form

Loratadine

- Allergy
- ODT provides 24H

94

Tavist ND

- Form

Loratadine

- ODT provides 24H

95

Vicks Sinex

- Indication

Phenylephrine nasal spray

- Dose: 2-3 sprays/nostril Q4H prn x 2-3d
- Indication: decongestant

96

Nexafed

Pseudoephredrine

97

Dristan

- Indication

Oxymetazoline

- Decongestants

98

Allerest 12H

Oxymetazoline

- Decongestants

99

Fenesin

- Indication

Guaifenesin

- Indication: antitussive/expectorant

100

Mucinex

- Indication
- Half life

Guaifenesin

- Indication: antitussive/expectorant
- Half-life: longest

101

Tussionex

- Indication
- C-

Hydrocodone + chlorpheniramine

- Indication: cough and allergy
- C-II

102

Vituz

- Indication
- Form
- C-

Hydrocodone + chlorpheniramine

- Indication: cough/allergy
- Form: solution
- C-II

103

Correctol

Bisacodyl

- Constipation

104

Fleet Enema

- Indication

Na Bisphosphate Enema

- Constipation
- Work right away

105

Mylicon

Simethacone

- Indication: flatulence

106

Phazyme

Simethacone

- Indication: flatulence

107

Caldolor

Ibuprofen IV

108

Advil cold and sinus contains

Ibuprofen + pseudoephedrine