Active ingredients Flashcards

key ingredients and their use, mechanisms & interactions

1
Q

Diphenylhydramine interactions and use? What to avoid with this?

A
Interaction with Beta-Blockers. slows breakdown 
Sedating antihistamine @ higher doses 
Allergic Rhinitis, cold and cough 
Motion sickness
Alcohol
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2
Q

Cetalkonium Chloride - found in what? How does it work

A

Bonjela. But also Antiseptic for minor infections of mouth, throat + eyes. Quaternary ammonium antimicrobial agent that works by disrupting the cell membrane. Microbes lose internal environment

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3
Q

Hyoscine butylbromide. Indication and side effects?

A

Antispasmodic. Helps to ease bloating and spasm type pain associated with IBS.

sedative effect is enhanced with alcohol or other CNS depressants
ABCD’s

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4
Q

Loperamide class and directions?

A

Antiperisraltic agent

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5
Q

How do you take loperamide

A

initial dose is 4mg followed by 2mg after each loose stool. Max 8mg in 24hr

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6
Q

Mode of action of loperamide?

A

Antiperistaltic agent that reduces intestinal motility by interfering with the cholinergic & non-cholinergic mechanisms involved in the peristaltic reflex.

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7
Q

loperamide side effects?

A

feeling faint - headache - nausea

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8
Q

max duration of loperamide?

A

two day treatment

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9
Q

Codeine Phosphate OTC use?

A

Opioid analgesic got pain relief, but can be used to allay a non-productive cough.

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10
Q

major otc interactions of codeine?

A

interacts with MAOIs e.g Rasagiline, Selegiline

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11
Q

Is there any dangerous MAOI interactions with Antihistamines?

A

yes - BP can drop dangerously low

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12
Q

Phenylephrine uses and mechanism

A

relief of nasal congestion and sinusitis.

absorbed through the mucosa and reduces the blood flow. Reduced buildup of mucus

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13
Q

what patients is this unsuitable for?

A

type 1 diabetics
hypertension
ischaemic heart disease
glaucoma ( for eye drops )

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14
Q

phenylephrine interaction?

A

MAOI (result in hypertensive crises)

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15
Q

Silicogel Colloidal. pitch it to me.

A

highly dispersible and protectively lines the whole GI

Physically adsorbs onto toxins as well as pathogens. renders them harmless. removed naturally by intestines

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16
Q

counselling for silicogel

A

take TDS for children over 12