Central nervous system OTC Flashcards
True or false:
Stiff neck is a red flag when someone presents with a headache
TRUE
This may be a sign of meningitis
Which type of headache produces the following symptoms:
Severe, unilateral pain
Red, watery eye
Drooping and swelling of an eye
A smaller pupil in one eye
Cluster headache
Which headache produces the following symptoms:
Throbbing pain
May be unilateral or bilateral
Photophobia
Nausea
Migraine
True or false:
Codeine should be avoided in migraines
TRUE
It is not proven to help pain and can still cause side effects
_______ used for treatment of migraine and cluster headache, are contraindicated in CVD
Triptans e.g. sumatriptan
They are cautioned in those with CV risk factors e.g. diabetes, HTN etc
What is the active ingredient in Kwells
Hyoscine hydrobromide
Maximum dose of Kwells in 24 hours?
No more than 3 doses in 24 hours
True or false:
The dose of Kwells for children is the same as the dose for adults
FALSE
The children’s dose is half of the adult dose (Kwells Kids)
How long before travel should Kwells be taken
20 - 30 minutes
Which antihistamines can be sold OTC for motion sickness
Cinnarizine and Promethazine
Take 2 hours before travel
Maximum daily dose for pain relief of:
a) Aspirin
b) Paracetamol
c) Ibuprofen
a) 3600 mg (12 x 300 mg) –> 3 tabs qds
b) 4 g (8 x 500 mg) –> 2 tabs qds
c) 1200 mg (3 x 400 mg) –> 2 tabs (or 1 x 400 mg tab) tds
Why should codeine and DHC products not be given to under 12s
Risk of respiratory side effects
Also not recommended for children 12-18 with breathing problems
Which painkiller is CI in children who have had their tonsils removed and why
Codeine (and DHC)
True or false:
Codeine products are safe in breastfeeding mothers
FALSE
It can pass through the milk`
Which antihistamines can be used as sleep aids OTC
2 points
Diphenhydramine (50 mg at night)
Promethazine
