Med List #3: Allergy, Asthma, Cough and Cold Flashcards
Allergy (OTC)
loratadine, diphenhydramine, fluticasone
Asthma
montelukast, albuterol sulfate, budesonide and formoterol
Cough and Cold
benzonatate, dextromethorphan (OTC), guaifenesin (OTC), pseudoephedrine (BTC)
loratadine (OTC): Brand Name
Claritin
loratadine (OTC): Common Strengths
5mg, 10mg
loratadine (OTC): Common Frequency
QD
loratadine (OTC): Indications/Use
- Allergy symptoms: runny nose, watery eyes, sneezing, drainage
- Acute and chronic urticaria (itching) and rash
- Allergic reaction to medication
loratadine (OTC): Counseling Tips and Important Info
Headache
diphenhydramine (OTC): Brand Name
Benadryl
diphenhydramine (OTC): Common Strengths
12.5mg, 25mg, 50mg
diphenhydramine (OTC): Common Frequency
q4-6h prn for allergies, 50mg po QHS for sleep
diphenhydramine (OTC): Indications/Use
- Allergy symptoms: runny nose, watery eyes, sneezing, drainage
- Insomnia
- Itching
- Motion sickness
diphenhydramine (OTC): Counseling Tips and Important Info
- Drowsiness
- Alcohol intensifies drowsiness
- Paradoxical hyperactivity in children
- Dry mouth
fluticasone (OTC): Brand Name
Flonase
fluticasone (OTC): Common Strengths
50mcg/spray
fluticasone (OTC): Common Frequency
2 sprays in each nostril QD
fluticasone (OTC): Indications/Use
Chronic nasal allergy symptoms
fluticasone (OTC): Counseling Tips and Important Info
- Gently shake before each use
- May take several days for full effect
- Headache
- Sore throat
montelukast: Brand Name
Singulair
montelukast: Common Strengths
4mg, 5mg, 10mg
montelukast: Common Frequency
QD
montelukast: Indications/Use
- Chronic nasal allergy
- Asthma
montelukast: Counseling Tips and Important Info
- Don’t use for an acute asthma attack
- Headache
- Take dose in the evening to enhance efficacy - airways are more relaxed
albuterol sulfate: Brand Name
ProAir HFA, Proventil HFA, Ventolin HFA
albuterol sulfate: Common Strengths
90mcg/puff
albuterol sulfate: Common Frequency
2 puffs PO q4-6h prn
Prevention of exercise induced asthma: 2 puffs PO 15-30 min prior to exercise
albuterol sulfate: Indications/Use
Acute asthma symptoms
albuterol sulfate: Counseling Tips and Important Info
- Shake well
- Increased HR
- Clean mouthpiece with water regularly
budesonide and formoterol: Brand Name
Symbicort
budesonide and formoterol: Common Strengths
80mcg/4.5mcg/puff, 160mcg/4.5mcg/puff
budesonide and formoterol: Common Frequency
2 puffs PO BID
budesonide and formoterol: Indications/Use
- Asthma
- COPD
budesonide and formoterol: Counseling Tips and Important Info
- Shake well
- Rinse out mouth after each use to prevent oral thrush
benzonatate: Brand Name
Tessalon
benzonatate: Common Strengths
100mg, 200mg
benzonatate: Common Frequency
TID
benzonatate: Indications/Use
Cough suppressant to relieve dry cough
benzonatate: Counseling Tips and Important Info
- Drowsiness
- Do not chew (numbing and choking)
dextromethorphan (OTC): Brand Name
Delsym (OTC)
dextromethorphan (OTC): Common Strengths
30mg/5ml
dextromethorphan (OTC): Common Frequency
q12h
dextromethorphan (OTC): Indications/Use
Cough suppressant to relieve dry cough
dextromethorphan (OTC): Counseling Tips and Important Info
- Shake well
- Potential for abuse - hallucinogen in high dose
guaifenesin (OTC): Brand Name
Mucinex (OTC)
guaifenesin (OTC): Common Strengths
600mg, 1200mg
guaifenesin (OTC): Common Frequency
q12h
guaifenesin (OTC): Indication/Use
Expectorant to loosen chest congestion
guaifenesin (OTC): Counseling Tips and Important Info
- Drink lots of water to thin mucus
- Nausea
pseudoephedrine (BTC): Brand Name
Sudafed (BTC)
pseudoephedrine (BTC): Common Strengths
30mg, 120mg, 240mg
pseudoephedrine (BTC): Common Frequency
60mg q4-6h prn, 120mg q12h prn, 240mg q24h prn
pseudoephedrine (BTC): Indications/Use
Nasal decongestant
pseudoephedrine (BTC): Counseling Tips and Important Info
- Increased HR
- Jitteriness
- Insomnia