Module 4 drugs Flashcards

1
Q

(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

A

4% topical cocaine (Decongestants)

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2
Q

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

A

topical decongestants (without ephedrine)

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3
Q

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.

A

non-OTC oral decongestants

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4
Q

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

A

1st generation anithistamines

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5
Q

loratadine (Claritin).

A

2nd gen antihistamine

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6
Q

fexofenadine (Allegra), cetirizine (Zyrtec).

A

3rd gen antihistamines

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7
Q

Singulair (montelukast)

A

Leukotriene rc blocker

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8
Q

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.

A

Corticosteroids –for intranasal admin

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9
Q

beclomethasone

A

Beconase

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10
Q

triamcinolone

A

Nasacort

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11
Q

fluticasone

A

Flonase

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12
Q

mometasone

A

Nasonex

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13
Q

montelukast

A

Singulair

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14
Q

fexofenadine

A

Allegra

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15
Q

cetirizine

A

Zyrtec

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16
Q

loratadine

A

Claritin

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17
Q

diphenhydramine

A

Benadryl

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18
Q

brompheniramine

A

Dimetane

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19
Q

chlorpheniramine

A

Chlor-Trimeton

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20
Q

promethazine

A

Phenergan

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21
Q

pseudoephedrine

A

Sudafed

22
Q

phenylephrine

A

Neo-Synephrine

23
Q

oxymetazoline

A

Afrin Nasal Spray

24
Q

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).

A

Mast Cell Stabilizers

25
Q

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

A

Antitussives & Expectorants

26
Q

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

A

Antifungals

27
Q

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).

A

Antibiotics

28
Q

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

A

miscellaneous ENT drugs

29
Q

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

A

Combination ENT drugs

30
Q

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

A

Allegra-D

31
Q

loratadine plus the Decongestant pseudoephedrine

A

Claritin-D

32
Q

phenylephrine, doxylamine, dextromethorphan, acetaminophen

A

NyQuil

33
Q

hydrocortisone, polymyxin B

A

Otobiotic Otic

34
Q

to soften earwax

A

Cerumenex Ear Drops

35
Q
sodium channel blockers, used to keep nerve transmissions from going down the nerves.
* Popular ones for ENT are benzocaine (topical local anesthetic for ear, mouth, nose and throat preparations) 
and lidocaine (Xylocaine – 4-10%) - notice how concentrated it is when used topically vs. the 1-2% when given by injection for dental procedures.
A

(LAs) Local Anesthetics

36
Q

salt water as in Ocean Spray – there is no drug effect, but it is used to irrigate the sinuses.

A

saline

37
Q

cautery sticks used for cauterizing nosebleeds and cuts in shaving

A

silver nitrate

38
Q

mentholated (eucalyptus oil) based

petroleum jelly

A

Vicks VapoRub

39
Q

clotrimazole: given as a “swish and swallow” liquid for thrush infections of the mouth

A

Mycelex

40
Q

nystatin: given as a “swish and swallow” liquid for thrush infections of the mouth

A

Mycostatin

41
Q

penicillin VK, amoxicillin, clarithromycin (Biaxin), ciprofloxacin (Cipro)

A

oral antibiotics

42
Q

chloramphenicol (Chloromycetin Otic Drops), Neosporin (a topical combination of neomycin, bacitracin, and polymyxin B), Bactroban (mupirocin), Floxin (ofloxacin otic solution)

A

used mainly in topical preparations for outer ear infections

*too toxic for routine oral administration

43
Q

clarithromycin

A

Biaxin

44
Q

ciprofloxacin

A

Cipro

45
Q

Chloromycetin Otic Drops

A

chloramphenicol

46
Q

a topical combination of neomycin, bacitracin, and polymyxin B

A

Neosporin

47
Q

mupirocin

A

Bactroban

48
Q

ofloxacin otic solution

A

Floxin

49
Q

Cromolyn sodium:

also available in a solution that can be nebulized (made into a mist and inhaled) for the lungs

A

NasalCrom

50
Q

dextromethorphan or “DMX”:

a synthetic non-addicting opioid-like drug

A

Robitussin

51
Q

morphine, codeine, and

hydrocodone (Hycodan)

A

schedule III narcotics

52
Q

the most popular OTC expectorant

A

guaifenesin