Module 4 drugs Flashcards
(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
4% topical cocaine (Decongestants)
phenylephrine (Neo-Synephrine), oxymetazoline (Afrin Nasal Spray)
*phenylephrine is widely available but marginally helpful
topical decongestants (without ephedrine)
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.
non-OTC oral decongestants
diphenhydramine (Benadryl), brompheniramine, (Dimetane), chlorpheniramine (Chlor-Trimeton), promethazine (Phenergan)
1st generation anithistamines
loratadine (Claritin).
2nd gen antihistamine
fexofenadine (Allegra), cetirizine (Zyrtec).
3rd gen antihistamines
Singulair (montelukast)
Leukotriene rc blocker
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.
Corticosteroids –for intranasal admin
beclomethasone
Beconase
triamcinolone
Nasacort
fluticasone
Flonase
mometasone
Nasonex
montelukast
Singulair
fexofenadine
Allegra
cetirizine
Zyrtec
loratadine
Claritin
diphenhydramine
Benadryl
brompheniramine
Dimetane
chlorpheniramine
Chlor-Trimeton
promethazine
Phenergan