NonRX Flashcards
Abreva
Docosanol
Antiviral - shortening the time to heal (HSV 1)
Raised fluid filled lesions, forming a light or yellow crust over the lesions (2 weeks)
Cold sore or fever blisters on face or lips
Apply to affected area or face or lips at the first sign of cold sore/fever blister. Use 5 times a day until healed.
MAXIMUM: 10 days
Advil
Ibuprofen
Inhibition od COX, inhibition of prostaglandin synthesis
Pediatric
Motrin Infant Drop Suspension : 50mg/ 1.25
Children Motrin or Advil Suspension : 100mg/5ml
Adult
Advil/Motrin: 200mg 1-2 q4-6h
Aleve (Naprexen): 220mg 1T q8-12h (2 for 1st dose)
SE: GI (take with food, milk, antacid),GI ulceration and bleeding (age >60, prior GI bleed, concurrent use of anticoagulant or ASA, higher dose or longer duration, moderate use of alcohol) - bleeding in stool
CI: MI, HTN, stroke, HF (fluuid retention/edema), kidney
MAX: 10 (pain), 3 days (fever)
Afrin
Oxymetazoline HCl
Congestion - cold or allergy
Alpha 1 adrenergic receptors - vasoconstrictions (reduce blood flow to nasal)
prolonged use - rhinitis medicamentosa (rebound effect )
CI: MAOI
MAX: 3 days
SE: burning, stinging, sneezing
Temporary relief of nasal congestion
2-3 sprays or dops into each nostril BID - morning and evening
Airborne
Immune system support daily help: 2 doses QD temp. help: 1 dose QD Vitamins, minerals SE: GI upset
Aleve
Naproxen
Inhibition of COX
220mg
> 65 yo: NMT 1 tablet q12h
< 65 yo: 1 tablet q8-12h (NMT: 3 tablets/24hr)
CI: hypersensitive to NSAID, renal impairment, hypertension, fluid retention. HF, bleeding disorder, peptic ulcer, 3rd trimester pregnancy, NMT 10 days
SE: edema, bleeding, GI upset, constipation, dizziness, drowsiness, tinnitus, rash
Ask pt: concurrent blood thinner, asthma or ulcer disease, intense or prolonged pain, d/c if rash or difficulty breathing
Align
Probiotic
1 billion (4mg) live bacterial per capsule
Digestive system support including IBS, constipation, bloating, diarrhea, nausea, cramping
CI: immunocompromised patients
SE: flatulence, bloating, diarrhea
Contains milk products
Allegra allergy
Fexofenadine
2nd generation antihistamine
Antiallergy Agent - seasonal allergic rhinitis
Age ( greater than equal to 12): 60mg BID or 180mg QD
< 12 yo: 30mg BID
Take with water (not juice), avoid administration with Al, Mg containing product
Discontinued > 72 hrs prior to allergy test
SE: somnolence but Less sedating
Alli
Orlistst
Weight management - inhibit gastric and pancreatic lipid absorption
1 capsule TID with main meal (30% from fat)
CI: malabsorption or cholestasis
SE: oily spotting, flatus with discharge, fecal urgency, oily stool
Take ADEK after 2 hours once daily (at night)
Anbesol
Benzocaine, Phenol
Oral cavity analgesic
Apply topically to the affected area on or around the lips, or within the mouth
NMT 2 days
Do not use under dentures or other dental work
Azo
Phenazopyridine
Urinary analgesic - symptomatic relief of pain, burning, urgency, frequency, and other discomfort arising from irritation of the lower urinary tract mucosa caused by infection
2 tablets TID with or after meal PRN (take with food)
NMT 2 days
Make the urine an orange to red color which may stain fabric
Bayer
Aspirin
1-2 doses q4-6h PRN
Max: 4g/day
SE: N/V, epigastric distress, aggravation of gout snd delayed blood coagulation (bleeding)
Take with full glass of water
CI: antiplatelet/anticoagulant, asthma/COPD, salicylate allergy, last trimester of pregnancy
X children <12 yo: reye’s syndrome
NMT 10 days for pain and 3 days for fever
Benadryl
Diphenhydramine Allergy 1-2ndoses q4-6hr Max: 300mg DPH/day \+phenylephrine - temp. treatment of sinus congestion
SE: drowsiness, dry mouth
Decongestant: + tachycardia and insomnia
NMT 7 days or in presence of high fever
May cause excitability in children (CI: <6yo)
Decongestant - X pts with HTN, DM, HF
Benadryl topical
Diphenhydramine + zinc acetate or camphor
Temp. relief of itching and pain associated sith insect bites, rashes, poison ivy, poison oaks, poison sumac, allergy, minor skin irritations
Apply to affected area 3-4 times a day
X children <6yo
X eye, mouth, nose, broken, blistered, or oozing area of skin
SE: local irritation
NMT 7 days
Bengay
Methyl salicylate, camphor, menthol counterirritant Topical analgesic - minor aches or pains of muscles and joints associated with arthirits, simple backpain, strains, sprains, bruises apply to affected area 3-4/day X with heating pad of heating device
NMT 7 days
Patches may be cut to size
Bonine
Meclizine or cyclizine
Motion sickness - antihistamine (compete at receptor site)
1-2 tablets QD, 1hr before engaging in activity motion sickness
X children <12yo - excitability
SE: drowsiness, dry mouth
Buffered Aspirin
Analgesic
Temporary relief of mild to moderate pain
325 - 1000mg q4-6h PRN
NMT 4g per 24h
CI: children < 18yo Reyes syndrome, last trimester of pregnancy, allergic to salicylate
Salicylate toxicity: tinnitus
SE: n/v, epigastric distress, aggravation of gout and delayed coagulation
Capzasin P, Capzssin HP
Capsaicin
Topical analgesic - RA, OA, shingles, diabetic neuropathy
Apply to affected area 3 to 4 times a day.
Wash hands following application or use disposable latax glove. Transient burning may occur upon application but should disappear in several days.
May take up to 2 weeks for an effect.
Carmex Lip Balm
Menthol, camphor, benzocaine
Temporary relief of cold sores and chapped lips: apply to affected areas as needed. Do not use in or around the eyes. Do not share containers to avoid spreading the herpes simple 1 virus. NMT 14 days
Cepacol
Benzocaine, menthol, dextromethorphan Sore throat lozenges slowly dissolve 1 lozenge in mouth. May repeat every 2hr or as directed by a MD or a dentist. NMT 18 lozenges per day - adult NMT 10 lozenges per day - children
NMT 7 days
Chloraseptic
Oral antiseptic/analgesic
Temporary relief of occasional minor mouth irritation and pain, sore mouth and sore throat: use q2hr or as directed by a MD
NMT 7 days
CI: < 2 yo
Citracel
Calcium, vitamin D
Help reduce the risk of osteoporosis: 1 or 2 tablets BID
SE: upset stomach
Claritin D
Pseudoephedrine sulfate and loratadine
Seasonal allergic rhinitis
12hr tablet BId or 24hr tablet QD on empty stomach
CI: MAOI X 14D, HTN, CAD
SE: h/a, insomnia, dry mouth, somnolence, dizziness, fatigue, dyspepsia, pharyngitis
Claritin
Loratidine
Seasonal allergic rhinitis (sneezing, rhinorrhea, pruritus, lacrimation)
10mg once daily on empty stomach (q24h)
CI: impaired liver function or elderly pts
SE: h/a, drowsiness, dry mouth
Colace
Docusate
Stool softener
50 - 200mg QD. Expect results in 1-3 days after first dose
NMT 7 days
Increase dietary fiber, fluid intake, exercise
Notify PCP if rectal bleeding occurs
Cold-eeze
Zincum gluconicum
Lozenges, quickmelt, nasal spray - cold remedy
Dissolve q2-4hr beginning at the first sign of a cold and continuing until all symptoms have ended (Max. 6)
To avoid GI upset, do not take on an empty stomach - take with food
Do not take citrus fruits or juice within 30 min.
Nasal SE: temporary burning or stinging after use
NMT 7D
Compound W
Keratolytic
Salicylic acid, dimethyl ether, propane, isobutane
Removal of common wart:
wash affected area, soak in warm water x 5min. Dry thoroughly. Apply gel or liquid to cover the wart completely. Repeat QD or BID PRN.
SE: stinging, burning
NMT 12 Weeks
Coricidin HBP
APAP, chlorphenoramine, dextromethorphan, doxylamine, guaifenesin
Hay fever, upper respiratory allergy, flu, cold relief
CI: liver, alcohol, < 12yo
SE: drowsiness, dry mouth
NMT 7D
Cortizone
Hydrocortisone
Temporary relief of itching and inflammatwkon due to minor skin irritstion including poison ivy-oak-sumac, insect bites, rashes, eczema, seborrheic dermatitis
Apply to the affeceted area 4 times a day
SE: local burning or irritation
NMT 7D
Culturelle
Lacstobacillus GG
Probiotic
CI: immunoduppressant
SE: flatulence, bloating, diarrhea
