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