OTC

Question 1

Difference btw OTC and prescription drugs?

Answer 1

Patient gets OTC after self assessment and both regulated by FDA

Question 2

What things need to be on OTC labels?

Answer 2

Product name, Active ingredients, Purpose, Uses, Warnings, Directions, Other information, Inactive ingredients

Question 3

Most sedating 1st OTC drug? Product Name

Answer 3

Diphenhydramine - Benadryl

Question 4

Most common 2nd generation- non sedating

Answer 4

Cetirizine - Zyrtec

Question 5

Preferred Long Acting Decongestant

Answer 5

Oxymetazoline and xylometazoline

Question 6

Methamphetamine precursor

Answer 6

Pseudoephedrine

Question 7

Acetaminophen toxicity and interactions and cautions

Answer 7

Hepatotoxic interactions with CYP inducers.

Alcohol and Cirrhosis

Question 8

NSAIDS toxicity, interactions and cautions

Answer 8

Renal failure, interact with warfarin, decrease antihypertensive effect and caution with gout, aspirin induced asthma

Question 9

Number 1 cause of acute hepatic failure is

Answer 9

Hepatotoxicity

Question 10

Ist generation antihistamine effect against what?

E.g of 1st gen antihistamines?

Answer 10

Motion sickness with H1 inhibition in the CNS

Diphenhydramine, dimenhydrinate

Question 11

4 Components of Coricidin

Answer 11

Chlorpheniramine( 1st gen antihistamine) Pseudoephedrine ( vasoconstirction), Acetaminophen and Dextromethorphan( cough)

Question 12

If one has HBP, what component of Coricidin is taken off?

Answer 12

Pseudoephedrine

Question 13

Anticholiinergic interactions. What drug?

Answer 13

Oxybutynin

Question 14

Pseudoephedrine interactions

Answer 14

alpha agonist so vasoconstriciton

Question 15

Topical decongestants interactions

Answer 15

rebound congestion/ rhinitis medicamentosa

Question 16

Dextromethorphan metabolism. Overdose

Answer 16

Cough med metabolized by CYP2D6. Overdose causes phecyclidine effect (addictive). So co-formulated with guaifenesin to cause N/V, diarrhea if taken in high amounts

Question 17

Cough and cold age minimum?

Answer 17

6 years old. Honey helps but fear of botulism

Question 18

Drugs that can affect BP

Answer 18

Ephedrine, Epinephrine, Ibuprofen, Phenylephrine, Pseudoephedrine, theophylline

Question 19

The main target OTC cough ingredient

Answer 19

Dextromethorphan

Question 20

Easily producing a “high”

Answer 20

Solvents, Fuels, Anesthetics, Volatile alkyl nitrates

Question 21

Nitrites antidote

Answer 21

Methylene blue

Question 22

Death by inhalants is by

Answer 22

Cardiac arrhythmias, aspirated vomit

Question 23

Energy drinks “Foods or Direct Supplement” main ingredient

Answer 23

Caffeine

Question 24

Antacids ADE

Answer 24

kidney stones

Question 25

Bismuth subsalicylate ADE ( antidiarrheal)

Answer 25

Anticoagulation

Question 26

Constipation medications

Answer 26

Chelation and electrolyte imbalance

Question 27

Ist drug of choice for pain n children

Answer 27

Acetaminophen due to Reyes syndrome

Question 28

OTC prescription pharmacists can prescribe in future

Answer 28

Diabetes, asthma, migraines, HTN, drug overdose