OTC Brands & Ages Flashcards

1
Q

Age limit for lactulose?

A

From birth

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2
Q

Ispaghula

Age limit
Brand name
Counselling points

A

6+
Fybogel / Fybogel Hi-fibre
Oral use

Warning label 13 - Dissolve or mix with water before taking

Granules stirred in water and drank preferably after meals. Should be taken during the day and at least 1/2 to 1 hour before or after any other meds.
Not be taken immediately before sleep

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3
Q

Bisacodyl tabs and suppositories

Age limit
Brand name
Counselling points

A

Tabs 10+ some brands 12+
Suppositories 10+ GSL and 4+ (POM + unlicensed)

Dulcolax

As tabs are enteric coated -

Warning label 5:
Do not take indigestion remedies 2 hours before or after you take this medicine

Warning label 25:
Swallow this medicine whole. Do not chew or crush

This is to avoid the possibility of premature dissolution of the coating in the presence of an alkaline pH.

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4
Q

Loperamide

Age limit
Brand name
Counselling points

A

Short term diarrhoea - 12 +
Diarrhoea associated with IBS - 18+

Imodium - capsules, tablets, melts, liquid

Do not use for longer than 14 days .
The maximum daily dose should not exceed 8 tablets (16 mg).

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5
Q

Pepto-bismol

Age limit
Brand name
Counselling points

A

16+

Pepto-bismol or Pepto- calm

  • Can take with or without food
  • Do not take this medicine if you are pregnant or breastfeeding
  • Do not take Pepto-Bismol for more than 2 days.
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6
Q

Ranitidine

Age limit
Brand name
Counselling points

A

16+
Liquid/POM - 3+

Gavilast, Zantac, Ranicalm

Swallow one Ranitidine film coated tablet whole, with a drink of water, as soon as you have symptoms.

If symptoms persist for more than one hour or return, take another tablet. Do not take more than two tablets in 24 hours.

Do not take the tablets for more than 6 days without the advice of a pharmacist or doctor.

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7
Q

PPIs examples

Age limit
Brand name
Counselling points

A

Omeprazole, Esomeprazole (Nexium), Lansoprazole

18+

Do not chew or rush capsules - swallow whole with eater

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8
Q

Colpermin (peppermint oil)

Age limit
Brand name
Counselling points

A

15+

Colpermin IBS Relief Caps
(contains Arachis oil (peanut oil)

or Mintec

GR capsule
5 - Do not take indigestion remedies 2 hours before or after you take this medicine

22 - Take 30 to 60 minutes before food

25 - Swallow this medicine whole. Do not chew or crush

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9
Q

Mebeverine hydrochloride

Age limit
Brand name
Counselling points

A

18+
Colofac (IBS)

One tablet three times a day, preferably 20 minutes before meals. After a period of several weeks, when the desired effect has been obtained, the dosage may be gradually reduced.

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10
Q

Buscopan

Age limit x2
GENERIC name
Counselling points

A

Tablets in general 6+
Buscopan Cramps 6+
Buscopan IBS 12+

Hyoscine butylbromide

Swallowed whole with adequate water

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11
Q

Kolanticon Gel

Age limit
GENERIC name mix

A

12+

A white viscous suspension containing dicycloverine hydrochloride, aluminium hydroxide, light magnesium oxide, simethicone - used for peptic ulcer& functional dyspepsia

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12
Q

Alli

Age limit
GENERIC name
Counselling points

A

18+

Orlistat (60mg) - adults who are overweight (body mass index, BMI, 28 kg/m2) and should be taken in conjunction with a mildly hypocaloric, lower-fat diet.

  1. One 60 mg capsule to be taken TDS immediately before, during or up to 1hr after each main meal. If meal missed or no fat - dose is omitted.
    Diet and exercise important
    Treatment should not exceed 6 months.
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13
Q

Anusol cream/ointment

Age limit
GENERIC name mix
Counselling points

A

18+

Mix of zinc oxide, bismuth oxide and balsam oxide

cream provides antiseptic, astringent and emollient properties which help to relieve discomfort associated with minor ano-rectal conditions.

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14
Q

Germoloids cream/ointment

Age limit
GENERIC name
Counselling points

A

12+
zinc oxide
lidocaine hydrochloride

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15
Q

Anusol & Germoloids HC

Age limit
GENERIC name
Counselling points

A

18+

Contains additional hydrocortisone

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16
Q

Corsodyl

Age limit
GENERIC name
Counselling points

Why should toothpaste be used before or at a different time of day?

A

12+

Chlorhexidine digluconate

Thoroughly rinse the mouth for about one minute with 10 ml twice daily. Spit out after use.

Corsodyl 0.2% Mouthwash is incompatible with anionic agents which are usually present in conventional dentifrices.

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17
Q

Benzydamine mouthwash

Age limit
BRAND name
Counselling points

A

12+ or 13+

Difflam

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18
Q

Bonjela + Junior

Age limit
Active Ingrediant x2
Counselling points

A

16+
Junior - 5months +

Adult:
cetalkonium chloride
choline salicylate

Junior:
lidocaine hydrochloride
cetylpyridinium chloride

For the relief of pain, discomfort and inflammation caused by common mouth ulcers, cold sores, denture and sore spots, as well as mouth ulcers, and sore spots due to orthodontic devices.

Using a clean finger massage approximately half an inch of the gel onto the sore area, not more than once every 3hours.

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19
Q

Iglu

Age limit
Indication

A

7+

For fast, effective relief from the pain of common mouth ulcers.

Not suitable for treatment of teething in children.

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20
Q

Daktarin Oral Gel

Age limit
GENERIC name + indication
Counselling points

A

4 months +

Miconazole - candidiasis

The gel should not be swallowed immediately, but kept in the mouth as long as possible.

The treatment should be continued for at least a week after the symptoms have disappeared.

For oral candidosis, dental prostheses should be removed at night and brushed with the gel.

21
Q

Honey

Age limit
Counselling points

A

12 months

Before 12 months - can cause serious food poisoning called botulism.

Symptoms of botulism - show up 12-36 hours after eating contaminated food.

Weakness/floppiness
Poor feeding
constipation
lethargy

22
Q

Pholcodine

Age limit
Brand name + indication
Counselling points

A

6+

Covonia, one of the ingredients in Day & Night Nurse

Should not be given in those at a risk of respiratory failure/ during an asthma attack (may depress respiration)

Not to be given with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping such treatment.

Contraindicated in liver and hepatic failure.

23
Q

Codeine

Age limit
Counselling points

A

18+

24
Q

Nasal Steroids - beclometasone

Age limit
Brand name + indication
Counselling points

A

18+

Beconase Hayfever Relief Nasal Spray

2 sprays BD
If not improvement in 7 days - seek medical advice

25
Q

Cetirizine tabs & liquid

Age limit
Brand name
Counselling points

A

Tabs 6+
Liquid 2+

Piriteze, Benadryl

26
Q

Loratadine 10mg tabs or 5mg/5ml liquid

Age limit
Brand name
Caution in?

A

Liquid and Tabs
2+ (weigh more than 30kg)

Clarityn

If you are pregnant or breastfeeding

27
Q

Chlorphenamine tabs + liquid

Age limit
Brand name
Counselling points

A

Liquid 1+
Tabs 6+

Piriton

Dizziness, sleepiness, blurred vision, may affect driving using machinery.

Effects of alcohol may increased so avoid concurrent use.

The anticholinergic properties of chlorphenamine are intensified by monoamine oxidase inhibitors (MAOIs). The tablets are therefore contra-indicated in patients who have been treated with MAOIs within the last fourteen days.

28
Q

Kwells + Kwells Kids

Age limit
Generic name
Counselling points

A
Kwells (300microgram) 10+
Kwells Kids (150) 4+

Hyoscine hydrobromide

Tabs can sucked, chewed or swallowed. To be taken 30mins before start of journey to prevent travel sickness or at onset of nausea.

29
Q

Cinnarizine (15mg)

Age limit
Brand name
Counselling points

A

5+

Stugeron

Preferably taken after meals. 2 tablets 2 hours before you travel and then 1 tab every 8 hours during journey

Children 5 to 12 years - half of adults dose.

30
Q

Promethazine Elixir & Tabs

Indication
Age limit
Brand name
Counselling points

A

Allergies/Antiemetic/Insomnia Phenegran Elixir 2+
Tabs 5+

Insomnia (Sominex 20mg) 16+

31
Q

Joy-rides

Age limit
Generic name
Counselling points

A

3+

hyoscine

Raspberry flavoured chewed tablet
May cause drowsiness

  1. Contraindicated in glaucoma
  2. Avoid alcoholic drink
  3. Risk of increased seizure frequency
32
Q

Sumatriptan (50mg)

Age limit
Brand name
Counselling points

A

18+ to 65

Migraitan

If there is a response to the first tablet but the symptoms recur, a second tablet may be taken. No more than 2 tabs in 24 hours. Does not prevent migraines. Take when it has started.

If there is no response to the first tablet, a second tablet should not be taken for the same attack

33
Q

Nytol

Age limit
Generic name
Counselling points

A

16+
50mg and 25mg

diphenhydramine hydrochloride

tabs to be taken 20min before sleep
Should not be used for more than 2 weeks continuously

34
Q

Hedrin 4% Solution

Age limit
Generic name
Counselling points

A

6 months +

Dimeticone

Apply lotion to cover dry hair from base of head to the tip to ensure no part of scalp is left. Allow hair to dry naturally. Leave in for 8 hours minimum or overnight
Wash out with normal shampoo and rinse.

Repeat after 7 days.

35
Q

Lyclear dermal cream + Cream rinse

Indication
Age limit
Generic name
Counselling points

A

Permethrin

Lyclear cream 2 months + (SCABIES/CRAB LICE

Adults should apply the cream to whole body including the neck, palms of the hands and soles of the feet. The head and face can be spared unless scabies are present.

Areas between the fingers and toes (also under the finger- and toe-nails), the wrists, elbows, armpits, external genitalia and the buttocks should be especially carefully treated.

Children & elderly (65+) - whole body, including the palms of the hands, soles of the feet, neck, face, ears, and scalp. Parts of the skin around the mouth (because the cream could be licked off) and the eyes should be spared. Children should be kept from licking the cream from the hands. If necessary, children should wear gloves.

Whole body washed 8-12 hours after treatment. if necessary 2nd treatment 7 days later.

Lyclear cream rinse 6 months + (HEAD LICE)

Should be applied after hair has been washed. Bottle to be shaken thoroughly. Leave on hair for ten mins. Rinse with water.

If living lice still found after 7-10days - repeat treatment.

36
Q

Ovex

Age limit
Generic name
Counselling points
Interactions (2)

A

Tablets 2+
Suspension 2+

Mebendazole (Threadworm)

All family members to be treated at the same time. If re-infection suspected 2nd dose to be taken after 2 weeks.

Concomitant treatment with cimetidine may inhibit the metabolism of mebendazole in the liver, resulting in increased plasma concentrations of the drug.

Concomitant use of mebendazole and metronidazole should be avoided

37
Q

Canesten

Age limit
Generic name
Counselling points

A

Pessary 16+

Clotrimazole

38
Q

Chloramphenicol

Age limit
Brand name
Counselling points

A

Eye drops 2+
Ointment 2+

Optrex, Brolene

Treatment should continue for 5 days even after symptoms improve

39
Q

Tranexemic acid

Age limit
Counselling points

A

belongs to a group of medicines called anti-fibrinolytics - stops these clots from dissolving and so reduces bleeding

18+

Do not take if periods are NOT regular.
Do not use if on the pill

Take only on days oh heavy bleeding - no more than 4 days during each period

2 Tab TDS

40
Q

Hydrocortisone 1%

Age limit
Counselling points

A

10 +

used sparingly over small area OD or BD for max period of 7 days

Can’t use on the face, eyes, ano-genital area, broken or infected skin including cold sores, acne and athlete’s foot

41
Q

Feminax Ultra

Age licensed for?

A

Naproxen

15-50

42
Q

Eumovate Eczema 0.05%

Age limit
Generic name
Counselling points

A

12+
clobetasone butyrate

Using once or twice on effected area for a max 7 days - refer to Dr

43
Q

Benzoyl peroxide

Age limit
Brand name
Counselling points

A

12+

Acnecide Gel/Wash

44
Q

Zovirax

Age limit
Generic name
Counselling points

A

6+
Aciclovir

On the mouth and face (not inside)
Should be applied five times daily - 4 hourly intervals. Treatment should be for at least 4 days - if treatment not occurred can be continued for 10 days. If no healing after 10 days - refer to Dr

45
Q

Bazuka

Age limit
Generic name
Counselling points

A

6+
Bazuka gel - salicylic acid
lactic acid
Bazuka extra strength - just salicylic acid

Applied ON
Soak affected area with warm water for 2/3 mins
Dry with patients own towel
Apply one or two drops of gel and allow to dry
Following evening remove dry elastic film formed

46
Q

Terbinafine cream

Age limit
Brand name
Counselling points

A

16+
Lamisil 1% cream

Athletes foot (tinea pedis) for inbetween toes NOT nail infections 
Jock itch (tinea cruris)
47
Q

Selsun shampoo 2.5%

Age limit
Generic name
Counselling points

A

5+
Selenium sulfide

After thoroughly wetting the hair massage Selsun in to form a lather. Rinse after 2 to 3 minutes.

Usage should be twice a week for the next two weeks to control the condition. After this initial course of treatment Selsun should not be used more often than necessary.

48
Q

Loceryl (amorolfine 5%)

Age limit
Generic name
Counselling points

A

18+

Onychomycoses caused by dermatophytes, yeasts and moulds.

nail lacquer should be applied to the affected finger or toe nails once weekly.

Cosmetic nail lacquer may be applied at least 10 min after amorolfine 5% nail lacquer application