OTC Dosing 1

Question 1

Acetaminophen (Adult)

Answer 1

B: Tylenol, Tylenol Extra Strength, Tylenol Arthritis
S: Regular-325mg, XS-500mg, Arthritis-650 mg
D: 325-650 mg PO q4-6hrs or 1000 mg PO 3-4 times/day PRN pain/fever
M: FDA max: 4000 mg/day or OTC max: 3000 mg/day (6 of the 500 mg XS tabs) or 3250 mg/day (10 of the 325 mg tabs or 5 of the 650 mg tabs) or Liver max: 2000 mg/day

Question 2

Acetaminophen (Pediatric)

Answer 2

B: Tylenol
S: 160 mg/5 mL
D: Infants & children <12 yrs: 10-15 mg/kg/dose PO every 4 to 6 hrs PRN pain/fever
M: 5 doses in 24 hours

Question 3

Aspirin

Answer 3

B: —
S: 81 or 325 mg
D: 650-1000 mg po q4-6hrs PRN pain/fever (do not give aspirin to children <15, unless directed by a physician)
M: 4000 mg/day

Question 4

Ibuprofen (Adult)

Answer 4

B: Motrin, Advil
S: 200 mg
D: 200-400 mg PO q4-6hrs PRN pain/fever
M: 1200 mg/day

Question 5

Ibuprofen (Pediatric)

Answer 5

B: Aleve
S: Infant (50mg/1.25mL), children (100mg/5mL)
D: >6 months-11 years: 5-10 mg/kg/dose PO every 6–8 hours PRN pain/fever
M: 4 doses in 24 hours

Question 6

Naproxen

Answer 6

B: Aleve
S: 220 mg
D: 220 mg PO q8-12hrs PRN pain/fever < 12 years old: not recommended
M: 660 mg/day, (440 mg/day for age > 65 yrs)

Question 7

Capsaicin Topical

Answer 7

B: Zostrix, Capzasin
S: Variable (topical analgesic)
D: Apply sparingly to affected area 3-4 times/day for at least 14 days with medical supervision
M: N/A

Question 8

Methylsalicylate

Answer 8

B: —
S: Variable (topical analgesic)
D: Apply no more often than 3-4 times/day
M: 4 times/day. Use max of 10 days, but only if symptoms improve by day 7.

Question 9

Diclofenac topical

Answer 9

B: Voltaren Arthritis Pain Gel
S: 1% gel
D: Apply 4 times/day for up to 21 days.
M: 4 times/day

Question 10

Cetirizine

Answer 10

B: Zyrtec
S: 10 mg tab
D: 10 mg PO daily
M: 10 mg/day

Question 11

Levocetirizine

Answer 11

B: Xyzal Allergy 24 HR
S: 5 mg tab
D: 2.5-5 mg PO daily in evening
M: 5 mg/day

Question 12

Diphenhydramine (for allergic rhinitis)

Answer 12

B: Benadryl
S: 12.5 mg or 25 mg tabs and caps
D: 25-50 mg PO q4-6 hrs PRN
M: 300 mg/day

Question 13

Fexofenadine

Answer 13

B: Allegra
S: 60 mg or 180 mg tab
D: 60 mg PO q12h or 180 mg PO daily
M: 180 mg/day

Question 14

Loratadine

Answer 14

B: Claritin
S: 10 mg tab
D: 10 mg PO daily
M: 10 mg/day

Question 15

Fluticasone Propionate

Answer 15

B: Clarispray Flonase
S: 50 mcg/spray
D: 2 sprays in each nostril once daily x1 week, then 1-2 sprays per nostril once daily
M: 2 sprays per nostril/day

Question 16

Triamcinolone Acetonide

Answer 16

B: Nasacort Allergy 24HR
S: 55 mcg/spray
D: 2 sprays in each nostril once daily. Reduce to 1 spray in each nostril daily once your allergy symptoms improve
M: 2 sprays per nostril/day

Question 17

Dextromethorphan

Answer 17

B: Delsym
S: 30 mg/5 mL ER suspension
D: 60 mg (10 mL) q12h PRN
M: 120 mg (20 mL)/day

Question 18

Guaifenesin

Answer 18

B: Mucinex, Robitussin
S: 200 mg or 400 mg tab /
100 mg/5 mL (sol’n) ER tab: 600 mg or 1200 mg
D: 200-400 mg PO q4 hrs PRN / ER: 600-1200 mg q12h PRN
M: 2400 mg/day

Question 19

Oxymetazoline ns

Answer 19

B: Afrin
S: 0.05%
D: 2-3 sprays in each nostril q10-12 hrs PRN
M: 2 doses/24 hrs, Maximum 3 days of continuous use

Question 20

Phenylephrine

Answer 20

B: Sudafed PE Congestion
S: 10 mg tab
D: 10 mg PO q4 hrs PRN
M: 60 mg/day

Question 21

Pseudoephedrine (for nasal congestion)

Answer 21

B: Sudafed Congestion / Sudafed 12-hour / Sudafed 24 hour long acting
S: 30 mg tab / ER tab: 120 mg or 240 mg
D: 60 mg PO q4-6 hrs PRN / ER: 120 mg PO q12 hrs PRN / ER: 240 mg PO daily PRN
M: 240 mg/day