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Pharmacotherapy > OTC Exam 1 > Flashcards

OTC Exam 1 Flashcards

1
Q

Exclusions for cold

A

Chest pain
Shortness of Breath
Worsening during self-treatment
Underlying cardiopulmonary diseases
AIDS or immunosuppression
Frail patients
Infants <3 months
Hypersensitivity

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2
Q

Special populations for cold

A

Pregnancy: avoid high-dose products and systemic decongestants
Under 2 years: pharmacologic products not recommended (under 4 years per manufacturer)

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3
Q

Exclusions for cough

A

Difficulty breathing
Shortness of breath
Dyspnea
Cyanosis
Hemoptysis
Weight loss
Night sweats
Worsens after 3-5 days
Doesn’t improve 2-3 weeks
Children < 4 (Can’t give meds)
Croup/whooping cough
Aspiration cough (sudden)
Immunocompromised
TB exposure
HIV risk factors
Chronic illness

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4
Q

Special populations for cough

A

Nonprescription cough and cold
medicines should not be used in infants and children younger than 2 years
Caution with codeine in pregnancy and older adults
FG Antihistamines in children and older adults

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5
Q

Exclusions for allergic rhinitis

A

Children <12
Pregnancy or breastfeeding
Nonallergic rhinitis
Symptoms of infection
Symptoms of respiratory disorder
Severe side effects

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6
Q

Special populations for allergic rhinitis

A

Pregnancy: refer. If OTC, diphenhydramine safe, all SG except fexofenadine, INCS safe
Breastfeeding: INCS maybe not safe, cromolyn safe, antihistamines cautious
Children and older patients: loratidine preferred

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7
Q

Exclusions for headache

A

Severe pain
10+ days
Last trimester of pregnancy
<8 years old
High fever/signs of infection
Liver, alcoholism
Secondary headache
Migraine (not diagnosed)

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8
Q

Special populations for headache

A

Pregnancy: acetaminophen safest
Breastfeeding: ibuprofen safest

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9
Q

Exclusions for fever

A

> 3 months: 104+ (103 oral)
<3 months: 100.4+ (100.1 oral)
Severe symptoms
Risk of hyperthermia
Impaired oxygen (disease)
Immunocompromised
CNS damage
History of febrile seizures
2 persist >3 days
<2 persist >1 day
Child with spots/rash, refusing fluids, lethargicSe, repeated diarrhea/vomiting
Stiff neck

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10
Q

Exclusions for musculoskeletal pain

A

Severe pain (>6)
Pain lasts 10 days OR 7 after treatment
Change in intensity or character
Pelvic/abdominal pain
<2 years old
Fever, nausea, vomiting
Signs of structural injury
Pregnancy
Back pain WITH incontinence

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11
Q

Exclusions for Vulvovaginal Candidiasis

A

Pregnancy
<12 years old
Fever, pelvic/abdominal/back pain
Medications: CS, chemo
Predisposing conditions
Recurrent (>3 per year, or once in past 2 months)
First episode

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12
Q

Exclusions for Atrophic Vaginitis

A

Severe dryness, dyspareunia, or bleeding
Not localized symptoms
Not relieved by lubricants

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13
Q

Exclusions for Primary Dysmenorrhea

A

Severe
Inconsistent with primary (older age, pain other than at onset)
History of PID, infertility, irregular cycles, endometriosis, ovarian cysts
Use of IUC
NSAID intolerance
Blood thinners or lithium
Active GI disease
Bleeding disorder

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14
Q

Exclusions for PMS

A

Severe PMS or PMDD
Irregular pattern of symptoms
Caused by OCS or HT
Herbals: contraindications and DDIs

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15
Q

Special populations in PMS

A

Breastfeeding: avoid herbals and diuretics

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16
Q

Menthol cough drops

A

Halls, Vicks, Ricola, Ludens
q2h

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17
Q

Pseudoephedrine

A

Sudafed
q4-6h or q12h
Age 4+

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18
Q

Chlorpheniramine

A

Chlor-Trimeton, Chlorphen
q4-6h or q12h
Age 6+

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19
Q

Diphenhydramine

A

Benadryl
q4-6h
Age 2+

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20
Q

Guaifenesin

A

Mucinex
q4h or q12h

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21
Q

Dextromethorphan

A

Delsym, Robitussin
q4h, q6h, or q12h

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22
Q

Phenylephrine (PO)

A

Sudafed PE
q4h
Age 4+

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23
Q

Phenylephrine (Intranasal)

A

Neo-Synephrine, Little Remedies
q4h
Age 4+

24
Q

Oxymetazoline

A

Afrin, Vicks Sinex Severe
q10-12h
Age 6+

25
Q

Budesonide

A

Rhinocort
qday
Age 6+
INCS first-line for mod-sev IAR

26
Q

Fluticasone furoate

A

Flonase Sensimist
qday
Age 2+

27
Q

Fluticasone propionate

A

Flonase Allergy Relief
qday
Age 4+

28
Q

Triamcinolone acetonide

A

Nasacort
qday
Age 2+

29
Q

Azelastine

A

Astepro Allergy
qd-bid
Age 6+

30
Q

Cromolyn

A

NasalCrom
tid-qid

31
Q

Cetirizine

A

Zyrtec
qday
Age 2+
SG Antihistamines 1st-line for mild IAR
Can cause sedation

32
Q

Fexofenadine

A

Allegra
qday
Age 12+

33
Q

Levocetirizine

A

Xyzal
qday
Age 2+
Can cause sedation

34
Q

Loratidine

A

Claritin, Alavert
qday
Age 2+

35
Q

Camphor + menthol (eucalyptus)

A

Vicks Vaporub
up to qid

36
Q

Salonpas Patch

A

camphor, menthol, methyl salicylate
prn

37
Q

acetaminophen

A

Tylenol
q4-6h
Age > 2 months

38
Q

aspirin

A

Ecotrin, Bayer
q4-6h
Age 12+

39
Q

ibuprofen

A

Motrin, Advil
q4-6h
Age > 6 months

40
Q

Excedrin Extra Strength

A

acetaminophen, aspirin, caffeine
q6h

41
Q

naproxen

A

Aleve
q8-12h
Age 12+

42
Q

Advil Dual Action

A

acetaminophen and ibuprofen

43
Q

diclofenac topical

A

Voltaren Arthritis Pain Relief Gel
qid
Age 18+

44
Q

Tiger Balm Extra

A

camphor and menthol
tid-qid

45
Q

Aspercreme

A

Trolamine (and lidocaine?)
tid-qid
Age 2+

46
Q

Icy Hot and Bengay

A

menthol and lidocaine?
tid-qid
Age 12+

47
Q

Capzacin

A

capsaicin
tid-qid
Age 12+
max 5 days

48
Q

Vagisil Anti-Itch Creme

A

benzocaine, resorcinol
tid-qid

49
Q

hydrocortisone cream

A

Cortizone-10 Feminine Relief Anti-Itch
tid-qid

50
Q

miconazole

A

Monistat (1, 3, 7) or Vagistat (3, 7)
qday

51
Q

tioconazole

A

Monistat 1, Vagistat 1
qday

52
Q

Astroglide, K-Y

A

glycerin, propylene glycol, hydroxyethylcellulose

53
Q

Midol Complete

A

acetaminophen, caffeine, pyrilamine
q6n prn

54
Q

Pamprin Multi-Symptom

A

actetaminophen, pamabrom, pyrilamine
q6h prn

55
Q

pamabrom

A

Diurex Max
q6h prn
CI: PUD, anxiety/insomnia
DDI: MAOIs, xanthines

Pharmacotherapy (3 decks)

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