OTC Products Flashcards

1
Q

Os-Cal

  • SEs
A

Ca+ carbonate + Vit D3

  • Vit D = cholecalciferol = skin makes when exposes to sun. 3x more effective than Vit D2
  • SEs: constipation
  • Best take with meals
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2
Q

Iron Supplement

  • Dose
  • Administration
    Avoid given with:
    Abs is enhanced with:
  • ADEs
A
  • Dose: 100-200 mg elemental iron QD
  • Administration: empty stomach with water = best abs. If become irritated, can take w/ food, but NOT with cereal, milk, tea, coffee, eggs or fibers. Abs is enhance with Vit C.

ADEs

  • Constipation, diarrhea
  • Heart burn, GI distress
  • Black stools
  • Oral sol’n can temporary staining of teeth
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3
Q

Tylenol

  • Indication
  • Dose for children
    • Hydrated:
    • Dehydrated
    • Max
    • Liquid Dosage form
  • Adult dosing
  • Max Dose:
    R strength 325mg
    Extra strength 500 mg
    ER 650mg
A

Acetaminophen

  • Indication: pain/fever, analgesic/antipyretic

Dose for children: Max: 75mg/kg.d

  • Well hydrated child: 15mg/kg Q4-6H
  • Dehydrated: 10mg/kg Q4-6H
  • Dosage form: 160mg/5mL

Adult dosing
- 650 mg PO Q4-6H.

  • Max Dose:
    R strength 325mg: 3250mg/day
    Extra strength 500 mg: 3g/d
    ER 650mg: 3900mg/d
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4
Q

NAC
Acetadote

  • Indication
  • Dosing
  • Duration
A

N-Acetylcysteine
Acetadote: IV form

  • Indication: tx tylenol toxicity. Level > 150 indicates tx

Dosing

  • 1st dose: NAC 140mg/kg up to 14g
  • Subsequent doses: NAC 70mg/kg Q4H x 17 doses
  • Duration: Standard course is 72H
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5
Q

ASA

  • MOA/Dosing
  • ADEs
  • CI
  • DDI
  • Overdose
A

MOA/Dosing

  • Anti-inflammatory effect: 4g/d max
  • Analgesic effect: 650-1000mg Q4-6H
  • Antipyretic: same as above
  • Platelet effects: 81-325mg/d.

ADEs

  • GI: PUD/GI bleeding
  • CNS: salicylism
  • Central respiratory effects: depression or apnea
  • Uric acid change
  • Asymptomatic hepatitis
  • Renal insufficiency
  • Hypersensitivity

CI

  • Rey’s syndrome
  • Gout hypersensitivity of ASA
  • Active PUD
  • Aspirin induced fetal or neonatal toxicity

DDI
- Ibuprofen: inactivates ASA’s anticoagulation effects => compete for the same preceptor

Overdose

  • Activated charcoal
  • Na bicarbonate to increase pH
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6
Q

NSAIDs

  • MOA
  • ADEs
  • C/I
A
  • MOA: blocks cyclooxygenase COX 1 and COX2

ADEs

  • GI: #1
  • Renal adverse events
  • Bleeding risk
  • HA
  • CNS effects

C/I

  • PUD
  • Renal insufficency
  • Bleeding risk
  • Hypersensitivity
  • Avoid in 3rd trimester (Cat B in 1st and 2nd; Cat C in 3rd)
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7
Q

Meclomen

  • Indication
A

Meclofenamate

  • NSAID
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8
Q

Voltaren

Voltaren Gel

A

Diclofenac
Diclofenac gel

  • NSAIDs
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9
Q

Arthrotec

  • Indication
  • Avoid in
A

Diclofenac 50mg + Misoprostel 200mcg

  • NSAID
  • Preg Cat X
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10
Q

Cytotec

  • Preg Cat
  • Indication
A

Misoprostel:

  • Preg Cat X

Indications:

  • Prevention of NSAID-induced gastric ulcers
  • Medical termination of pregnancy
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11
Q

Pennsaid

  • Form
A

Diclofenac

  • Form: Topical Sol’n
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12
Q

Flector

  • Form
  • Duration
A

Diclofenac

  • Form: patch Q12H. Apply to most painful area
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13
Q

Maxicam

  • Dosing frequency
A

Isoxicam

  • Long half life: QD
  • NSAID
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14
Q

Feldene

  • Dosing frequency
A

Piroxicam

  • Long half life: QD
  • NSAID
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15
Q

Motrin

A

Ibuprofen

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16
Q

Duexis

A

Ibuprofen 800mg + famotidine 26.6mg TID

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17
Q

Naprosyn

  • Dose
A

Naproxen

  • Dose 500mg Q12H
  • Lowest cardiovascular risk
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18
Q

Nalfon

  • Indication
A

Fenoprofen

  • OA, RA, mild to moderate pain
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19
Q

Orudis

  • Indication
A

Ketoprofen

  • Dysmenorrhea
  • OA, RA
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20
Q

Daypro

  • Indication
A

Oxaprozin

  • OA, RA
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21
Q

Lodine

  • Indication
A

Etodolac

  • Acute pain
  • OA, RA
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22
Q

Relafen

A

Nabumetone

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23
Q

Indocin

A

Indomethacin

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24
Q

Clinoril

A

Sulindac

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25
Tolectin - Indication - Class:
Tolmetin Na - Indication: inflammation arthritis - Class: SNAIDs
26
Toradol
Ketorolac
27
Celebrex - MOA - C/I
Celecoxib - MOA: COX 2 selective = less GI SEs - C/I: sulfonamide allergy
28
Zostrix - Indication - MOA - ADEs - Precaution
Capsaicin - Indication: Pain due to RA, OA, post herpetic neuralgia, DM neuropathies - MOA: deplete substances P - ADEs: burning sensation - Precaution: wash hand
29
1st Generation if Antihistamines - Agents - Indications - SEs
Brompheniramine Chlorpheniramine Diphenydramine Doxylamine - Indications: allergic rhinitis, antiemetic, anaphylaxis SEs - Sedation - Anticholinergic: hallucinations, blurred vision, agitation - Worsen BPH, glaucoma - Dizziness, resp depression - Tachycardia, Torsades, SZ
30
2nd Generation of antihistamine
Fexofenadine - Allegra Loratadine - Claritin Desloratadine - Clarinex Cetirizine - Zyrtec
31
Allegra - Sedating - Efficacy
Fexofenadine - Least sedating - Most effective agent
32
Claritin - Sedating - Potent
Loratadine - Sedating at higher doses - Less potent than allegra and zyrtec
33
Zyrtec - Sedating - Efficacy
Cetirizine - Sedating at rec dose: most sedating - Most effective agent
34
Debrox Murine Ear - Indication - Dose - Harmless SEs
Carbamide peroxide - Used: earwax buildup by softening, loosening, and removing the earwax - Dose: 5-10 drops in ear BID x 4d. Drop remain in ear for 15min - May cause crackling sound in ears. This harmless effect is temp and due to med foaming and loosing the earwax
35
Swim Ear
Isoprolyl alcohol + anhydrous glycerins - Use: dries/clears trapped ear-water
36
Ocean | SeaMist
Saline Nasal spray - Nasal dryness/washing sinuses
37
Sudafed - Indication - Can buy - Store - Log
Pseudoephedrine - Indication: decongestant - Can buy: 3.6g/d or 9g per 30d. Mail order 7.5g - Store: behind counter or locked in cabinet - Log: customer ID, names, address, signatures x 2 yrs
38
Afrin - Indication - Dose - Overuse
Oxymetazoline - Indication: nasal decongestant - Dose: 2 sprays/nostril BID 2-3d - Overuse: may lead to rebound congestion
39
Neo-Synephrine - Dose - Indication
Phenylephrine nasal spray - Dose: 2-3 sprays/nostril Q4H prn x 2-3d - Indication: decongestant
40
Robitussin - Indication - Half life:
Guaifenesin (OTC) - Indication: Expectorants - Half life: shortest half life
41
Tessalon Pearls - Indication
Benzonatate (Rx) - Indication: antitussive for cough
42
Codeine - Indication
Indication: night time cough (Rx)
43
Hydrocodone - Indication
- Indication: Antitussive/Expectorants. For pain | - (Rx)
44
Delsym - Indication - Form - Avoid in
Dextromethorphan - Indication: Cough - F: ER Q24H - Avoid if pt also on MAOIs
45
Robitussin AC - Indication
Guaifenesin with codeine - Indication: cough suppressants
46
Hycotuss - Indication - CS
Hydrocodone + Guaifenesin - Indication: cough suppressants - CS II
47
Hycodan - Indication - CS
Hydrocodone + Homatropin - Indication: cough suppressants - CS II
48
Vituz - Indication - CS
Hydrocodone + chlorpheniramine - Indication: cough, allergy, or cold sx - CS II
49
Psyllium - MOA - Indication - Max dose
Metamucil - MOA: Bulk laxative - Indication: constipation - Max dose: 10g/d
50
Citrucel - MOA - Max dose:
Methylcellulose - MOA: Bulk laxative - Max dose: 6g/d
51
Fibercon
Calcium Polycarbophil - MOA: Bulk laxative
52
Colace - MOA: - Max dose:
Docusate stole softener - MOA: Emollient - Docusate max: 400mg/d
53
Milk of Magnesia - SE - CI
Mg laxatives SEs for all osmotic laxative - HyperMg - HypoCa C/I: renal failure
54
GoLytely - MOA
Polyethylene glycol lavage sol'n - MOA: osmotic laxative
55
Senokot - MOA
Senna Extract - MOA: stimulant laxative
56
Senokot-S - MOA
Senna + Docusate - MOA: stimulant laxative
57
Dulcolax - MOA - Form and OSA
Bisacodyl - MOA: stimulant laxative - PO: 6-12H - PR: 1H
58
Visicol - Indication
Na phosphate (Rx) - Indication: Bowel prep
59
OsmoPrep - Indication
Na phosphate (Rx) - Indication: Bowel prep
60
Polyethylene glycol (PEG) - GoLytely - NuLytely, TriLyte - HalfLytley, MoviPrep, Suclear => PEG preparation
- Indiction: Bowel prep - GoLytely - NuLytely, TriLyte: Sulfate-free - HalfLytley, MoviPrep, Suclear: Low volume PEG preparation - Use PEG powder 17 gram - Dissolve in 240mL water or juice - May chill sol'n or mix w/ flavoring to improve taste
61
Prepopik - Indication - Direction
Na picosulfate, Mg oxide, anhydrous citric acid Dose - smaller volume - Two packets, each one is mixed with only 5 ounces of water - Fill the supplied dosing cup with cold water up to 5 ounces line on the cup and pour in the contents of once packet of PREPPIE powder - Drink five 8-ounce glasses of clear liquid after the 1st dose and 3 after the 2nd one
62
Constipation in kids
- Increase fluid, fruits, and vegetables (prune and pear) - Need something to work FAST: glycerin suppositories - Osmotic laxative: Miralax - Docusate: help but take several days to work - Stimulant: for rescue therapy when other tx fail
63
Constipation in pregnancy - Safe to use - C/I
- 1st line: pysllium - Osmotic laxatives (Mg citrate): long term use = hyperMg, hyperPO4 - Stool softener - Castor oil: Preg Cat X = uterine contraction/rupture
64
Pepto-bismol - Indication - Dose - ADEs - CI
Bismuth subsalicylate - Indication: traveler's diarrhea - Dose: 2 tab PO QID - ADEs: turn tongue and stool black CI - Salicylate allergy - On coumadin - Do not exceed 3 wks of use
65
Imodium - Dose
Loperamide 2mg Dose - Initial 4mg PO for single first dose - Titrate: 2mg PO after each loose stool - Max: 16mg/d Rx. 8mg/d OTC
66
Sandostatin - Indication
Octreotide - Indication: diarrhea ass with carcinoid tumors - Route: SC/IV/IM
67
Sandostatin LAR - Dose - Indication
Octreotide - Dose: IM Q4W x 2 months - Indication: diarrhea ass with carcinoid tumors
68
Gas-X - Indication
Simethacone - Indication: flatulence
69
DEET - Indication - Form - Age - Direction
N,N-diethyl-meta-toluamide - Indication: inset repellent products - Form: spray, lotion, towelette - Age: kid over 2 months Direction: - Apply sunscreen prior to application of DEET - Do not apply over cuts, wounds, or irritant skin - Do not apply to hands or near eyes and mouth of young children - Do not allow young children to apply this product - Use just enough repellent to cover exposed skin and/or clothing. Do not use under clothing - After returning indoors, wash treated skin with soap and water - Wash treated clothing before wearing it again - To apply to face, spray on hands first and then rub on face. Do not spray directly onto face
70
Nix - Indication - Age - Clothes
Permethrin (OTC) 1%: 1st line - Indication: head lice - Age: FDA approved for children as young as 2 mo - Clothes: Machine wash clothes, bedding, towels in hot water (130 degree), and dry them in a hot dryer (20 min). Items that can't be washed can be vacuumed or put in a sealed plastic bag for 2 weeks.
71
RID - Indication - Age - Clothes
Pyrethrins - Indication: head lice - Age: FDA approved for children 2 y.o or older - Clothes: same as above
72
How to apply RID shampoo - Repeat
- Apply thoroughly to DRY HAIR. - Let set for 10 min: - Wash Out - Comb out to remove lice, eggs, and nits from hair - Repeat - use these products 3x: tx must be done in 9 day to kill any newly hatched lice.
73
Ulesfia - Indication - Form - Age - MOA
Benzyl EtOH lotion 5% (Rx) - Indication: head lice - Form: lotion apply in head for 10 min - Age: > 6 mo - MOA: Suffocating lice
74
Natroba - Indication - Age - Direction - Repeat
Spinosad - Rx - Indication: topical head lice - Age: > 4 y.o Direction: - Shake before use - Applied to dry hair and scalp - Rinse after 10 min - If after 7 days there are still live lice, a second application is necessary
75
Ovide - Indication - Form - Age: - Counseling
Malathion lotion (Rx) - Indication: topical head lice - F: location - Age: > 6 y.o - Counseling: very flammable, keep medication and wet hair from heat sources such as hair dryers, heat, and open flames
76
Stromectol - Form - Weight - Indication
Ivermectin - Rx - 3mg PO - Weight: > 15kg - Used if all the other method failed. It kills lice within 24H
77
Sklice - Indication - Form - Direction
Ivermectin lotion Rx - Indication: lice - Form: lotion Direction - Used on dry hair. Can use up to 1 tube to cover - Allow lotion to stay on hair and scalp for 10 min after it has been applied - Then rinse - Use ONCE
78
Asthmanefrin - Indication
Racepinephrine - OTC - SOB - Tightness of chest - Wheezing due to bronchial
79
Oxytrol - Indication - Form: - Dose - ADEs
Oxybutynin patch for Women (OTC) - Indication: overactive bladder - Form: Patch - Dose: 3.9mg/day patch is applied to the skin Q4d - ADEs: anticholinergic ADEs
80
Ferro-Grand 500
Ferrous Sulfate + Ascorbic acid (Vit C)
81
Vitelle
Ferrous Sulfate + Ascorbic acid (Vit C)
82
Cambia - Form
Diclofenac - Form: Packet TID
83
Cataflam - Form
Diclofenac - PO
84
Zipsor - Form
Diclofenac Potassium - PO
85
Zorvolex - Form
Diclofenac acid - PO TID
86
Anaprox - Form
Naproxen - 550mg PO Q12H
87
Rexaphenac - Form
Diclofenac (phenac = fenac) - Cream
88
Vimovo
Naproxen + esomeprazole
89
Sprix - Form
Ketolodac - Spray
90
Acular
Ketolodac - Form: eye drop - Conjunctivitis
91
Acuvail
Ketolodac - Form: eye drop - Conjunctivitis
92
Karbinal - Class: - Form - C/I
Carbinoxamine - 1st Gen of Histamine - Form: Sol'n - C/I: in children
93
Alavert - Indication - Form
Loratadine - Allergy - ODT provides 24H
94
Tavist ND - Form
Loratadine - ODT provides 24H
95
Vicks Sinex - Indication
Phenylephrine nasal spray - Dose: 2-3 sprays/nostril Q4H prn x 2-3d - Indication: decongestant
96
Nexafed
Pseudoephredrine
97
Dristan - Indication
Oxymetazoline - Decongestants
98
Allerest 12H
Oxymetazoline - Decongestants
99
Fenesin - Indication
Guaifenesin - Indication: antitussive/expectorant
100
Mucinex - Indication - Half life
Guaifenesin - Indication: antitussive/expectorant - Half-life: longest
101
Tussionex - Indication - C-
Hydrocodone + chlorpheniramine - Indication: cough and allergy - C-II
102
Vituz - Indication - Form - C-
Hydrocodone + chlorpheniramine - Indication: cough/allergy - Form: solution - C-II
103
Correctol
Bisacodyl - Constipation
104
Fleet Enema - Indication
Na Bisphosphate Enema - Constipation - Work right away
105
Mylicon
Simethacone - Indication: flatulence
106
Phazyme
Simethacone - Indication: flatulence
107
Caldolor
Ibuprofen IV
108
Advil cold and sinus contains
Ibuprofen + pseudoephedrine
109
Excedrin ES
APAP caffeine aspirin
110
Zostrix
Capsaicin
111
IcyHot
Menthol + methyl SALICYTE ❌ Be careful in allergies
112
Bengay
Menthol
113
Fergon
Ferrous GLUCONATE 👶🏻 Like a neonate/infant it has the least amount of elemental iron 12%
114
Muro128
NaCl ointment for corneal edema