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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
Q

Tolectin

  • Indication
  • Class:
A

Tolmetin Na

  • Indication: inflammation arthritis
  • Class: SNAIDs
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26
Q

Toradol

A

Ketorolac

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27
Q

Celebrex

  • MOA
  • C/I
A

Celecoxib

  • MOA: COX 2 selective = less GI SEs
  • C/I: sulfonamide allergy
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28
Q

Zostrix

  • Indication
  • MOA
  • ADEs
  • Precaution
A

Capsaicin

  • Indication: Pain due to RA, OA, post herpetic neuralgia, DM neuropathies
  • MOA: deplete substances P
  • ADEs: burning sensation
  • Precaution: wash hand
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29
Q

1st Generation if Antihistamines

  • Agents
  • Indications
  • SEs
A

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
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30
Q

2nd Generation of antihistamine

A

Fexofenadine - Allegra
Loratadine - Claritin
Desloratadine - Clarinex
Cetirizine - Zyrtec

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31
Q

Allegra

  • Sedating
  • Efficacy
A

Fexofenadine

  • Least sedating
  • Most effective agent
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32
Q

Claritin

  • Sedating
  • Potent
A

Loratadine

  • Sedating at higher doses
  • Less potent than allegra and zyrtec
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33
Q

Zyrtec

  • Sedating
  • Efficacy
A

Cetirizine

  • Sedating at rec dose: most sedating
  • Most effective agent
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34
Q

Debrox
Murine Ear

  • Indication
  • Dose
  • Harmless SEs
A

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
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35
Q

Swim Ear

A

Isoprolyl alcohol + anhydrous glycerins

  • Use: dries/clears trapped ear-water
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36
Q

Ocean

SeaMist

A

Saline Nasal spray

  • Nasal dryness/washing sinuses
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37
Q

Sudafed

  • Indication
  • Can buy
  • Store
  • Log
A

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
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38
Q

Afrin

  • Indication
  • Dose
  • Overuse
A

Oxymetazoline

  • Indication: nasal decongestant
  • Dose: 2 sprays/nostril BID 2-3d
  • Overuse: may lead to rebound congestion
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39
Q

Neo-Synephrine

  • Dose
  • Indication
A

Phenylephrine nasal spray

  • Dose: 2-3 sprays/nostril Q4H prn x 2-3d
  • Indication: decongestant
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40
Q

Robitussin

  • Indication
  • Half life:
A

Guaifenesin (OTC)

  • Indication: Expectorants
  • Half life: shortest half life
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41
Q

Tessalon Pearls

  • Indication
A

Benzonatate (Rx)

  • Indication: antitussive for cough
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42
Q

Codeine

  • Indication
A

Indication: night time cough (Rx)

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43
Q

Hydrocodone

  • Indication
A
  • Indication: Antitussive/Expectorants. For pain

- (Rx)

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44
Q

Delsym

  • Indication
  • Form
  • Avoid in
A

Dextromethorphan

  • Indication: Cough
  • F: ER Q24H
  • Avoid if pt also on MAOIs
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45
Q

Robitussin AC

  • Indication
A

Guaifenesin with codeine

  • Indication: cough suppressants
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46
Q

Hycotuss

  • Indication
  • CS
A

Hydrocodone + Guaifenesin

  • Indication: cough suppressants
  • CS II
47
Q

Hycodan

  • Indication
  • CS
A

Hydrocodone + Homatropin

  • Indication: cough suppressants
  • CS II
48
Q

Vituz

  • Indication
  • CS
A

Hydrocodone + chlorpheniramine

  • Indication: cough, allergy, or cold sx
  • CS II
49
Q

Psyllium

  • MOA
  • Indication
  • Max dose
A

Metamucil

  • MOA: Bulk laxative
  • Indication: constipation
  • Max dose: 10g/d
50
Q

Citrucel

  • MOA
  • Max dose:
A

Methylcellulose

  • MOA: Bulk laxative
  • Max dose: 6g/d
51
Q

Fibercon

A

Calcium Polycarbophil

  • MOA: Bulk laxative
52
Q

Colace

  • MOA:
  • Max dose:
A

Docusate stole softener

  • MOA: Emollient
  • Docusate max: 400mg/d
53
Q

Milk of Magnesia

  • SE
  • CI
A

Mg laxatives

SEs for all osmotic laxative

  • HyperMg
  • HypoCa

C/I: renal failure

54
Q

GoLytely

  • MOA
A

Polyethylene glycol lavage sol’n

  • MOA: osmotic laxative
55
Q

Senokot

  • MOA
A

Senna Extract

  • MOA: stimulant laxative
56
Q

Senokot-S

  • MOA
A

Senna + Docusate

  • MOA: stimulant laxative
57
Q

Dulcolax

  • MOA
  • Form and OSA
A

Bisacodyl

  • MOA: stimulant laxative
  • PO: 6-12H
  • PR: 1H
58
Q

Visicol

  • Indication
A

Na phosphate (Rx)

  • Indication: Bowel prep
59
Q

OsmoPrep

  • Indication
A

Na phosphate (Rx)

  • Indication: Bowel prep
60
Q

Polyethylene glycol (PEG)

  • GoLytely
  • NuLytely, TriLyte
  • HalfLytley, MoviPrep, Suclear

=> PEG preparation

A
  • 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
Q

Prepopik

  • Indication
  • Direction
A

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
Q

Constipation in kids

A
  • 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
Q

Constipation in pregnancy

  • Safe to use
  • C/I
A
  • 1st line: pysllium
  • Osmotic laxatives (Mg citrate): long term use = hyperMg, hyperPO4
  • Stool softener
  • Castor oil: Preg Cat X = uterine contraction/rupture
64
Q

Pepto-bismol

  • Indication
  • Dose
  • ADEs
  • CI
A

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
Q

Imodium

  • Dose
A

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
Q

Sandostatin

  • Indication
A

Octreotide

  • Indication: diarrhea ass with carcinoid tumors
  • Route: SC/IV/IM
67
Q

Sandostatin LAR

  • Dose
  • Indication
A

Octreotide

  • Dose: IM Q4W x 2 months
  • Indication: diarrhea ass with carcinoid tumors
68
Q

Gas-X

  • Indication
A

Simethacone

  • Indication: flatulence
69
Q

DEET

  • Indication
  • Form
  • Age
  • Direction
A

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
Q

Nix

  • Indication
  • Age
  • Clothes
A

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
Q

RID

  • Indication
  • Age
  • Clothes
A

Pyrethrins

  • Indication: head lice
  • Age: FDA approved for children 2 y.o or older
  • Clothes: same as above
72
Q

How to apply RID shampoo

  • Repeat
A
  • 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
Q

Ulesfia

  • Indication
  • Form
  • Age
  • MOA
A

Benzyl EtOH lotion 5% (Rx)

  • Indication: head lice
  • Form: lotion apply in head for 10 min
  • Age: > 6 mo
  • MOA: Suffocating lice
74
Q

Natroba

  • Indication
  • Age
  • Direction
  • Repeat
A

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
Q

Ovide

  • Indication
  • Form
  • Age:
  • Counseling
A

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
Q

Stromectol

  • Form
  • Weight
  • Indication
A

Ivermectin - Rx

  • 3mg PO
  • Weight: > 15kg
  • Used if all the other method failed. It kills lice within 24H
77
Q

Sklice

  • Indication
  • Form
  • Direction
A

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
Q

Asthmanefrin

  • Indication
A

Racepinephrine - OTC

  • SOB
  • Tightness of chest
  • Wheezing due to bronchial
79
Q

Oxytrol

  • Indication
  • Form:
  • Dose
  • ADEs
A

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
Q

Ferro-Grand 500

A

Ferrous Sulfate + Ascorbic acid (Vit C)

81
Q

Vitelle

A

Ferrous Sulfate + Ascorbic acid (Vit C)

82
Q

Cambia

  • Form
A

Diclofenac

  • Form: Packet TID
83
Q

Cataflam

  • Form
A

Diclofenac

  • PO
84
Q

Zipsor

  • Form
A

Diclofenac Potassium

  • PO
85
Q

Zorvolex

  • Form
A

Diclofenac acid

  • PO TID
86
Q

Anaprox

  • Form
A

Naproxen

  • 550mg PO Q12H
87
Q

Rexaphenac

  • Form
A

Diclofenac (phenac = fenac)

  • Cream
88
Q

Vimovo

A

Naproxen + esomeprazole

89
Q

Sprix

  • Form
A

Ketolodac

  • Spray
90
Q

Acular

A

Ketolodac

  • Form: eye drop
  • Conjunctivitis
91
Q

Acuvail

A

Ketolodac

  • Form: eye drop
  • Conjunctivitis
92
Q

Karbinal

  • Class:
  • Form
  • C/I
A

Carbinoxamine

  • 1st Gen of Histamine
  • Form: Sol’n
  • C/I: in children
93
Q

Alavert

  • Indication
  • Form
A

Loratadine

  • Allergy
  • ODT provides 24H
94
Q

Tavist ND

  • Form
A

Loratadine

  • ODT provides 24H
95
Q

Vicks Sinex

  • Indication
A

Phenylephrine nasal spray

  • Dose: 2-3 sprays/nostril Q4H prn x 2-3d
  • Indication: decongestant
96
Q

Nexafed

A

Pseudoephredrine

97
Q

Dristan

  • Indication
A

Oxymetazoline

  • Decongestants
98
Q

Allerest 12H

A

Oxymetazoline

  • Decongestants
99
Q

Fenesin

  • Indication
A

Guaifenesin

  • Indication: antitussive/expectorant
100
Q

Mucinex

  • Indication
  • Half life
A

Guaifenesin

  • Indication: antitussive/expectorant
  • Half-life: longest
101
Q

Tussionex

  • Indication
  • C-
A

Hydrocodone + chlorpheniramine

  • Indication: cough and allergy
  • C-II
102
Q

Vituz

  • Indication
  • Form
  • C-
A

Hydrocodone + chlorpheniramine

  • Indication: cough/allergy
  • Form: solution
  • C-II
103
Q

Correctol

A

Bisacodyl

  • Constipation
104
Q

Fleet Enema

  • Indication
A

Na Bisphosphate Enema

  • Constipation
  • Work right away
105
Q

Mylicon

A

Simethacone

  • Indication: flatulence
106
Q

Phazyme

A

Simethacone

  • Indication: flatulence
107
Q

Caldolor

A

Ibuprofen IV

108
Q

Advil cold and sinus contains

A

Ibuprofen + pseudoephedrine

109
Q

Excedrin ES

A

APAP caffeine aspirin

110
Q

Zostrix

111
Q

IcyHot

A

Menthol + methyl SALICYTE

❌ Be careful in allergies

112
Q

Bengay

113
Q

Fergon

A

Ferrous GLUCONATE 👶🏻

Like a neonate/infant it has the least amount of elemental iron

12%

114
Q

Muro128

A

NaCl ointment for corneal edema

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