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Drug Information > OTC Resources > Flashcards

OTC Resources Flashcards

1
Q

What are two textbooks for OTC products that we should be familiar with?

A
  • Handbook of Non Prescription Drugs (18th edition)
  • The Practitioner’s Quick Reference to Non Prescription Drugs (uses algorithms, bullets, and charts–not as thorough and up to date)
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2
Q

What are 3 features of the Non Prescription Drug Handbook?

A
  • general drug facts and product information
  • treatment algorithms
  • patient cases

(Note: Dr. Wilkinson wrote the Headache chapter)

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3
Q

What are the two textbooks for herbal products?

A
  • Evidence Based Herbal Medicine

* Review of Natural Products

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4
Q

What are the pros and cons to the Evidence Based Herbal Medicine textbook?

A
  • Two authors (Rotblatt and Ziment)
  • Pros: includes clinical trial data and discusses background on herbal products in the US
  • Cons: only reviews 65 products
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5
Q

What are the pros and cons to the Review of Natural Products textbooks?

A
  • Many authors
  • Pros: reviews over 350 herbals, includes documented drug interactions, and good review of chemistry and pharmacology
  • Cons: does not focus on EBM
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6
Q

What 4 databases include OTC meds?

A
  • Lexicomp
  • Micromedex
  • Clinical Pharmacology
  • Epocrates
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7
Q

What is the best database source for herbal products?

A

*Natural Medicines (previously Natural Standard). It is owned by the Therapeutic Research Center

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8
Q

What are some features of Natural Medicines database?

A
  • interaction checker
  • nutrient depletion checker
  • adverse effects
  • pregnancy and lactation
  • patient handouts
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9
Q

What is the herbal rating system from best to worst?

A

Effective, likely effective, possibly effective, possibly ineffective, likely ineffective, ineffective.

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10
Q

What other herbal resource is there? It is through NIH from the office of dietary supplements?

A

*National Center for Complementary and Alternative Medicine

It is free, compilation of data is available, practice guidelines available–but there is limited information and it is time consuming.

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11
Q

What is the FDA website a good source for?

A
  • recalls
  • OTC drug approval process
  • OTC and dietary supplement regulations
  • educational materials like the orange book, medwatch, and Vrade
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12
Q

What is medwatch?

A

Where you report adverse drug events

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13
Q

What is Vrade?

A

Vaccine reporting adverse drug events

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14
Q

What sources will help you to stay up to date on OTC medications?

A
  • APhA Drug Info Line (self care)
  • APhA annual meeting (includes CE on OTCs)
  • Pharmacist’s Letter
  • Magazines (Drug Topics, Pharmacy Today, Pharmacy Times)
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15
Q

What is included in Pharmacy Today magazine?

A

Has an annual supplement that review the most commonly recommended products

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16
Q

What publications are helpful in staying up to date on herbal products?

A
  • Magazines
  • Pharmacist’s Letter
  • APhA Drug Info Line
17
Q

How do you answer OTC drug information questions?

A

It is similar to answering any DI question, but with a few key points:

  • use MeSH terms if possible
  • search more than one database to be thorough (Embase + PubMed/Medline, or PubMed/Medline + IPA)
  • use appropriate limits (english language and humans)
  • avoid limits of date of publication, age of patient, and gender
  • possibly use limit type of publication (randomized control trial versus review)
18
Q

If you have too many results, what can you do?

A

Add more limits like date of publication, age limits, gender, and type of publication

19
Q

If you have no results, what can you do?

A
  • search for review articles or guidelines
  • search Google Scholar
  • contact drug manufacturer
  • go to Natural Medicines (herbals)
  • last idea–google it to find primary literature
20
Q

Where would you look to find the maximum daily dose of OTC Advil?

A

On the back of the bottle or the Handbook of Non Prescription Drugs

21
Q

Where would you look for the maximum daily dose of prescription ibuprofen?

A
  • package insert
  • lexicomp
  • Diparo (pharmacotherapy book)
22
Q

Where would you look to find out if it is safe for a pregnant woman to take St. John’s Wort?

A
  • Natural Medicines

* Pregnancy and Lactation

23
Q

Where would you look to determine what OTC wart treatment is most effective?

A

Diparo

Drug Information (4 decks)

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