OTC side effects Flashcards
INCs
- local irritation
- nosebleeding
Intranasal antihistamine
- local irritation
- nosebleeding
Oral less sedating antihistamine
- sedation
Do not drive/operate machinery
Oral sedating antihistamine
- dizziness
- sedation
- constipation
- blurred vision
Do not drive
Intranasal decongestant
- local irritation (stinging/burning)
- increased nasal discharge
- rebound congestion (prolonged use)
- nosebleeding
Do not use for more than 3 days
Oral decongestant
- restlessness
- insomnia
- increased blood pressure
intranasal saline solution
- well tolerated (safe in infants)
- local irritation
- nosebleeding
paracetamol
- liver toxicity in overdose
NSAIDs
- indigestion
- GI ulceration
- stomach upset
- nausea
Bulk-forming (psyllium husk)
- abdominal discomfort
- bloating
- flatulence
Osmotic (macrogol)
- abdominal discomfort
- nausea
- diarrhoea
Fluid and electrolyte imbalance in long term use
Long term use is discouraged
Stimulant (senna)
- abdominal discomfort
- diarrhoea
Fluid and electrolyte imbalance in long term use
Long term use discouraged
Stool softener (docusate/poloxamer)
- abdominal discomfort
- diarrhoea
- nausea (docusate)
Oral rehydration salts
- well tolerated
Do not mix with juice, milk or coffee
Loperamide
- constipation
- abdominal cramps
- nausea
Antacids
Na: increases BP
Mg: lowers BP, diarrhoea, burping
Ca: constipation, burping, flatulence
Al: constipation
PPIs (esomeprazole, pantoprazole)
- generally well tolerated
- abdominal discomfort
- diarrhoea
- nausea
- headache
Triptans (sumatriptan)
- dizziness
- flushing of the face
- cardiac events (more likely in patients with CV disease history)
Metoclopramide
- dizziness
- drowsiness
- restlessness
Mebendazole
- stomach upset
- headache
Pyrantel
- stomach upset
- headache
Azoles (clotrimazole, miconazole)
- generally well tolerated
- local irritation to the lesion
Terbinafine
- generally well tolerated
- local irritation to the lesion
