Week 13 Respiratory, colds and allergies Flashcards
Benzonatate
Tessalon Perles
Respiratory
Cough suppressant
Cough Suppressant (Antitussive)
Unproductive cough
Oral numbness, dizziness, headache, GI upset, sedation, bizarre behavior
Alcohol, CNS depressants
Precaution: Patients with psych mediation; CI: Children <10, Patients with reaction to anesthetic
Cetirizine
Zyrtec
Respiratory
Antihistamine
Second Generation (nonsedating) antihistamine
Allergic Rhinitis, Urticaria
Headache, Drowsiness, fatigue, somnolence, dry mouth, nervous, insomnia
Sedatives, alcohol, ritonavir
additional sedative use
Dextromethorphan
Robitussin
Respiratory
Cough suppressant
Cough Suppressant (Antitussive)
Unproductive cough
Drowsiness, N/V/constipation, stomach discomfort; overdose: restlessness, ecitation, confusion, nervousness
MAOIs
No in children <4, Serotonin syndrome with SSRI/SNRI, abuse risk
Fexofenadine
Allegra
Respiratory
Antihistamine
Second Generation (nonsedating) antihistamine
Allergic Rhinitis, Urticaria
Headache, Drowsiness, fatigue, somnolence, dry mouth, nervous, insomnia
sedatives, alcohol, metal-containing, antacids, juices
additional sedative use
Fexofenadine/Pseudoephedrine
Allegra-D
Respiratory
Antihistamine/Decongestant Combination
Antihistamine/Decongestant
Guaifenesin
Mucinex
Respiratory
Mucolytic
Expectorant (Protussive)
Acute, ineffective, productive cough
dizziness, drowsiness, headache
none known
nothing significant
Loratidine
Claritin
Alavert
Respiratory
AnSecond Generation (nonsedating) antihistamine tihistamine
Allergic Rhinitis, Urticaria
Headache, Drowsiness, fatigue, somnolence, dry
mouth, nervous, insomnia
Sedatives, alcohol
additional sedative use
Loratidine/Pseudoephedrine
Claritin-D
Respiratory
Antihistamine/Decongestant Combination
Antihistamine/Decongestant
Pseudoephedrine
Sudafed
Nexafed
Respiratory
Decongestant
Systemic Decongestant
Nasal congestion
CV stimulation, CNS stimulation
MAOIs, TCAs
Precaution: CV disease, smokers, BPH, Diabetes
Which of the following medications is an
antihistamine?
A. Pseudoephedrine
B. Guaifenesin
C. Cetirizine
D. Dextromethorphan
C. Cetirizine
Jamie is allergic to cats and her best friend has a cat. She does not have any other allergies—when should she be counseled to take her Zyrtec®?
A. Every morning B. Every evening at bedtime C. When she arrives at her friend’s house D. A few hours before going to her friend’s house
D. A few hours before going to her friend’s house
Which antihistamine is MOST likely to cause
sedation?
A. Cetirizine—most likely to
cross BBB, most likely to have side effects, also limited evidence that it is more effective than loratadine
B. Loratadine
C. Fexofenadine
A. Cetirizine—most likely to cross BBB, most likely to have side effects, also limited evidence that it is more effective than loratadine
Based on pseudoephedrine’s mechanism, what do you think a side effect would be?
A. Hypotension B. Excess urination C. Elevated heart rate—has stimulative side effects. Vasoconstriction. D. Sedation
C. Elevated heart rate—has
stimulative side effects.
Vasoconstriction
Which of the following medications is a cough suppressant?
A. Dextromethorphan
B. Guaifenesin
C. Pseudoephedrine
D. Fexofenadine
A. Dextromethorphan
