Week 3: Non-productive Cough vs Productive Cough

Question 1

Dextromethorphan (Delsym) is an example of a _____ cough suppressant that treats a non-productive cough.

Answer 1

centrally acting

acts on the medulla to increase cough threshold

Question 2

You should not take dextromethorphan (Delsym) for at least _____.

Answer 2

14 days after MAOIs are discontinued.

Question 3

____ is also known as dextromethorphan and is a centrally acting cough suppressant that treats non-productive coughs.

Answer 3

Delsym

Question 4

_____ regulations prohibits the sale to anyone under 18 years old, must require ID if purchaser appears to be less than 25 years old, and is kept OVER the counter (OTC).

Answer 4

dextromethorphan

Question 5

____ is an example of a centrally acting cough suppressant that treats non-productive coughs. It has a side effect of drying up everything (dry respiratory secretions, sedation, blurred vision, urinary retention, dry mouth, constipation).

Answer 5

Diphenhydramine

Question 6

____ is an example of a centrally acting cough suppressant that is a prescription in California and is a Schedule V controlled substance.

Answer 6

Codeine

Question 7

The max/day for either codeine or dextromethorphan is ____.

Answer 7

120 mg.

Question 8

The dosing for dextromethorphan is 10-20 mg Q 4-6 hours, but if using Delsym (the extended release form of dextromethorphan) then the dosing is 60 mg Q ____ hours.

Answer 8

12

Question 9

The DDI (drug drug interaction) with dextromethorphan (Delsym) is _____.

Answer 9

with MAOIs

Question 10

_____ is the 1st line of therapy for cough due to the common cold because it cross the blood brain barrier to get rid of the cough and other symptoms.

Answer 10

diphenhydramine

Question 11

Peripherally acting cough suppressants that treat a non-productive cough are formulations of ___, ___, and ___.

Answer 11

ointment
lozenge
inhalation

Question 12

When using an ointment to treat a non-productive cough, rub on the _____.

Answer 12

throat and chest as a thick layer no more than 3 times a day

Question 13

When using an ointment to treat a non-productive cough, do NOT use _____.

Answer 13

in nostrils
under the nose
on damaged skin

Question 14

Treatment for a productive cough include expectorants and ______.

Answer 14

Guaifenesin (Robitussin, Tussin, and Mucinex)

Question 15

The MOA of treatment for productive coughs are to ____.

Answer 15

loosen and thin bronchial secretions

to make the cough more productive

Question 16

Treatment for a productive cough such as expectorants and guaifenesin (Robitussin, Tussin, or Mucinex) is best when taken with ____.

Answer 16

lots of water

Question 17

Guaifenesin (Tussin or Mucinex) has a max/day of _____ for both immediate and extended release.

Answer 17

2400 mg

Question 18

What is the counseling point for the immediate release form of Guaifenesesin for adults and children over 12 years old?

Answer 18

take with plenty of water

Question 19

What is the counseling point for extended release form of Guaifenesesin for adults and children over 12 years old?

Answer 19

do not crush or chew

take with plenty of water

Question 20

_____ is a combination product that makes a cough more productive and at the same time stops the cough. It is reserved for patients with a productive cough who also have difficulty sleeping due to the cough.

Answer 20

Robitussin DM
Mucinex DM

(guaifenecin makes the cough more productive + dextromethorphan stops the cough)

Question 21

_____ are ineffective in treating cough associated with the common cold.

Answer 21

central cough suppressants

Question 22

You should recommend combination of _____ to treat postnasal drip that is most likely the cause of cough.

Answer 22

1st generation antihistamine + decongestant

Question 23

Use ____ or ____ only for short term symptomatic relief of cough.

Answer 23

dextromethorphan or codeine