Winter OTC dosing

Question 1

Salicylic Acid

Answer 1

Dr. Scholl's; Trans-Ver-Sal; Compound W
Plaster vehicle (disks and pads): 12-40%

Apply 1 patch to wart, callus, or corns
(repeat q48h if needed)

MAX: 14 days

Redness irritation

Question 2

Dimethyl ether + propane

Answer 2

Compound W Freeze off Wart Removal System

Place tip on wart for 20-40 seconds
Repeat after 10-14 days, up to 3x

MAX: N/A

Blistering, scarring, hypo-hyperpigmentation

Question 3

Clotrimazole (1% Topical Cream)

Answer 3

Lotrimin AF; Cruex

Apply to affect skin and surround areas
BID for 2 weeks (cruris)
BID for 4 weeks (pedis, corporis)

MAX: N/A

Mild skin irritation
(burning, stinging)

Question 4

Tolnaftate (1% Topical cream, gel, solution, power)

Answer 4

Tinactin; Fungi-Guard

Apply to affected area
BID for 2 weeks (cruris)
BID for 4 week (pedis, corporis)
BID for 6 week (between toes or on pressure area)

MAX: N/A

Stinging

Question 5

Aluminum Acetate

Answer 5

Burow’s solution; Domeboro

Mix 1-3 packets in 16 oz o water
Soak affected area for 15-30 minutes
Repeat 3 times daily
Up to 1 week

Skin dryness, burning, stinging,
tissue necrosis

Question 6

Epinephrine (0.125 mg per spray)

Answer 6

Primatene Mist

Inhale 1 puff PO,
repeat x 1 after 1 min (if symptoms not relieved)

MAX: 8 inhalations/d

Restlessness, excitability
Palpitations, headache

Question 7

Ephedrine/Guaifenesin

Answer 7

Primatene (12.5 mg ephedrine); Bronkaid (25 mg ephedrine)

1-2 tab PO q4h PRN

MAX: 6-12 tab/d (150 mg ephedrine/d)

Palpitations, Tachycardia, Arrhythmias
Nephrolithiasis (kidney stones)

Question 8

Racepinephrine (2.25% Nebulizer solution)

Answer 8

Asthmanefrin

1 vial in nebulizer over 15 minutes q3-4h for 24 hours

MAX: 3 inhalations/3 hours; 12 inhaliations/d

Tachycardia, Nervousness