OTC

Question 1

What question should you ask instead of “is this product for you”?

Answer 1

Who is this product for?

Question 2

What are the characteristics of a cold?

Answer 2

• gradual symptom onset
• sneezing
• stuffy nose
• sore throat

Question 3

What are characteristics of the flu?

Answer 3

• abrupt symptom onset
• fever
• chills
• fatigue
• headache

Question 4

Exclusions for self-treatment:

Answer 4

• fever greater than 101.5
• worsening of new symptoms during self-treatment
• comorbidities

Question 5

Exclusions for self-treatment for cough?

Answer 5

• children less than 4 years old
• drug-associated cough
• coughing blood
• worsening cough

Question 6

Brand name of guaifenesin:

Answer 6

• mucinex
• robitussin

Question 7

Brand name of dextromethorphan:

Answer 7

• delsym

antitussive

Question 8

Brand name for phenylephrine:

Answer 8

Sudafed PE

Question 9

Brand name for pseudoephedrine:

Answer 9

Sudafed

Question 10

When should Sudafed be avoided in pregnancy?

Answer 10

1st trimester

Question 11

Brompheniramine brand name:

Answer 11

Dimetapp

1st gen antihistamine

Question 12

chlorpheniramine brand name:

Answer 12

Chlor-trimeton

1st gen antihistamine

Question 13

diphenhydramine brand name:

Answer 13

Benadryl

1st gen antihistamie

Question 14

doxylamine brand name:

Answer 14

Unisom

1st generation antihistamine

Question 15

budesonide brand name:

Answer 15

Rhinocort

Intranasal CS

Question 16

triamcinolone brand name:

Answer 16

Nasacort

Intranasal CS

Question 17

fluticasone brand name:

Answer 17

Flonase

intranasal CS

Question 18

What are products that are safe for diabetics labeled as?

Answer 18

DM

Question 19

DOC for productive cough:

Answer 19

guaifenesin (mucinex)

Question 20

DOC for non-productive cough:

Answer 20

dextromethorphan (delsym)

Question 21

Non-pharm options for nasal congestion:

Answer 21

• neti pot
• fridababy nasal aspirator
• bulb syringe

Question 22

Pearls for nasal decongestants (topical):

Answer 22

• fast relief
• not as systemically absorbed
• rebound congestions

Question 23

Pearls for oral decongestants:

Answer 23

• less rebound congestion
• can worsen BP/HR control
• sleeplessness
• caution w: HTN, CAD, BPH, thyroid disorders, glaucoma
• CI: MAO-I use

Question 24

Brand name of oxymetazoline:

Answer 24

Afriin

nasal decongestant

Question 25

Brand name of levomethamphetamine:

Answer 25

Vicks VapoInhaler | nasal decongestant

Question 26

Brand name of cetirizine:

Answer 26

Zyrtec | 2nd gen antihistamine

Question 27

Brand name of fexofenadine:

Answer 27

Allegra | 2nd gen antihistamine

Question 28

Brand name of levocetirizine:

Answer 28

Xyzal | 2nd gen antihistamine

Question 29

Brand name of loratadine:

Answer 29

Claritin | 2nd gen antihistamine

Question 30

DOC for rhinorrhea:

Answer 30

first gen antihistamines

Question 31

What is the issue with combo products?

Answer 31

They often contain more ingredients than are needed

Question 32

What are the exclusions for self-treatment for wounds:

Answer 32

- bleeding for more than 5 minutes - wound from animal/human bite - diabetes - signs of infections

Question 33

What are the exclusions for self-treatment of warts:

Answer 33

- suspicion growth is not a wart - warts on face or genitalia - many warts - warts that hurt, itch, burn, or bleed - weakened immune system - diabetes

Question 34

OTC care for warts:

Answer 34

- salicylic acid - tape - cryotherapy

Question 35

Lice treatment options:

Answer 35

- Rid - Nix

Question 36

Brand name for pyrethrin + piperonyl butoxide

Answer 36

Rid

Question 37

Brand name for permethrin:

Answer 37

Nix

Question 38

Lice treatment for older than 2 years:

Answer 38

Rid

Question 39

Lice treatment for older than 2 months:

Answer 39

Nix

Question 40

Treatment options for hemorrhoids:

Answer 40

- eat high-fiber foods - stool softener or fiber supplement - increase water consumption - use topical treatments - soak regularly in warm bath - take oral pain relievers

Question 41

What is fish oil used for?

Answer 41

- dyslipidemia - hypertriglyceridemia

Question 42

Counseling for fish oil:

Answer 42

- decreases platelet aggregation - caution with anticoagulants, active bleed, or PUD - GI upset, heartburn - fishy taste

Question 43

What is vitamin B3 (niacin) used for?

Answer 43

- dyslipidemia

Question 44

Counseling for niacin:

Answer 44

- flushing commonly occurs - take at bedtime - pretreat with aspirin - take with meals

Question 45

Adverse effects of Niacin (B3)?

Answer 45

- increased uric acid - elevated blood glucose - hepatotoxicity

Question 46

What are the considerations for garlic?

Answer 46

- CYP/PGP interactions - breath and body odors - increases bleed risk | used for hyperlipidemia, HTN

Question 47

What are the considerations for ginkgo?

Answer 47

- increased bleed risk - GI upset - seizure | uses: memory, vascular dementia

Question 48

What are the considerations for ginger?

Answer 48

- increased bleeding risk | used for N/V

Question 49

What are the considerations for ginseng:

Answer 49

- increased bleeding risk | asthma

Question 50

What are the considerations for St. John's Wort?

Answer 50

- vivid dreams, headache, dizziness - GI upset, dry mouth, photodermatitis | mild-moderate depression

Question 51

Drug interactions for St. John's Wort:

Answer 51

- CYP inducer - PGP inducer - Digoxin - HIV meds - **warfarin**

Question 52

What is soy used for?

Answer 52

- hot flashes with menopause | considerations: GI upset

Question 53

What is cranberry used for?

Answer 53

- UTI prevention | considerations: caution with aspirin allergy, can cause kidney stones, high sugar concentration

Question 54

What is saw palmetto used for?

Answer 54

- BPH | considerations: do not decrease prostate size or PSA, GI upset

Question 55

What is echinaceae used for?

Answer 55

- decreasing URTI length | considerations: GI upset, rash, allergic reaction