OTC primer

Question 1

Never ask “if this product for you?”
Instead: ___

Answer 1

who is this product for

avoids yes or no questions

Question 2

highlights of a cold
* ___ onset
* sneezing, ___ nose, ___ throat

Answer 2

• gradual
• stuffy, sore

Question 3

highlights of the flu
* ___ onset
* fatigue, weakness, headache, ___

Answer 3

• abrupt
• fever

Question 4

refer if
* fever above ___
* worseneing or ___ symptoms develop during self treatment
* comorbidities

Answer 4

• 101.5 F
• new

Question 5

cough referal

• children less than ___ yo
• ___ associated cough
• worsening cough
• hemoptysis: coughing up ___

Answer 5

• 4
• drug
• blood

Question 6

decongestants:
* ___ = Sudafed PE
* pseudoephedrine = ___

Answer 6

• phenylephrine
• Sudafed

Question 7

mucolytics:
___ = Mucinex and Robitussin

Answer 7

guaifenesin

Question 8

T or F: 2nd Gen antihistamines work better, but they cause drowsiness

Answer 8

False; 1st Gen

Question 9

Productive cough with post nasal drip, consider use of decongestant + __ or intranasal corticosteroid

Answer 9

antihistamine

Question 10

non-productive cough
treatment

Answer 10

• DM ER 60 mg BID
• lozenges, spray

Question 11

nasal congestion

• oral decongestants: ___ and ___
• nasal decongestants: levomethamphetamine
  ___ and oxymetazoline __
• intranasal saline is prefered for ____ and ___ patients

Answer 11

• Sudafed and Sudafed/PE
• Vicks VapoInhaler and Afrin
• pediatric and pregnant

Afrin has rebound congestion

Question 12

T or F: avoids oral decongestants during the 3rd trimester of pregnancy

Answer 12

FALSE; avoid during 1st trimester

Nasal decongestants carry same risk, with less exposure; short term?

Question 13

Rhinorrhea

1st and 2nd gen antihistamines: general side effects

cant see, pee, spit…poop

Answer 13

• dry mouth
• blurred vision
• difficult urination
• constipation
• dizziness

dont recommend to patient with BPH or glaucoma or elderly

Question 14

T or F: antihistamines are present in the breastmilk

Answer 14

True; if lactating use caution, low dose, and short ter,

Question 15

T or F: combo products often contain more ingredients than are needed

Answer 15

True

Question 16

Wart referal

• suspicion that growth is not a __
• warts on ___ or ___
• many warts
• warts the hurt, itchy, ___, or ___
• ___ immune system
• diabetes

Answer 16

• wart
• face or genitalia
• burn, bleed
• weakened

Question 17

Lice Treatment

Rid - ___ and ___ butoxide
* does not kill unhatched eggs
* treatment MUST BE repeared in ___ days
* for patients __ yo or greater

Answer 17

• pyrethrin + piperonyl
• 7-10
• 2

Question 18

Lice Treatment

Nix = ___
* likely also needs repeated in ___ days
* age 2 ___ or older

Answer 18

• permethrin
• 7-10
• months

Question 19

T or F: You cannot use conditioner or rinse using shower when you have lice

Answer 19

True

Question 20

Hemorrhoids: treatment

• anesthetics: ___ or ___
• astringents: ___ for soothing, drying, and relieving irritation
• corticosteroids: ___ 1% for ___
• Vasoactive agents: ___ topical ointment or supository; shrinks __ to relieve discomfort

Answer 20

• dibucaine or pramoxine
• witch hazel
• hydrocortisone, itching
• phenylephrine, tissue

Question 21

Fish Oil Safety

• decreases ___ aggregation
• caution with ___ meds, active bleed, or ___

Answer 21

• platelet
• anticoagulants, PUD

Question 22

Niacin (Vit B3)

• used for dyslipidemia (increase ___, decrease ___ )
• ___ occurs with 80% of patients
• side effeects with ER: increased ___ acid, elevated blood ___, and hepatotoxicity

Answer 22

• HDL, TG
• flushing
• uric, glucose

Question 23

T or F: fish oil, garlic, ginkgo biloba, ginger, and ginseng all have a side efect for increased bleeding risk

Answer 23

True

(f) g, g, g, g

Question 24

what medication is a big red flag when taking St. John’s Wort?

Answer 24

warfarin

ACUTE concern due to its inhibition of warfarin’s therapeutic effect.

Question 25

T or F: cranberry is used for UTI prevention only, not treatment

Answer 25

True

Question 26

Cranberry - Caution with ___ allergy, has small amount of salicylic acid

Answer 26

aspirin

Question 27

Saw Palmetto * used for ___ * inhibits __ reductase * dose not decrease ___ or ___

Answer 27

* BPH * 5-alpha * prostate size, PSA

Question 28

Echinaceae * decrease ___ by 1 day * must be started at ____ of symptoms * taken for ___ days

Answer 28

* uppre respiratory tract infection * onset * 7