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HEENT 1& 2
HEENT 1 & 2
BRAND | GENERIC | CATEGORY | INDICATION | ESSENTIAL KNOWLEDGE |
---|---|---|---|---|
Brimonidine (ophthalmic) | Alphagan P | Alpha 2 agonist | Elevated IOP | Key Side Effects: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritus Other Notes: CI with MAOI therapy |
Timolol (ophthalmic) | Timoptic, Timoptic XE, Istalol | Non-selective beta blocker | Elevated IOP | Key Side Effects: ocular stinging and burning |
Bimatoprost (ophthalmic) | Lumigan, Latisse | Prostaglandin analog | Elevated IOP, eyelash hypotrichosis | Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation |
Latanoprost (ophthalmic) | Xalatan | Prostaglandin analog | Elevated IOP | Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation |
Travoprost (ophthalmic) | Travatan Z | Prostaglandin analog | Elevated IOP | Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation |
Cyclosporine (ophthalmic) | Restasis | Calcineurin inhibitor | Keratoconjunctivitis sicca | Key Side Effects: ocular burning, stinging, pruritus, foreign body sensation, hypersensitivity reaction |
Prednisolone (ophthalmic) | Pred Forte, Pred Mild, Omnipred | Corticosteroid | Ophthalmic inflammation | Key Side Effects: glaucoma, cataract formation, corneal thinning, secondary infection |
Permethrin (topical) * | Nix, Elmite | Pediculocide | Lice, scabies | Key Side Effects: itching, redness, swelling of scalp |
Adapalene (topical) * | Differin | Retinoic acid derivative | Acne | Key Side Effects: xeroderma, skin exfoliation, erythema, stinging, burning |
Chlorhexidine (topical, PO) | Hibiclens, Peridex | Antiseptic | Skin cleanser, periodontitis, gingivitis | Key Side Effects: dysgeusia, increased tartar formation, mouth discoloration & irritation |
Clobetasol (topical) | Temovate, Clobex | Corticosteroid | Psoriasis, atopic dermatitis | Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection Other Notes: do not use for > 2 weeks because it may cause adrenal suppression |
Triamcinolone (topical) | Kenalog | Corticosteroid | Psoriasis, atopic dermatitis | Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection Other Notes: do not use for > 2 weeks because it may cause adrenal suppression |
Pseudoephedrine (PO) * | Sudafed | Alpha (α1) agonist | Nasal congestion | Key Side Effects: Increased blood pressure, tachycardia, insomnia, restlessness Other notes: Sold behind the counter |
Fluticasone (intranasal) * | Flonase | Corticosteroid | Allergic rhinitis | Key Side Effects: nasal dryness, epistaxis, nasal burning, headache |
Triamcinolone (intranasal) * | Nasocort | Corticosteroid | Allergic rhinitis | Key Side Effects: nasal dryness, epistaxis, nasal burning, headache |
Azelastine (intranasal) * | Astepro | Histamine (H1) blocker | Allergic rhinitis | Key Side Effects: nasal dryness, epistaxis, nasal burning, headache |
Diphenhydramine (PO *, IV) | Benadryl | Histamine (H1) blocker | Allergic rhinitis, allergic reaction, insomnia | Key Side Effects: drowsiness, constipation, xerostomia, urinary retention |
Hydroxyzine (PO, IV) | Atarax, Vistaril | Histamine (H1) blocker | Pruritis, nausea, anxiety | Key Side Effects: dizziness, somnolence, xerostomia, blurred vision, QTc prolongation |
Cetirizine (PO) * | Zyrtec | Histamine (H1) blocker | Allergic rhinitis | Key Side Effects: drowsiness, dizziness, headache |
Loratadine (PO) * | Claritin | Histamine (H1) blocker | Allergic rhinitis | Key Side Effects: drowsiness, dizziness, headache |
Fexofenadine (PO) * | Allegra | Histamine (H1) blocker | Allergic rhinitis | Key Side Effects: drowsiness, dizziness, headache |
Olopatadine (ophthalmic) * | Pataday, Patanol | Histamine (H1) blocker | Allergic conjunctivitis | Key Side Effects: ocular burning, discomfort, dryness |
Promethazine and codeine (PO) | Phenergan with Codeine | Histamine (H1) blocker and opioid analgesic | Cough & cold | Key Side Effects: dizziness, somnolence, xerostomia, blurred vision, constipation, respiratory depression US Warning: use of opioids w/ benzos, CNS depressants may result in sedation, respiratory depression, coma, death opioid-containing cough and c |
Codeine and guaifenesin (PO) | Robitussin AC, Cheratussin AC | Opioid analgesic and expectorant | Cough and cold | Key Side Effects: dizziness, somnolence, constipation, respiratory depression (dose-related) Other Notes: opioid-containing cough and cold products no longer indicated for use in patients <18 years of age |
Dextromethorphan (PO) * | Delsym | Antitussive | Cough | Key Side Effects: nausea, drowsiness, dizziness, constipation |
Benzonatate (PO) | Tessalon Perles | Antitussive | Cough | Key Side Effects: sedation, nasal congestion, chills, chest numbness, bronchospasm Other Notes: do not break capsule; it may cause choking |