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OTC
Cold Cough Allergy
| Question | Answer |
|---|---|
| Chlorpheniramine | Chlor-Trimeton |
| Brompheniramine | Dimetane |
| Diphenhydramine | Benadryl |
| Clemastine | Tavist |
| Tripolidine | in Actifed |
| Loratadine | Claritin, Alavert |
| second generation antihistamines | low sedation; Azatadine, Cetirazine, Desloratadine, Fexofenadine; no anticholinergic effects |
| antihistamines ADRs | sedation, anticholinergic, dry mouth, dry eyes, urinary retention, constipation, paradoxical excitation in children and elderly |
| antihistamine precautions | avoid alcohol, prostatic hyperplasia, narrow angle glaucoma |
| oral decongestants | phenylephrine, PSE, ephedrine |
| decongestants ADRs | nervousness, irritability, restlessness, insomnia, increase HR, increase BP, iregular heart beat, palpitations |
| decongestants precautions/CI | uncontrolled HTN, heart disease, diabetes, hyperthyroidism, enlarge prostate, narrow angle glaucoma, MAOI's |
| topical decongestants | phenylephrine, naphzoline, xylometazoline, oxymetazoline |
| short acting phenylephrine | neo-synephrine, vick's sinex |
| intermediate acting naphzoline | privine |
| long acting xylometazoline | optivin |
| longest acting oxymetazoline | neo-synephrine, afrin |
| Cromolyn | Nasalcrom; takes about 1 week to work; use on scheduled basis; prevention and treatment of allergic rhinitis; mast cell stabilizer |
| alkaseltzer plus cold medicine | chlorpheniramine + APAP + phenylephrine |
| Actifed Cold and Allergy Tablets | tripolidine + PSE |
| antitussives for cough | codeine (gold standard); dextromethorphan (class I); diphenhydramine (class II); benzonatate |
| dextromethorphan ADRs | drowsiness, GI effects |
| dextromethorphan DDI | MAOI's |
| guafenesin | robitussin, mucinex, humibid; category I |
| topical antitussives | camphor and menthol = only FDA approved |
| Benylin cough syrup | dextomethorphan |
| Delsym ER suspension | dextromethorphan |
| Robitussin DM | guafenesin + dextromethorphan |
| Robutissin PE | guafenesin + PSE |
| sore throat remedies | benzocaine, dyclonine, phenol, menthol |
| benzocaine | cepacol, chloraseptic |
| dyclonine | chloraseptic spray |
| phenol | chloraseptic gargle |
| menthol | Halls |