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OTC

ophathalmic, otic, home testing devices, smoking cessation

QuestionAnswer
Dry Eye treatment cellulose derivatives, polyvinyl alcohol, povidone + dextran, lanolin oil + mineral oil + petrolatum + white ointment + white way + yellow wax
cellulose derivatives Bion Tears, Celluvisc, Clear Eyes
polyvinyl alcohol moisture eyes, hypotears, murine tears, tears plus
providone and dextran aquasite
lanolin oil + mineral oil + petrolatum + white ointment + white way + yellow wax moisture eyes PM, lacti-lube, refresh PM, stye
loose material in eye eyes washes- isotonic buffered solutions of sterile water
redness treatment opthalmic vasoconstrictors; phenylephrine, naphazoline, tetrahydrozoline, oxymetazoline
phenylephrine prefin liquifilm relief
naphazoline clear eyes, bausch and lomb sensitive eyes
tetrahydrozoline visine, visine AC, visine advanced relief
oxymetazoline visine LR
CI narrow angle glaucoma; ocular decongestants should not be used in enlarged prostate and high BP
allergic conjunctivitis naphazoline + pheniramine + antazoline
naphazoline + pheniramine + antazoline naphcon A, visine A, opcon A, vasocon A
corneal edema foggy vision, haloes around light, photophobia, extreme pain --> refer to MD
treating ear wax carbamide peroxide, hydrogen peroxide:water 1:!, glycerin oil, olive oil
treating water clogged ears Swim Ears - isopropyl alcohol + anhydrous glycerin; Compounded acetic acid and isopropyl alcohol
first line smoking cessation treatment gum, patch, inhaler (Rx only), nasal spray, bupropion SR (Zyban) --> Rx only
second line treatment for smoking cessation clonidine, nortriptyline; can use combination nicotine replacement therapy
NRT ADRs insomnia and sleep disturbances (use 16 hour patch or remove at night); local irritation with patch (rotate site and use hydrocoritosne cream); nasal irritation with spray
CI of NRT CV disease, esophagitis/PUD (gum); allergies, asthma or sinus conditions with spray
Gingko Biloba uses enhance memory; intermittent claudication; vertigo and tinnutis; impotence
Gingko ADR GI distress, HA, dizziness, spontaneous bleeding
St John's Wort uses depression, anxiety
St John's Wort ADRs mild GI distress, dizziness, fatigue, insomnia, itching, dry mouth, HTN, photosensitivity
St John's Wort DDI SSRIs, TCAs, Cyclosporine, Indinavir, decrease digoxin, OC
asian ginseng uses enhance concetration, fatigue
asian ginseng ADR hypertension, euphoria, resltess, insomnia, nervousness, rash, edema, diarrhea
asian ginseng CI HTN, antipsychotic drugs
asian ginseng precautions heart disease, diabetes, hypotension
asian ginseng DDI anticoags, antiplatelets, stimulants (including caffeine), antipsychotics, diabetes
Garlic uses lowers cholesterol; prevents atherschlerosis
garlic ADR bad breath, GI discomfort, heart burn, gas, dermatitis, allergic reactions
garlic DDI anticoag, antiplatelets, saquinavir
Echinacea uses cold, resp tract infections; poor healing wounds
echinacea Dz interactions autoimmune disorders, anaphylaxis
echinacea DDI immunosuppressive agents
Saw palmetto use BPH
Saw palmetto ADRs rarely; GI upset, HA, HTN, urinary retention, dysuria, impotence
Kava Kava use anxiety, stress
Kava KAva ADR similar to alcohol, mydriasis, EPS, yellow flaky skin, eye redness, liver failure
Kava Kava precautions CI in liver dz, regular alcohol use; don't take > 4 weeks, discontinue if have jaundice
SAMe uses depression, osteoarthritis
SAMe ADRs gas, vomiting, diarrhea, nausea, bipolar patients switch to mania
melatonin use sleep
melatonin ADR infertility, HA, confusion, possible immune stimulant
melatonin DDI BZD
DHEA uses depression, anti-aging effects, osteoperosis, antidiabetogenic
DHEA ADRs oily skin, hair, acne, hirsituism, abnormal menses, HA, aggressiveness
DHEA DDI hormone sensitive tumors
Glucosamine uses osteoarthritis
glucosamine ADRs mild GI effects, nausea, heartburn, diabetes
Insomnia treatment doxylamine (unisome), diphenhydramine (nytol, somniex)
drowsiness treatment caffeine
caffeine precautions PUD, cardiac dysrhythmias, anxiety disorders
Created by: cytoskeletor
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