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Pharm 5018 ETSU NP
cH 13 Over-the-Counter Medications
Question | Answer |
---|---|
OTC Medications | 42% of adults take an OTC medication. 49% report dietary supplement use. Assume all patients have tried an OTC treatment. |
OTC Medications | OTC drugs are approved and labeled by the FDA. OTC must go through the New Drug Application process just as prescription drugs. There are 80 therapeutic categories of OTC drugs. |
Annual OTC Medication Sales | Cough and cold medications: $4 billion OTC analgesics: $3.99 billion Heartburn: $2.28 billion Laxatives: $1.3 billion |
Annual OTC Medication Sales | Acne: $617 million Diarrhea: $225 million Nicotine replacement: $855 million |
OTC Drugs | An OTC drug has the following characteristics: It must be safe. It has low potential for misuse or abuse. |
OTC Drugs | It can be labeled. The patient must be able to self-diagnose the condition/The condition must be able to be managed by the patient. |
Self-Prescribing | The patient must accurately diagnose and appropriately treat/Concerns/Treating serious illness that worsens due to lack of appropriate treatment |
Self-Prescribing | Example: treating bacterial pneumonia with OTC cough medication Adverse effects of medications Drug interactions |
Hazards of OTC Self-Medication | Inaccurate dosing Toxic levels due to overdose Acetaminophen toxicity Overuse |
Hazards of OTC Self-Medication | Combination medications Decongestant medications in infants/young children |
Hazards of OTC Self-Medication | Infant drops removed from market Relabeled not to use under age 4 years |
Adverse Effects of OTC Medications | Gastrointestinal (GI) upset/GI bleeding/Sedation/ Impaired driving/Drug interactions |
OTC Medication Abuse | Dextromethorphan abuse Dysphoria at high doses similar to lysergic acid diethylamide Easily accessible for teens |
OTC Medication Abuse | Pseudoephedrine Precursor to methamphetamine |
OTC Medication Abuse | Federal law restricting daily and 30-day amounts Stored behind counter and identification required |