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HEENT 2
BDK
| generic | brand | pharmacologic category | common indication | essential knowledge |
|---|---|---|---|---|
| pseudoephedrine (PO) | Sudafed | Alpha (a1) agonist | nasal congestion | increased blood pressure, tachycardia, insomnia, restlessness other notes: sold behind the counter |
| fluticasone (intranasal) | Flonase | Corticosteroid | allergic rhinitis | nasal dryness, epistaxis, nasal burning, headache |
| triamcinolone (intranasal) | Nasacort | Corticosteroid | allergic rhinitis | nasal dryness, epistaxis, nasal burning, headache |
| azelastine (intranasal) | Astepro | Histamine (h1) blocker | allergic rhinitis | headache, nasal dryness, epistaxis, bitter taste |
| diphenhydramine (PO, IV) | Benadryl | Histamine (h1) blocker | allergic rhinitis, allergic reaction, insomnia | drowsiness, constipation, xerostomia, urinary retention |
| hydroxyzine (PO,IV) | Atarax, Vistaril | Histamine (h1) blocker | pruritis, nausea, anxiety | dizziness, somnolence, xerostomia, blurred vision, QTc prolongation |
| cetirizine (PO) | Zyrtec | Histamine (h1) blocker | allergic rhinitis | drowsiness, dizziness, headache |
| loratadine (PO) | Claritin | Histamine (h1) blocker | allergic rhinitis | drowsiness, dizziness, headache |
| fexofenadine (PO) | Allegra | Histamine (h1) blocker | allergic rhinitis | drowsiness, dizziness, headache |
| olopatadine (ophthalmic) | Pataday, Patanol | Histamine (h1) blocker | allergic conjunctivitis | 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 (dose-related) US Boxed Warning: concomitant use of opioids with benzodiazepines or other CNS depressants (including alcohol), may result in profoun |
| Codeine and guaifenesin (PO) | Robitussin AC, Cheratussin AC | Opioid analgesic and expectorant | Cough, 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 because it may cause choking |