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Respiratory
Drug | Indication | A/E | Consideration |
---|---|---|---|
Fexofenadine | -allergy s/s | pretty safe | avoid fruit juice(not only grapefruit) 4 hours before admin and 1-2 after |
Astelin and Astepro | nasal 2nd gen antihistamine | drowsiness, HA | |
Fluticasone | inhaled steroid | steroid a/e | Fixed Schedule |
Montelukast | Leukotriene modifier Prophylaxis and maintenance of asthma (Exercise induced asthma) | Neuro -SI -Depression | No phenytoin long acting, long term |
Albuterol | SABA bronchodilater Rescue for acute asthma attack | Tremors, tachy, insomnia | |
Salmetrol | LABA | fixed schedule can be with steroid in same inhailer | |
Fluticasone/salmetrol | Laba/steroid combo | tachy, tremors, angina | fixed schedule shake well and wait 1 min between puff rinse mouth |
Theophylline | Methylxanthines opens up the airway Asthma: prevents night attacks stable chronic asthma | CNS excitation | NO CAFFIENE no tobacco/zaza check drug levels/LFTS Toxicity leads to convulsions/dysrythmias and death |
Ipratropium | anticholinergic FDA for COPD off label for asthma | dry mouth, pharynx irritation | doesn't raise heart rate as much as albuterol |
Psuedophedrine | causes prolonged vasoconstriction which reduces swelling of membranes Nasal congestion | increased BP generalized restlessness/irritability | no HTN CVD patient |
Fluticasone | Intranasal glucocorticoid DOC: allergic rhinits | HA, nosebleed | daily dose, not PRN |