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HEENT 1 &2

BDK

Pharmacologic CategoryGeneric NameBrand NameCommon IndicationEssential Knowledge
Alpha2 agonist brimonidine Alphagan P, Lumify (OTC) Elevated IOP, Ocular redness KSE: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritis ON: CI with MAOI therapy
Non-selective beta blocker timolol Timoptic, Timoptic XE, Istalol Elevated IOP KSE: blurred vision, ocular stinging and burning
Prostaglandin analog bimatoprost Lumigan, Latisse Elevated OP, eyelash hypotrichosis KSE: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision
Prostaglandin analog latanoprost Xalatan, Xelpros, Iyuzeh Elevated IOP KSE: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision
Calcineurin inhibitor cyclosporine Restasis Keratoconjunctivitis sicca KSE: ocular burning, stinging, pruritus, foreign body sensation, hypersensitivity reaction
Pediculocide permethrin Nix, Elimite Lice, Scabies KSE: itching, burning, redness, swelling of scalp
Retinoic acid derivative adapalene Differin (OTC) Acne KSE: xeroderma, skin exfoliation, erythema, stinging, burning, pruritus
Antiseptic chlorhexidine Hibiclens (OTC), Peridex Skin cleanser, periodontitis, gingivitis KSE: dysgeusia, increased tartar formation, mouth discoloration, mouth irritation
Corticosteroid clobetasol (topical) Temovate, Clobex Psoriasis, atopic dermatitis KSE: burning of skin, dryness of skin, hypopigmentation, secondary infection ON: do not use for >2 weeks because it may cause adrenal suppression
Alpha1 agonist pseudoephedrine Sudafed (OTC) nasal congestion KSE: increased bp, tachycardia, palpitations, insomnia, restlessness ON: sold behind the counter, avoid during 1st trimester of pregnancy
Corticosteroid fluticasone Flonase (OTC) allergic rhinitis KSE: nasal dryness, epistaxis, nasal burning, headache
Corticosteroid triamcinolone (intranasal) Nasacort (OTC) allergic rhinitis KSE: nasal dryness, epistaxis, nasal burning, headache
Histamine 1 blocker azelastine Astepro (OTC) allergic rhinitis KSE: headache, nasal dryness, epistaxis, bitter taste, drowsiness
Histamine 1 blocker diphenhydramine Benadryl (PO; OTC) allergic rhinitis, allergic reaction, insomnia KSE: drowsiness, constipation, xerostomia, urinary retention, cognitive impairment ON: for OTC use, do NOT use in children <6 yo
Histamine 1 blocker hydroxyzine Atarax, Vistaril pruritis, nausea, anxiety KSE: dizziness, somnolence, xerostomia, blurred vision, QTc prolongation
Histamine 1 blocker cetirizine Zyrtec (OTC) allergic rhinitis KSE: drowsiness, dizziness, headache
Histamine 1 blocker loratadine Claritin (OTC) allergic rhinitis KSE: drowsiness, dizziness, headache
Histamine 1 blocker fexofenadine Allegra (OTC) allergic rhinitis KSE: drowsiness, dizziness, headache
Histamine 1 blocker olopatadine Pataday, Patanol (OTC) allergic conjunctivitis KSE: ocular burning, discomfort, dryness
Histamine 1 blocker and opioid analgesic promethazine and codeine Phenergan with Codeine (CS-V) cough KSE:dizziness, somnolence, xerostomia, blurred vision, constipation, resp. depression BW:opioids w/ benzos or CNS depressants (including alcohol), may result in profound sedation, resp. depression, coma/death, ON:dont use for pt <18yo
Opioid analgesic and expectorant codeine and guaifenesin Robitussin AC, Cheratussin AC (CS-V) cough KSE: dizziness, somnolence, constipation, respiratory depression (dose-related) ON: no longer used in pt < 18yo
Antitussive detromethorphan Delsym (OTC) cough KSE: nausea, drowsiness, dizziness, constipation ON: CI within 14 days of MAOI
Antitussive benzonatate Tessalon Perles cough KSE: sedation, nasal congestion, chills, chest numbness, bronchospasm ON: do not break capsule because it may cause choking
Expectorant guaifenesin Mucinex, Robitussin, Robafen (OTC) cough KSE: nausea, vomiting, dizziness, headache, diarrhea, stomach pain
Histamine 1 blocker levocertirizine Xyzal (OTC) allergic rhinitis KSE: diarrhea, drowsiness, headache
Created by: TORICBC
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