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DEENT Fall 2025
DERMATOLOGIC, EARS, EYES, NOSE, THROAT FALL 2025
| Generic | Brand | Pharmacological Category | Classification | Common Indications | Essential Knowledge |
|---|---|---|---|---|---|
| brimonidine (ophthalmic) | Alphagan P, Lumify | Alpha2 agonist | Lumify: OTC | Elevated IOP Ocular redness | Key Side Effects: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritus Other Notes: CI with MAOI therapy |
| timolol (ophthalmic) | Timoptic, Timoptic XE, Istalol | Non-selective beta-blocker | Elevated IOP | Key Side Effects: blurred vision, ocular stinging and burning | |
| bimatoprost (ophthalmic) | Lumigan, Latisse | Prostaglandin analog | Elevated IOP, eyelash hypotrichosis | Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision | |
| latanoprost (ophthalmic) | Xalatan, Xelpros, Iyuzeh | Prostaglandin analog | Elevated IOP | Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision | |
| cyclosporin (ophthalmic) | Restasis | Calcineurin inhibitor | Keratoconjunctivitis sicca | Key Side Effects: ocular burning, stinging, pruritus, foreign body sensation, hypersensitivity reaction | |
| permethrin (topical) | Nix, Elimite | Pediculocide | Nix: OTC | Lice, scabies | Key Side Effects: itching, burning, redness, swelling of scalp |
| adapalene (topical) | Differin | Retinoic acid derivative | OTC | Acne | Key Side Effects: xeroderma, skin exfoliation, erythema, stinging, burning, pruritus |
| chlorhexidine (topical, PO) | Hibiclens, Peridex | Antiseptic | Skin cleanser, periodontitis, gingivitis | Key Side Effects: dysgeusia, increased tartar formation, mouth discoloration, mouth irritation | |
| clobetasol (topical) | Temovate, Clobex | Corticosteroid | Psoriasis, atopic dermatitis | Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection Other Notes: do not use for > 2 weeks because it may cause adrenal suppression | |
| guaifenesin (PO) | Mucinex, Robitussin, Robafen | Expectorant | OTC | Cough | Key Side Effects: nausea, drowsiness, dizziness, constipation Other Notes: CI within 14 days of MAOI |
| dextromethorphan (PO) | Delsym | Antitussive | Cough | Key Side Effects: sedation, nasal congestion, chills, chest numbness, bronchospasm Other Notes: do not break capsule because it may cause choking | |
| 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 | |
| pseudoephedrine (PO) | Sudafed | Alpha (α1) agonist | OTC | Nasal congestion | Key Side Effects: Increased blood pressure, tachycardia, palpitations, insomnia, restlessness Other notes: sold behind the counter, avoid during first trimester of pregnancy |
| fluticasone (intranasal) | Flonase | Corticosteroid | OTC | Allergic rhinitis | Key Side Effects: nasal dryness, epistaxis, nasal burning, headache |
| triamcinolone (intranasal) | Nasacort | Corticosteroid | OTC | Allergic rhinitis | Key Side Effects: nasal dryness, epistaxis, nasal burning, headache |
| azelastine (intranasal) | Astepro | Histamine (H1) blocker | OTC | Allergic rhinitis | Key Side Effects: headache, nasal dryness, epistaxis, bitter taste, drowsiness |
| diphenhydramine (PO, IV) | Benadryl | Histamine (H1) blocker | PO: OTC | Allergic rhinitis, allergic reaction, insomnia | Key Side Effects: drowsiness, constipation, xerostomia, urinary retention, cognitive impairment Other Notes: for OTC use, do NOT use in children < 6 years of age |
| hydroxyzine (PO, IV) | Atarax, Vistaril | Histamine (H1) blocker | Pruritus, nausea, anxiety | Key Side Effects: dizziness, somnolence, xerostomia, blurred vision, QTc prolongation | |
| cetirizine (PO) | Zyrtec | Histamine (H1) blocker | OTC | Allergic rhinitis | Key Side Effects:, drowsiness, dizziness, headache |
| loratadine (PO) | Claritin | Histamine (H1) blocker | OTC | Allergic rhinitis | Key Side Effects:, drowsiness, dizziness, headache |
| fexofenadine (PO) | Allegra | Histamine (H1) blocker | OTC | Allergic rhinitis | Key Side Effects:, drowsiness, dizziness, headache |
| levocetirizine (PO) | Xyzal | Histamine (H1) blocker | OTC | Allergic rhinitis | Key Side Effects: diarrhea, drowsiness, headache |
| olopatadine (ophthalmic) | Pataday, Patanol | Histamine (H1) blocker | OTC | Allergic conjunctivitis | Key Side Effects: ocular burning, discomfort, dryness |
| promethazine and codeine (PO) | Phenergan with Codeine | Histamine (H1) blocker and opioid analgesic | CS-V | Cough | 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 profound sedation, respiratory depression, coma, and death Other Notes: opioid-containing cough and cold products no longer indicated for use in patients <18 years of age |
| codeine and guaifenesin (PO) | Robitussin AC, Cheratussin AC | Opioid analgesic and expectorant | CS-V | Cough | 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 |