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DEENT 1-2

BDK

Pharmacologic CategoryGeneric NameBrand NameClassificationCommon IndicationsEssential Knowledge
Opioid analgesic and expectorant codeine and guaifenesin (PO) Robitussin AC, Cheratussin AC 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
Histamine (H1) blocker and opioid analgesic promethazine and codeine (PO) Phenergan with Codeine CS-V Cough dizziness, somnolence, xerostomia, blurred vision, constipation, respiratory depression (dose-related) BW:concomitant use of opioids with benzodiazepines or other CNS depressants No codeine cough for <18 years of age
Histamine (H1) blocker olopatadine (ophthalmic) Pataday, Patanol OTC Allergic conjunctivitis Key Side Effects: ocular burning, discomfort, dryness
Histamine (H1) blocker levocetirizine (PO) Xyzal OTC Allergic rhinitis Key Side Effects: diarrhea, drowsiness, headache
Histamine (H1) blocker cetirizine (PO) loratadine (PO) fexofenadine (PO) Zyrtec Claritin Allegra OTC Allergic rhinitis Key Side Effects: drowsiness, dizziness, headache
Histamine (H1) blocker hydroxyzine (PO, IV) Atarax, Vistaril Atarax, Vistaril Key Side Effects: dizziness, somnolence, xerostomia, blurred vision, QTc prolongation
Histamine (H1) blocker diphenhydramine (PO, IV) Benadryl 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
Histamine (H1) blocker azelastine (intranasal) Astepro OTC Allergic rhinitis Key Side Effects: headache, nasal dryness, epistaxis, bitter taste, drowsiness
Corticosteroid triamcinolone (intranasal) fluticasone (intranasal) Nasacort FLonase OTC OTC Allergic rhinitis Key Side Effects: nasal dryness, epistaxis, nasal burning, headache
Alpha (α1) agonist pseudoephedrine (PO) Sudafed 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
Antitussive benzonatate (PO) Tessalon Perles Cough Key Side Effects: sedation, nasal congestion, chills, chest numbness, bronchospasm Other Notes: do not break capsule because it may cause choking
Antitussive dextromethorphan (PO) Delsym OTC Cough Key Side Effects: nausea, drowsiness, dizziness, constipation Other Notes: CI within 14 days of MAOI
Expectorant guaifenesin (PO) Mucinex, Robitussin, Robafen OTC Cough Key Side Effects: nausea, vomiting, dizziness, headache, diarrhea, stomach pain
Corticosteroid clobetasol (topical) Temovate, Clobex 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
Antiseptic chlorhexidine (topical, PO) Hibiclens, Peridex Hibiclens: OTC Skin cleanser, periodontitis, gingivitis Key Side Effects: dysgeusia, increased tartar formation, mouth discoloration, mouth irritation
Retinoic acid derivative adapalene (topical) Differin OTC Acne Key Side Effects: xeroderma, skin exfoliation, erythema, stinging, burning, pruritus
Pediculocide permethrin (topical) Nix, Elimite Nix: OTC Lice, scabies Key Side Effects: itching, burning, redness, swelling of scalp
Calcineurin inhibitor cyclosporin (ophthalmic) Restasis Keratoconjunctivitis sicca Key Side Effects: ocular burning, stinging, pruritus, foreign body sensation, hypersensitivity reaction
Prostaglandin analog latanoprost (ophthalmic) Xalatan, Xelpros, Iyuzeh Elevated IOP Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision
Prostaglandin analog bimatoprost (ophthalmic) Lumigan, Latisse Elevated IOP, eyelash hypotrichosis Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision
Non-selective beta-blocker timolol (ophthalmic) Timoptic, Timoptic XE, Istalol Elevated IOP Key Side Effects: blurred vision, ocular stinging and burning
Alpha2 agonist brimonidine (ophthalmic) Alphagan P, Lumify Lumify: OTC Elevated IOP Ocular redness Key Side Effects: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritus Other Notes: CI with MAOI therapy
Created by: beezy41
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