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cH 13 Over-the-Counter Medications

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OTC Medications   42% of adults take an OTC medication. 49% report dietary supplement use. Assume all patients have tried an OTC treatment.  
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OTC Medications   OTC drugs are approved and labeled by the FDA. OTC must go through the New Drug Application process just as prescription drugs. There are 80 therapeutic categories of OTC drugs.  
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Annual OTC Medication Sales   Cough and cold medications: $4 billion OTC analgesics: $3.99 billion Heartburn: $2.28 billion Laxatives: $1.3 billion  
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Annual OTC Medication Sales   Acne: $617 million Diarrhea: $225 million Nicotine replacement: $855 million  
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OTC Drugs   An OTC drug has the following characteristics: It must be safe. It has low potential for misuse or abuse.  
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OTC Drugs   It can be labeled. The patient must be able to self-diagnose the condition/The condition must be able to be managed by the patient.  
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Self-Prescribing   The patient must accurately diagnose and appropriately treat/Concerns/Treating serious illness that worsens due to lack of appropriate treatment  
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Self-Prescribing   Example: treating bacterial pneumonia with OTC cough medication Adverse effects of medications Drug interactions  
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Hazards of OTC Self-Medication   Inaccurate dosing Toxic levels due to overdose Acetaminophen toxicity Overuse  
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Hazards of OTC Self-Medication   Combination medications Decongestant medications in infants/young children  
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Hazards of OTC Self-Medication   Infant drops removed from market Relabeled not to use under age 4 years  
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Adverse Effects of OTC Medications   Gastrointestinal (GI) upset/GI bleeding/Sedation/ Impaired driving/Drug interactions  
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OTC Medication Abuse   Dextromethorphan abuse Dysphoria at high doses similar to lysergic acid diethylamide Easily accessible for teens  
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OTC Medication Abuse   Pseudoephedrine Precursor to methamphetamine  
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OTC Medication Abuse   Federal law restricting daily and 30-day amounts Stored behind counter and identification required  
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