Chapter 29 Over-the-Counter Medications
Oxytrol
What OTC product is available to women for overactive bladder?
budesonide
Generic Name: _______________ Brand Name: Rhinocort Allergy Spray Drug Class: Allergic rhinitis medication; nasal steroid Note: Rx to OTC
Circadian rhythms
24-hour cycles of regular biological changes. In pharmacology, this often involves medications affecting sleep/wake cyles
A. Drowsiness
A common side effect of first-generation antihistamines is: A. Drowsiness B. Diarrhea C. Agitation D. Constipation
True
True or False: Diphenhydramine regularly causes next day drowsiness in older adults.
A. Ibuprofen
Advil and Motrin carry the generic name: A. Ibuprofen B. Doxylamine C. Acetaminophen D. Diphenhydramine
A. Guaifenesin
An expectorant like _______________ thins mucous. A. Guaifenesin B. Diphenhydramine C. Naphazoline D. Cetirizine
B. Reye's syndrome
Children and teenagers should not take aspirin for chickenpox or flu because it has been associated with: A. Toxic shock syndrome B. Reye's syndrome C. Sudden infant death syndrome D. Acquired immunodeficiency syndrome
phenylephrine
Generic Name: _______________ Brand Name: Neo-Synephrine Drug Class: Nasal decongestant Note: Can cause rebound nasal congestion if used for longer than 3 consecutive days
esomeprazole
Generic Name: _______________ Brand Name: Nexium 24HR Drug Class: Proton pump inhibitor Note: Rx to OTC
ibuprofen
Generic Name: _______________ Brand Name: Advil, Motrin Drug Class: NSAID
oxymetazoline
Generic Name: _______________ Brand Name: Afrin Drug Class: Nasal decongestant Note: Can cause rebound nasal congestion if used for longer than 3 consecutive days
naproxen
Generic Name: _______________ Brand Name: Aleve Drug Class: NSAID
fexofenadine
Generic Name: _______________ Brand Name: Allegra Drug Class: Nonsedating antihistamine Note: Rx to OTC
diphenhydramine
Generic Name: _______________ Brand Name: Benadryl Drug Class: Antihistamine, sedating
loratadine
Generic Name: _______________ Brand Name: Claritin Drug Class: Nonsedating antihistamines Note: Rx to OTC
benzoyl peroxide
Generic Name: _______________ Brand Name: Clearskin, Clearplex, Acne medication, Zaclir Cleansing Drug Class: Topical agents used to treat acne Note: Is the most common among teenagers
dextromethorphan
Generic Name: _______________ Brand Name: Delsym Drug Class: Cough suppressant (antitussive) Note: Products containing this may feature a "DM"
aspirin
Generic Name: _______________ Brand Name: Ecotrin, Bayer Drug Class: NSAID
fluticasone
Generic Name: _______________ Brand Name: Flonase Allergy Relief Drug Class: Allergic rhinitis medication; nasal steroid Note: Rx to OTC
psyllium
Generic Name: _______________ Brand Name: Metamucil Drug Class: Fiber/Bulk laxative Note: Can be called a "bowel stabilizer" because it can be used to treat diarrhea and constipation
polyethylene glycol
Generic Name: _______________ Brand Name: MiraLax Drug Class: Laxative Note: Rx to OTC
guaifenesin
Generic Name: _______________ Brand Name: Mucinex Drug Class: Expectorant
triamcinolone
Generic Name: _______________ Brand Name: Nasacort Allergy 24HR Drug Class: Allergic rhinitis medication; nasal steroid Note: Rx to OTC
pseudoephedrine
Generic Name: _______________ Brand Name: Sudafed Drug Class: Oral/Systemic decongestant Note: -Products containing this may feature a "D" -Log book or electronic record containing customer's name, address, identification, and signature; date and time of sale; and name and quantity of product sold. Keep records for at least 2 yr. Limited purchase amounts for 1-day and 1-mo intervals
acetaminophen
Generic Name: _______________ Brand Name: Tylenol Drug Class: NSAID
cetirizine
Generic Name: _______________ Brand Name: Zyrtec Drug Class: Nonsedating antihistamine Note: Rx to OTC
pseudophedrine (Sudafed) and Plan B
Give 2 examples of an OTC product that is kept behind the pharmacy counter
D. All of the above
Ibuprofen can reduce: A. Fever B. Inflammation C. Pain D. All of the above
diphenhydramine and doxylamine
List 2 examples of sleep aid products
elderly and infants/young children
List 2 examples of special population groups that are at particular risk for recieving an inappropriate medication, the wrong dose, or the wrong drug product.
Accessibility, affordability, trust, and empowerment
List 4 reasons why consumers use OTC products
B. Is an endogenous hormone
Melatonin: A. Stops diarrhea B. Is an endogenous hormone C. Comes as a topical agent D. Effectively treats athlete's foot
D. A and B
OTC agents such as Tums and Milk of Magnesia can reduce the effectiveness of: A. Quinolones B. Tetracyclines C. Insulin D. A and B
D. Tylenol (acetaminophen)
Taking too much _______________ on a daily basis can lead to liver toxicity. A. Benadryl (diphenhydramine) B. Mucinex (guaifenesin) C. Motrin (ibuprofen) D. Tylenol (acetaminophen)
C. Diphenhydramine
The OTC product most commonly used as an antihistamine is: A. Aspirin B. Ibuprofen C. Diphenhydramine D. Polyethylene glycol
B. 2 years
The US Food and Drug Administration (FDA) recommends that children under the age of _______________ should not use OTC cough and cold products. A. 1 year B. 2 years C. 4 years D. 5 years
manufacturer
The _______________ must also show that consumers can independently read, understand, and follow the product's labeling.
counsel
Unless the prescriber writes a script for an OTC item, the pharmacist is not required to _______________ patients on those products.
benzoyl peroxide
What is a common OTC product for acne?
B. Omeprazole
What is the generic name for the active ingredient of Prilosec OTC? A. Clotrimazole B. Omeprazole C. Esomeprazole D. Lansoprazole
Behind-the-counter (BTC) drug
a nonprescription medication kept "behind the [prescription] counter" that patients must buy at the pharmacy
adverse
When trying a new OTC medication, individuals should watch carefully for any _______________ reactions that may occur.
pseudophedrine (Sudafed)
Which decongestant does not cause drowsiness?
A. NSAIDs
Which drug class has an association with increased blood pressure? A. NSAIDs B. Stimulant laxatives C. Topical steroid creams D. Allergic rhinitis nasal inhalers
C. Acetaminophen (Tylenol)
Which drug does not have antiinflammatory properties? A. Aspirin B. Ibuprofen (Advil) C. Acetaminophen (Tylenol) D. Naproxen (Aleve)
Antitussive
a drug that can decrease a coughing reflex
Antiinflammatory
a drug that reduces swelling
Nutraceutical
a food or supplement with added health benefits
Pruritus
an itch
Expectorants
chemicals that loosen and thin sputum and bronchial secretions
Antipyretics
drugs that reduce fever
Analgesics
drugs that relieve pain
Legend drugs
medications that need a prescription
Over-the-counter (OTC) drugs
nonprescription medicines generally found outside the secure part of the pharmacy
oxybutynin
Generic Name: _______________ Brand Name: Oxytrol (for women) Drug Class: Patch for overactive bladder Note: Rx to OTC
lansoprazole
Generic Name: _______________ Brand Name: Prevacid 24HR Drug Class: Proton pump inhibitor Note: Rx to OTC
omeprazole
Generic Name: _______________ Brand Name: Prilosec OTC Drug Class: Proton pump inhibitor Note: Rx to OTC
C. Nonsteroidal antiinflammatory drug
NSAID stands for: A. Nonsafety caps for AIDS patients B. Not safe as an IUD service C. Nonsteroidal antiinflammatory drug D. Nonsteroidal antiinflammatory disease
therapeutic
Only pharmacists can provide _______________ advice about OTC medications.
True
True or False: The recommended duration for nonprescription sleep aids is 2 weeks maximum.
B. Aspirin
Which analgesic works to prevent heart attacks? A. Acetaminophen B. Aspirin C. Ibuprofen D. Naproxen