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HU - Pharm Care 5 - Group 6 - Self Care Worksheet #2 (Respiratory) - Silver (08.21.2020)

This worksheet summarizes information on 7 common nonprescription drugs: nasal decongestants (Sudafed PE, Sudafed, Afrin Nasal Spray), antihistamines (Claritin, Zyrtec, Xyzal, Benadryl). For each drug, it provides the active ingredients, recommended dosing, warnings, precautions and counseling points. Students are instructed to use these details to counsel patients on the appropriate use and safety of these over-the-counter medications.

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kadesha
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0% found this document useful (0 votes)
67 views10 pages

HU - Pharm Care 5 - Group 6 - Self Care Worksheet #2 (Respiratory) - Silver (08.21.2020)

This worksheet summarizes information on 7 common nonprescription drugs: nasal decongestants (Sudafed PE, Sudafed, Afrin Nasal Spray), antihistamines (Claritin, Zyrtec, Xyzal, Benadryl). For each drug, it provides the active ingredients, recommended dosing, warnings, precautions and counseling points. Students are instructed to use these details to counsel patients on the appropriate use and safety of these over-the-counter medications.

Uploaded by

kadesha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Self-Care WorkSheet #2

Pharm Care V: Nonprescription Drugs and Products

Student’s Names: Kadesha Fox & Dajana Srbljan & Justin Moody & Sheqira Chambers

Group: 6

Date: 08-21-2020 (DUE: 08-21-2020 @ 9AM)

Pharmacy Name: www.accessdata.fda.gov, www.rxlist.com, www.webmd.com

Address: N/A

Module Name: Respiratory Disorders


Warnings,
Trade Name Active Ingredients Contraindications, Counseling Points
Precautions/
and (including Recommended Dosing Interactions, etc.
strength)
Therapeutic Category
1) Sudafed PE Phenylephrine HCl ● 12 y/o & up: 1 tab ● Do not use it if taking a ● Take in morning, as it can
every 4 hours. Do MAOI or for 2 weeks keep you awake
[Nasal Decongestant] 10mg tabs not take more than 6 after stopping the MAOI ● Do not take more than 6
tabs in 24 hours drug. tablets in a day
● Ask a doctor before use ● Stop use and ask a doctor if
if you have: heart you notice changes in heart
disease, high blood rate, blood pressure,
pressure, thyroid nervousness, or dizziness
disease, diabetes, ● Talk to your doctor if
trouble urinating due to symptoms do not improve
enlarged prostate gland within 7 days or if you
develop a fever

2) Sudafed Pseudoephedrine ● Adults & children 12 ● Do not use it if you are ● Take in morning as it can keep
HCl y/o & up: 1 tablet now taking a MAOI or 2 you awake
[Nasal Decongestant] every 12 hours, do weeks after stopping ● Do not take more than 2 tablets
120mg not take more than 2 the MAOI drug. in a day
tablets in 24 hours ● Ask a doctor before use ● Stop use and ask a doctor if
if you have: heart you notice changes in heart
disease, high blood rate, blood pressure,
pressure, thyroid nervousness, or dizziness
disease, diabetes, ● Talk to your doctor if symptoms
do not improve within 7 days or
trouble urinating due to
if you develop a fever
enlarged prostate gland

3) Afrin Nasal Spray Oxymetazoline HCl ● Adults & children 6- ● Do not use if seal is ● Do not use for more than 3
12 y/o: 2 or 3 sprays broken or missing days, talk to your doctor if
[Nasal Decongestant] 0.05% in each nostril, not ● Ask a doctor before use symptoms persist
more often than if you have: heart ● Do not tilt head back when
every 10-12 hours. disease, high blood spraying and wipe the nozzle
Do not exceed 2 pressure, thyroid clean after use.
disease, diabetes, ● Stop use and ask a doctor if
doses in a 24 hour trouble urinating due to you notice changes in heart
period. enlarged prostate gland rate, blood pressure,
● Do not use more than nervousness, or dizziness
directed or for more
than 3 days
● Temporary discomfort
such as burning,
stinging, sneezing, or
increase in nasal
discharge may occur
● Stop use and ask
doctor if sx persist
● If pregnant or breast-
feeding, ask doctor
before use

4) Claritin Loratidine ● Children under 6 or ● Avoid if you have had an ● Only use as directed
have ckd: consult allergic reaction in the ● Store in a dry environment
(Loratadine) 10 mg physician past to this medication
● Children and adults ● Do not take more than
[Antihistamine] directed; may cause
over 6: 1 tab po
drowsiness
daily ● Keep out of reach of
children
● Store away from
excessive moisture

5) Zyrtec Cetirizine ● Children 6 and ● Provides relief for ● Use only as directed; may
older: use one tablet running nose, sneezing, cause drowsiness
(Cetirizine) 10 mg po daily, possibly 5 itchy watery eyes/throat ● Store in a dry environment
mg if symptoms are ● Avoid use if allergic to ● Keep away from children
not as severe this medication ● Be cautious with sedatives
● Children under 6: ● Consult doctor if there and alcoholic substances
[Antihistamine] contact physician are kidney or liver
● Adults over 65: problems
Consult physician

6) Xyzal Levocetirizine ● Take 1 tab po daily ● Used for sneezing, ● Store in a dry environment
● Take ½ tab possibly runny nose, itchy and ● Keep away from children
(Levocetirizine) 5 mg if symptoms are less watery eyes ● Avoid alcohol and sedatives
severe ● Use caution if there has ● Use caution when driving;
[Antihistamine] been trouble urinating in may cause drowsiness if used
the past to often
● Consult doctor if there
are kidney or Liver
problems

7) Benadryl Diphenhydramine ● Children under 6: do ● Relieves symptoms of ● Caution with other products
not use common cold, runny that contain Diphenhydramine
(Diphenhydramine) 25 mg ● Children 6-12: take nose, itchy watery eyes, ● Keep away from children
1 tab po every 4-6 sneezing ● Caution with alcohol or
[Antihistamine] hours ● Use caution if there has sedatives
● Children 12 and been trouble urinating ● Store in a dry environment
over: take 1-2 tabs or emphysema or any ● Caution with older adults;
po every 4-6 hours breathing issues may cause drowsiness

8) DayQuil Cough Dextromethorphan ● Adults and children ● Contraindications: ● Ask the patient to describe
HBr 10mg 12 years and over: taking a prescription their symptoms.
[Antitussives / 30 mL every 4 hours monoamine oxidase ● Ask the patient about their
● Children 6-12 years inhibitor (MAOI) [certain drug therapy, including
Protussive] old: 15 mL every 4 drugs for depression, treatment of depression or
hours psychiatric or emotional Parkinson's disease
● Children 4-6 years ● Consult a physician if no
Guaifenesin 200mg old: consult conditions, or improvement is seen after 7
physician Parkinson's disease], or days or in the presence of a
● Children under 4 for 2 weeks after high fever or headache.
years old: do not stopping the MAOI ● If a patient has a persistent or
use drug. chronic cough, such as
● If pregnant or breast- occurs with smoking, asthma,
feeding, ask a health chronic bronchitis, or
professional prior to emphysema.
use. ● Cough that occurs with too
much phlegm (mucus).
● Sodium-restricted diet
● Keep out of reach of children
● In case of overdose, get
medical help or contact a
Poison Control Center
immediately.

9) Mucinex Dextromethorphan ● Adults and children12 ● Contraindications: taking a ● Do not crush, chew, or reak
HBr 60mg years and older: 1 prescription monoamine tablet
(Guaifenesin) tablet every 12 hrs; oxidase inhibitor (MAOI) ● Take with a full glass of water
not more than 2 [certain drugs for ● This product can be
[Antitussives / tablets in 24 hours depression, psychiatric or
administered without regard
emotional conditions, or
Protussive] Guaifenesin for timing of meals
Parkinson's disease], or
1200mg for 2 weeks after stopping ● Cough lasts more than 7
● Immediate release the MAOI drug. days, comes back, or occurs
● Allergic reactions: rash, with fever, rash, or persistent
formulation: 200 to itching/swelling, dizziness, headache stop use and talk to
400 mg orally every 4 difficulty breathing your PCP.
Guaifenesin hours as needed; not ● Precautions: do not give
to exceed 2.4 g/day to children younger than 2
100 mg in 5 mL ● Sustained release years of age
formulation: 600 to ● Should not be used for
1200 mg orally every persistent or chronic
12 hours; not to cough
exceed 2.4 g/day

10) Nasacort Allergy Triamcinolone ● Adults and Children12 ● Warning: children under ● Do not use more than directed
24hr acetonide years+: starting dose 2 years old and allergic ● If you forget a dose, do not
of 2 sprays in each reaction of the double the next dose
(Triamcinolone) 55 mg nostril once a day. ingredients ● Do not spray into eyes or mouth
(glucocorticoid) ● Children 6-11 years of ● If you get the spray in your eyes,
● The growth rate of
age: starting dose of rinse well with water
[intranasal some children may be
once daily, spray 1 ● If allergy symptoms do not
Corticosteroids)] time into each nostril slower while using this improve after one week, stop
while sniffing gently product using and talk to a doctor
● Children 2-6 years of ● Do not share with anyone, as
age: once daily, spray this may spread germs
1 time into each nostril ● Children 11 and under should be
while sniffing gently supervised by an adult
● Children under 2 years of age do
not use

11) Flonase Allergy Fluticasone ● Adults and Children ● C/I: Medicines for HIV ● Do not use to treat asthma
Relief propionate 12 Years of Age and infection, Medicines ● This medicine may raise the
(glucocorticoid) Older - with glucocorticoids, chance of cataracts or glaucoma
(Fluticasone) Week 1: use 2 sprays Ketoconazole, pregnant ● This medicine may cause weak
50mcg in each nostril once bones with long term use
or breastfeeding, and
daily - Week 2 ● Do not spray in the eyes or
[intranasal younger than 4 years
through 6 months: use mouth
corticosteroids] 1 or 2 sprays in each old
● Allergic reaction to this ● Children should use it for the
nostril once daily, as product or of the shortest amount of time
needed to treat your ingredients necessary to achieve symptom
symptoms - relief. Talk to your child’s doctor
After 6 months of daily if your child needs to use the
use: ask your doctor if spray for longer than 2 months a
you can keep using year
Children 4 to 11 Years
of Age: Use 1 spray in
each nostril once daily

12) Codeine Codeine ● The usual adult ● Avoid use with CNS ● Habit forming
Phosphate dosage for tablets is depressants: Barbiturates, ● Take exactly as directed
(Tylenol-Codeine) Hemihydrate 15 mg to 60 mg opioids, sedatives, alcohol ● Do not take more, too often or
repeated up to every in a different way than
[Antitussive: single- 10 mg in 5 mL ● Common side effects:
four hours as prescribed
entity] nausea, vomiting,
needed for pain. sedation, dizziness,
● May cause serious or life
The maximum 24 constipation threatening breathing
hour dose is 360 ● Contraindications: problems
mg. The initial dose systemic mastocytosis, ● Avoid alcohol intake or illicit
should be titrated untreated decreased level drugs
based upon the of thyroid hormones, ● Inform doctor of pregnancy
individual patient's decreased function of the
response to their adrenal gland, alcohol
initial dose of intoxication, drug abuse,
cor pulmonale, low blood
codeine.
pressure, and asthma.

13) Camphor Terpene Ketone ● Pruritus and pain: ● Toxic if ingested and ● Adults should avoid oral
3% to 11% ointment toxicity can occur with intake as it is unsafe
(Cemphire, 4.6 g in 115 g is 3-4 times daily. as little as 4 ● Avoid eye contact
Cinnamomum teaspoonfuls of product ● Easily absorbed through
Camphora) ● Cough: thick layer of
containing 5% camphor broken skin and can reach
4.7% to 5.3% on ● Unsafe if taken orally by toxic levels
[Antitussive: topica] throat and chest. adults
● Osteoarthritis: ● Severe side effects,
topical cream such as burning of
containing camphor mouth/throat, nausea,
(32 mg/g), vomiting and death
glucosamine sulfate ● Precautions: redness,
(30 mg/g), and irritation, coughing,
chondroitin sulfate wheezing
(50 mg/g) as ● Avoid eye contact
needed on sore
joints for up to 8
weeks.
● Inhalation: 1
tablespoon of
solution per quart of
water is placed
directly into a hot
steam vaporizer,
bowl, or washbasin
and repeated up to
3 times a day.

14) Acetylcysteine N-acetyl-L-cysteine ● The total dose is ● Warnings: asthma ● Do not take if diagnosed with
(NAC) 300 mg/kg, given as patients asthma
(Mucomyst) 3 separate doses, ● Precautions: may ● Refrigerate opened vial
administered over a increase risk of ● Unpleasant smell
total of 21 hrs. bleeding in your
esophagus and
[Protussive] 500- to 1,000-mg stomach
capsules. The ● Moderate interactions of
strength most acetylcysteine include:
commonly activated charcoal.
available is the
600-mg capsule
(Pure
Encapsulations)

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