Anesthetizes stretch receptors in resp passages, thereby decreasing cough Benzonatate (Tessalon Perles) nasal use may cause permanent loss of smell but herbal/oral preparation demonstrated ability to reduce severity/duration of cold sx Zinc p. 628 Guaifenesin (Mucinex) Prototype expectorant honey no strong evidence against use for tx of cough sx p. 620 Acetylcysteine Mucolytic prototype, PO form used to treat Tylenol OD p. 627) CNS depression Primary side effect of 1st generation antihistamines Free! Illicit manufacturing for amphetamines restricts use Psudoephedrine p.620 Many anti- depressants interact with this med Dextromethorphan p. 625 Phenylephrine (Vazculep; Neo- Synephrine) available in eye and nasal preparation p 623) Am Academy of Ped's advise against antitussives in young due to thes adverse effects behavioral disturbance and respiratory depression p 625 Narcotic known for antitussive effect Codeine p. 625 May cause rebound effects if used >3 days p. 623 Oxymetazoline (AFRIN) Dextromethorphan (Delsym) Prototype Antitussive Expectorants work by increasing production of and liquefying secretions for easier removal P 626 & 627 Ibuprofen & Acetaminophen used in many non- prescription cold remedies p. 629 LESS likely to produce systemic effects than oral or IV preparations Topical (nasal) Preparation p 623 Over 7,000 # of annual visits due to dosage errors of cough/cold meds in children p 622 Increases effects of pseudoephedrine cocaine,digoxin, MAO inhibitors, general anesthetics, thyroid preparations Box 31.1 Should be avoided by elderly w/CV disease decongestants p. 621 & 623 p Produces vasoconstriciotn to decrease nasal congestion Interacts w/ St. John's Wort & tryptophan with increase risk for serotonin syndrome dextromethorphan PSEUDOEPHEDRIN (SUDAFED) Prototype Decongestant p.621 Suppress cough by acting on cough center in Medulla or stretch receptors in throat Antitussives p. 624 Diphenhydramine (Benadryl) Used as an adjuvant med in anaphylaxis Benzonatate (Tessalon Perles) should swallowed, can cause mouth/throat numbness Anesthetizes stretch receptors in resp passages, thereby decreasing cough Benzonatate (Tessalon Perles) nasal use may cause permanent loss of smell but herbal/oral preparation demonstrated ability to reduce severity/duration of cold sx Zinc p. 628 Guaifenesin (Mucinex) Prototype expectorant honey no strong evidence against use for tx of cough sx p. 620 Acetylcysteine Mucolytic prototype, PO form used to treat Tylenol OD p. 627) CNS depression Primary side effect of 1st generation antihistamines Free! Illicit manufacturing for amphetamines restricts use Psudoephedrine p.620 Many anti- depressants interact with this med Dextromethorphan p. 625 Phenylephrine (Vazculep; Neo- Synephrine) available in eye and nasal preparation p 623) Am Academy of Ped's advise against antitussives in young due to thes adverse effects behavioral disturbance and respiratory depression p 625 Narcotic known for antitussive effect Codeine p. 625 May cause rebound effects if used >3 days p. 623 Oxymetazoline (AFRIN) Dextromethorphan (Delsym) Prototype Antitussive Expectorants work by increasing production of and liquefying secretions for easier removal P 626 & 627 Ibuprofen & Acetaminophen used in many non- prescription cold remedies p. 629 LESS likely to produce systemic effects than oral or IV preparations Topical (nasal) Preparation p 623 Over 7,000 # of annual visits due to dosage errors of cough/cold meds in children p 622 Increases effects of pseudoephedrine cocaine,digoxin, MAO inhibitors, general anesthetics, thyroid preparations Box 31.1 Should be avoided by elderly w/CV disease decongestants p. 621 & 623 p Produces vasoconstriciotn to decrease nasal congestion Interacts w/ St. John's Wort & tryptophan with increase risk for serotonin syndrome dextromethorphan PSEUDOEPHEDRIN (SUDAFED) Prototype Decongestant p.621 Suppress cough by acting on cough center in Medulla or stretch receptors in throat Antitussives p. 624 Diphenhydramine (Benadryl) Used as an adjuvant med in anaphylaxis Benzonatate (Tessalon Perles) should swallowed, can cause mouth/throat numbness
(Print)
Benzonatate
(Tessalon Perles)
Zinc
p. 628
Prototype expectorant
no strong evidence against use for tx of cough sx p. 620
Mucolytic prototype, PO form used to treat Tylenol OD p. 627)
Primary side effect of 1st generation antihistamines
Free!
Psudoephedrine
p.620
Dextromethorphan p. 625
available in eye and nasal preparation p 623)
behavioral disturbance and respiratory depression p 625
Codeine p. 625
Oxymetazoline
(AFRIN)
Prototype Antitussive
work by increasing production of and liquefying secretions for easier removal P 626 & 627
used in many non-prescription cold remedies p. 629
Topical (nasal) Preparation p 623
# of annual visits due to dosage errors of cough/cold meds in children
p 622
cocaine,digoxin, MAO inhibitors, general anesthetics, thyroid preparations
Box 31.1
decongestants
p. 621 & 623 p Produces vasoconstriciotn to decrease nasal congestion
dextromethorphan
Prototype Decongestant
p.621
Antitussives p. 624
Used as an adjuvant med in anaphylaxis
should swallowed, can cause mouth/throat numbness
