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