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