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