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