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