Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
28 Cards in this Set
- Front
- Back
Intranasal corticosteroids |
1st line for chronic, moderate to severe rhinitis Triamcinolone (Nasacort), budesonide (Rhinocort), fluticasone(Flonase)- OTC Warning- adrenal suppression, delayed wound healing, lower growth in kids, infection risk, eye problems Shake bottles before use and discard after approx doses |
|
Beclomethasone |
Beconase AQ, Qnasi For >6yo 1-2 sprays BID |
|
Budesonide |
Rhinocort Aqua, OTC For >6yo 1 spray daily Preferred for pregnancy (B) |
|
Ciclesonide |
Omnaris, Zetonna For >6yo 2 sprays daily, 1 spray daily |
|
Fluticasone |
Flonase, OTC, Veramyst +azelastine-Dymista Veramist >2 yo, 1-2 sprays daily Flonase >4yo, 1 spray daily, 2 sprays for adult Dymista >6yo, 1 spray BID |
|
Mometasone |
Nasonex For >2yo 1 spray daily, 2 daily for adults |
|
Triamcinolone |
Nasocort, OTC For >2yo 1-2 spray daily |
|
Oral antihistamines |
1st for mild-moderate, little for congestion, 2nd generation preferred (less sedation) 1st- clemastine, diphenhydramine, carbinoxamine, chlorpheniramine 2nd- cetirizine, levoceterizine, fexofenadine, loratidine, desloratidine Intranasal- azelastine, olopatadine |
|
2nd gen oral antihistamine |
Contra(levoceterizine)- ESRD, renal impairment Side fx- somnolence Fexofenadine: take with water, avoid aluminum, magnesium D/c 4 days before allergy skin test Loratidine and ceterizine preferred in pregnancy |
|
Cetirizine |
Zyrtec Cap,.tab, sol, syrup, chew, otc 5-10mg po daily >2yo |
|
Levoceterizine |
Xyzal Tab, sol For >6month old 1.25mg po qhs 6-11yo; 5mg qhs Adult 5-10mg qhs |
|
Fexofenadine |
Allegra Tab, susp, odt >2yo 30-60mg po bid or 180mg daily |
|
Loratidine |
Claritin, Alavert Tab, cap, chew, sol, syrup, odt >2yo 5mg po daily or 10 mg po daily |
|
Desloratidine |
Clarinex Tab, syr, odt >6month old 1mg daily for <1yo, 1.25mg for 1-5yo, 2.6mg for 6-11, 5mg po daily |
|
Intranasal antihistamine |
Azelastine(Astelin) and Olopatadine (patanase) 1-2sprays BID |
|
Decongestants(oral) |
Contra- MAOI within 14 days Warning- avoid with children <2 yo, caution in cardiac diseases Pregnancy C Sale limited- logbook kept of people buying pseudoephedrine (3.6g at purchase and 9 grams in 30 day period) |
|
Phenylephrine HCl |
Sudafed PE Tab, liquid, sol, inj 2.5-10mg q4hr prn, max 15-60 |
|
Pseudoephedrine |
Sudafed, Nexafed, Zephrex-D Tab, liquid, syr 15-60mg q4-6hr prn, max 60-240mg daily |
|
Topical(intranasal) |
Naphazoline (privine), oxymetazoline (Afrin), phenylephrine 0.125%-1% (Neo-synephrine), tetrahydrozoline 0.05-1% (tyzine) Limit use to <3days to avoid rebound congestion Tyzine is Rx |
|
Intranasal cromolyn |
Nasalcrom 1 spray q6-8hr Used in kids and pregnancy due to side fx profile |
|
Sublingual immunotherapy |
Alternative to allergy shots Oralair, grastek, ragwitek for grass, and ragweed Started 4:3:3 months before allergy season and during |
|
Expectorants |
Guaifenesin- mucinex Tab, cap, liquid, syrup, granule Not for otc <2yo |
|
Cough suppressant |
For dry unproductive coughs or productive cough at night Dextromethorphan, codeine, benzonatate, diphenhydramine |
|
Dextromethorphan |
Delsym, dayquil Cap, liquid, lozenge, strip Max 120mg day, q4-12hr dosing Contra- MAOI within 14 days |
|
Codeine |
C-II Max 120mg/day, q4-6hr dosing Boxed- respiratory depression following tonsillectomy/adenoidectomy, rapid 2D6 metabolizer Contra- paraltic ileus, during labor |
|
Benzonatate |
Tesaalon, Perles, Zonatuss Max 600mg/day, TID dosing |
|
Products in kids |
Safety concern in products for children Avoid: Promethazine with codeine in <6yo Decongestants, 1st gen antihist <4yo Promethazine <2yo Acetaminophen suspension(160mg/5ml)- 10-15mg/kg/dose q4-6hr prn, max 5 dose q24hr Ibuprofen liq drop(50mg/1.25ml)/suspension(100mg/5ml)- 5-10mg/kg/dose q6-8hr prn, max 40mg/kg/day for both |
|
Combo products |
Dextromethorphan/promethazine Brompheniramine/pseudoephedrine/dextromethorphan- bromfed DM Promethazine/phenylephrine/codeine- promethazine VC/codeine(C-V) Guaifenesin/codeine- robafen AC, Virtussin AC(C-V) Guaifenesin/codeine/pseudoephedrine- cheratussin DAC, Mytussin DAC(C-V) Chlorpheniramine/hydrocodone- Tussicaps, Tussionex, Vituz(C-ii) Chlorpheniramine polistirex/codeine polistirex- Tuzistra XR(C-iii) |