OTC Medications For Allergy (Antihistamines) H1 Receptor Blockers 1) Loratidine = Claritin a. Indoor and outdoor allergies b.

. Cant take if hypertensive or pregnant c. Ask if have kidney or liver disease 2) Diphenhydramine = Benadryl a. Most potent, makes drowsy, also used as sleeping aid sometimes b. #1 choice for allergic reactions c. Ask if have breathing problem (emphysema or chronic bronchitis) 3) Fexofenadine = Allergra a. Indoor and outdoor allergies b. Cant take if hypertensive or pregnant c. Do not take with fruit juice or at same time as Mg or Al antacids 4) Cetrizine = Zyrtec a. Indoor and outdoor allergies b. Ask if have liver or kidney disease c. Cant take if hypertensive or pregnant For Nasal Relief 1) Oxymetazoline = Mucinex a. Long lasting b. Nose bleed if use more than 2x/day 2) Phenylephrine a. Short acting (4-6 hours) b. ACE inhibitors for diabetes patients, may be hypertensive and should watch when taking 3) Sodium Chloride and Sodium Bicarbonate (Netipot) For Nasal Congestion: take combination of antihistamine with pseudoephedrine For Sore Throat local anesthetics 1) Cepacol 2) Chloraseptic (Benzocaine, Menthol) a. May lose taste with sprays of either b. Glycerin soothing (removes scratch) For Chest Congestion: expectorant (guanifensin) like Mucinex For Pain 1) Naproxen (Aleve)

Dosed 2x/day (long lasting) NSAID ant inflammatory pain Cause GI bleeding in long term (so dont take for more than few days) Do not take if have stomach ulcer, can use for few days if also taking medication maintaining stomach ulcer e. Do not take if taking Plavix or any other heart disease medications 2) Ibuprofen (Advil, Motrin) a. Taken every 6hours b. Safe with alcohol c. NSAID back pain, arthritis pain d. Cause GI bleeding in long term e. Do not take if have stomach ulcer, can use for few days if also taking medication maintaining stomach ulcer f. Do not take if taking Plavix or any other heart disease medications 3) Aspirin a. NSAID b. Cause GI bleeding (worst one) in long term use c. Do not take if have stomach ulcer, can use for few days if also taking medication maintaining stomach ulcer d. Do not take if taking Plavix or any other heart disease medications 4) Acetominaphen (Tylenol) a. Pure analgesic, non-inflammatory pain, fever b. Not safe with alcohol because both metabolized in liver c. Ask if have liver disease d. Ask if taking blood thinning drug like Warfarin GI Medications 1) Lansoprazole = Prevacid a. PPI, acid reducer b. Preventative c. Interacts with Plavix (prevents strokes and heart attack) d. Can take for long period of time 2) Omeprazole = Prilosec a. PPI, acid reducer b. Preventative c. Interacts with Plavix d. Can take for long period of time 3) Rantidine = Zantac a. H2 antagonist, acid reducer b. Fast acting, quick c. Can be taken with PPI but only short term (until symptoms go away) 4) Famotidine = Pepcid a. H2 antagonist, heartburn b. Fast acting, quick c. Can be taken with PPI but only short term (until symptoms go away)

a. b. c. d.

5) Simethicone = anti-gas (Gas-X) 6) Loperamide = antidiarrheal (Imodium, Kaopectate) 7) Mexlizine = motion sickness (Bonine) 8) Calcium Carbonate (Kids Pepto, Tums) 9) Sennosides (laxative) 10) Bisacodyl (Ducolax) 11) Docusate Sodium (stool softener) - Colase 12) Polyethyl Glycol (MiraLAX) = osmotic laxative, safe for kids (5yr+) First AID OTCs 1) 2) 3) 4) 5) 6) 7) 8) Tolnaftate = antifungal (Tinactin) Terbinafine (Lamisil) = antifungal Clotrimazole (Lotrimin) = antifungal (most common) Hydrocortisone (Cortizone) = anti-itch (rash, redness, bumps, eczema, allergic reaction) Neosporin (Bacitracin, Neomycin, and Polymycin) = on cuts, scrapes; clean first with hydrogen peroxide then apply and cover with gauze Gold Bond = Dimethicane, Pramoxine Menthol and Benzocaine topical analgesic (numbs down pain) Carbamide peroxide ear wax removal aid (best)

Scenario #1 Patient comes in with back pain and wants an OTC for it. But he has liver disease and has allergy to aspirin. Scenario #2 Patient walks into pharmacy saying his heartburn has been bothering him for couple months now. He has recently had a heart attack and doesnt know what to take. Scenario #3 Patient comes into pharmacy with diarrhea, bloating stomach and gas. He recently caught a cold and has a sore throat as well. Scenario #4 Patient comes in asking what to take for his arthritis pain. He also has acid reflux and is taking prescription Warfarin. Scenario #5 Patient is constipated, has recently had transplant surgery (kidney) and has a fever.