OTC 3

Cleans, lubricates, and protects the ear canal

Temporary deafness

Because it pushes the wax further in and can damage the eardrum

<p>Temporary deafness and a sensation that the ear is blocked</p> Signup and view all the answers

<p>Causing temporary deafness</p> Signup and view all the answers

<p>Seek medical advice for safe removal</p> Signup and view all the answers

<p>Chemical burns to the skin</p> Signup and view all the answers

<p>It can result in severe skin irritation</p> Signup and view all the answers

<p>Viral infection</p> Signup and view all the answers

<p>Sticky and purulent discharge</p> Signup and view all the answers

<p>Four sessions spaced over 2 weeks</p> Signup and view all the answers

<p>Treat all affected household members on the same day</p> Signup and view all the answers

<p>They are ineffective</p> Signup and view all the answers

<p>Time-consuming and labor-intensive</p> Signup and view all the answers

<p>Only for children older than 2 years</p> Signup and view all the answers

<p>It is not recommended, so hygiene measures should be adopted</p> Signup and view all the answers

<p>Use tissues to wipe the eyes and throw away immediately</p> Signup and view all the answers

<p>Close proximity to someone with viral respiratory tract infection</p> Signup and view all the answers

<p>Coating the lice internally and externally, leading to disruption in water excretion</p> Signup and view all the answers

<p>Simeticone (e.g. infacol)</p> Signup and view all the answers

<p>Increased biting and chewing</p> Signup and view all the answers

<p>Symptoms not improving or worsening over age of 4 months</p> Signup and view all the answers

<p>High resistance rates in the United Kingdom</p> Signup and view all the answers

<p>Gentle rubbing of the gum with a clean finger</p> Signup and view all the answers

<p>Allergy to cow’s milk</p> Signup and view all the answers

<p>Blocking the breathing system of lice</p> Signup and view all the answers

<p>Excessive and inconsolable crying, facial flushing and drawing up of legs.</p> Signup and view all the answers

<p>Colief (Lactase Enzyme)</p> Signup and view all the answers

<p>Olive oil</p> Signup and view all the answers

<p>Minor aphthous ulcers</p> Signup and view all the answers

<p>Ulcers lasting more than 14 days</p> Signup and view all the answers

<p>Sole of the foot</p> Signup and view all the answers

<p>Cutaneous warts</p> Signup and view all the answers

<p>Soaking the affected area in warm water for 5-10 minutes</p> Signup and view all the answers

<p>Chlorhexidine mouthwash</p> Signup and view all the answers

<p>Consider alternating paracetamol and ibuprofen</p> Signup and view all the answers

<p>Lie with the affected ear uppermost for 2-3 minutes</p> Signup and view all the answers

<p>Seek medical advice immediately</p> Signup and view all the answers

<p>Brown staining of teeth</p> Signup and view all the answers

<p>6 times</p> Signup and view all the answers

<p>Check for an existing nut allergy before use</p> Signup and view all the answers

<p>On the baby's gums</p> Signup and view all the answers

<p>Painless ulcers lasting more than 14 days</p> Signup and view all the answers

<p>3 months and older</p> Signup and view all the answers

<p>Hold the tablet in close proximity to the ulcer until dissolved, but do not suck on it</p> Signup and view all the answers

<p>Consider alternating paracetamol and ibuprofen</p> Signup and view all the answers

<p>6</p> Signup and view all the answers

<p>Lidocaine is used as a third line treatment option</p> Signup and view all the answers

<p>Causing temporary deafness</p> Signup and view all the answers

<p>It is time-consuming and requires patience</p> Signup and view all the answers

<p>Discomfort, crying, and irritability in infants</p> Signup and view all the answers

<p>Continue with the detection combing process</p> Signup and view all the answers

<p>3 months and above</p> Signup and view all the answers

<p>They can cause skin irritation and allergic reactions</p> Signup and view all the answers

<p>To soften hardened cerumen for easier removal</p> Signup and view all the answers

<p>Transient hearing loss and skin irritation</p> Signup and view all the answers

<p>It reduces the duration and severity of ulceration</p> Signup and view all the answers

<p>Refer the patient as it could be a sign of cancer</p> Signup and view all the answers

<p>10-14 years old</p> Signup and view all the answers

<p>Acid treatments (e.g. salicylic acid)</p> Signup and view all the answers

<p>Duration of ulceration</p> Signup and view all the answers

<p>Signs of systemic illness</p> Signup and view all the answers

<p>Viral infection</p> Signup and view all the answers

<p>'Immunocompromised patients'</p> Signup and view all the answers

<p>Sole of the foot</p> Signup and view all the answers

<p>Pain and discomfort</p> Signup and view all the answers

<p>As the third line treatment option</p> Signup and view all the answers

<p>Consider alternating paracetamol and ibuprofen</p> Signup and view all the answers

<p>6 times</p> Signup and view all the answers

<p>To reduce the risk of tooth decay</p> Signup and view all the answers

<p>To adhere strictly to the maximum usage guidelines</p> Signup and view all the answers

<p>Potential liver or kidney damage</p> Signup and view all the answers

<p>To reduce the risk of misuse and overuse</p> Signup and view all the answers

<p>Wait for at least 6 hours before repeating the dose</p> Signup and view all the answers

<p>Adhere strictly to the maximum doses in 24 hours</p> Signup and view all the answers

<p>6 times</p> Signup and view all the answers

<p>Irritation of the healthy skin surrounding the lesion</p> Signup and view all the answers

<p>Sticky and purulent discharge</p> Signup and view all the answers

<p>Giving the infant paracetamol or ibuprofen</p> Signup and view all the answers

<p>Staining of the teeth or oral mucosa</p> Signup and view all the answers

<p>Children older than 2 years</p> Signup and view all the answers

<p>$4$ sessions spaced over 2 weeks (on days 1, 5, 9, and 13)</p> Signup and view all the answers

<p>Using tissue to wipe the eyes and throwing them away immediately</p> Signup and view all the answers

<p>Excessive crying without an obvious cause, clenched fists, arching of the back, etc.</p> Signup and view all the answers

<p>Tilt the head to allow the drops to drain out</p> Signup and view all the answers

<p>Increased saliva production</p> Signup and view all the answers

<p>Aiding digestion by breaking down lactose</p> Signup and view all the answers

<p>Coating the lice internally and externally</p> Signup and view all the answers

<p>Short contact time</p> Signup and view all the answers

<p>Allergy to cow’s milk</p> Signup and view all the answers

<p>Gentle rubbing of the gum with a clean finger</p> Signup and view all the answers

<p>Infant not thriving</p> Signup and view all the answers

<p>3 months and above</p> Signup and view all the answers

<p>Feet</p> Signup and view all the answers

<p>Drooling, gum-rubbing, and increased biting and chewing</p> Signup and view all the answers

<p>Wiping away excess saliva regularly</p> Signup and view all the answers

<p>Lactose intolerance and inadequate amounts of lactobacilli</p> Signup and view all the answers

<p>They can push earwax further into the ear canal</p> Signup and view all the answers

<p>Temporary deafness, discomfort, sensation that the ear is blocked</p> Signup and view all the answers

<p>Wax is pushed further in and it is possible to damage the eardrum</p> Signup and view all the answers

<p>To aid in the removal of skin debris from the ear canal, to clean, lubricate, and protect the lining, and to provide antibacterial properties</p> Signup and view all the answers

<p>Time-consuming and may not effectively remove all lice and nits</p> Signup and view all the answers

<p>Infant's immature digestive system, feeding patterns, and maternal diet</p> Signup and view all the answers

<p>From 3 months of age</p> Signup and view all the answers

<p>Consider alternating paracetamol and ibuprofen, taking care not to exceed the maximum doses of either drug in 24 hours.</p> Signup and view all the answers

<p>To avoid unnecessary sugar intake and potential dental issues.</p> Signup and view all the answers

<p>6 times in one day (24-hour period).</p> Signup and view all the answers

<p>Due to safety concerns and the need for more controlled access.</p> Signup and view all the answers

<p>Lidocaine (e.g. anbesol, calgel, detinox gel, bonjela).</p> Signup and view all the answers

<p>Paracetamol or ibuprofen.</p> Signup and view all the answers

<p>Apply a pea sized blob of gel to the sore area of the gum and, if necessary, repeat the dose after 3 hours.</p> Signup and view all the answers

<p>Children over 2 years of age.</p> Signup and view all the answers

<p>Referral to healthcare professional, as it can be a sign of cancer.</p> Signup and view all the answers

<p>6 times in one day (24-hour period).</p> Signup and view all the answers

<p>Clouding of the cornea, associated vomiting, possible foreign body in the eye, irregular pupil shape, photophobia, eye pain, changes in vision</p> Signup and view all the answers

<p>Four sessions spaced over 2 weeks (on days 1, 5, 9, and 13)</p> Signup and view all the answers

<p>Bathe the eyelids with lukewarm water to remove any discharge, use tissues to wipe the eyes and throw away immediately, wash hands regularly, avoid sharing pillows and towels, do not wear contact lenses, and use new lenses after infection has cleared</p> Signup and view all the answers

<p>Children older than 2 years</p> Signup and view all the answers

<p>4-11 years</p> Signup and view all the answers

<p>Time-consuming and labor-intensive</p> Signup and view all the answers

<p>Hearing loss, earache, tinnitus (ringing in the ears), and feeling of fullness in the ear</p> Signup and view all the answers

<p>Regular detection combing, systematic combing of wet or dry hair, and treating all affected household members on the same day if live lice are found</p> Signup and view all the answers

<p>Causing chemical burns and irritation to healthy skin</p> Signup and view all the answers

<p>Viruses</p> Signup and view all the answers

<p>Redness or 'pinkness', uncomfortable gritty sensation, discharge, and possible clouding of the cornea</p> Signup and view all the answers

<p>It is a physical insecticide used in head lice treatment</p> Signup and view all the answers

<p>Painless ulcers should be referred – often a sign of cancer, lasting more than 14 days, more than 10 ulcers present, ulcer greater than 1cm in diameter, signs of systemic illness, children under 10</p> Signup and view all the answers

<p>Continuous application of the selected preparation for several weeks or months is needed, and it is important to explain this to the patient for any benefit to be achieved. OTC wart products CANNOT be used on: the face or skinfolds, moles or birthmarks, or lesions with red edges, or an unusual color, open wounds, irritated or reddened skin, or any area that appears to be infected.</p> Signup and view all the answers

<p>They are caused by infection of skin cells with certain strains of the human papillomavirus (HPV). Cutaneous warts appear as small, rough growths on the skin. Verrucas, or plantar warts, are warts on the sole of the foot and appear as raised fleshy lesions with a roughened surface.</p> Signup and view all the answers

<p>It reduces the duration and severity of ulceration and helps prevent secondary bacterial infection.</p> Signup and view all the answers

<p>The most common type is 2–10 mm in diameter, round or oval, uncomfortable but eating not affected. Major aphthous ulcers are usually over 10 mm in diameter, round or oval, and cause prolonged and painful ulceration making eating difficult. Herpetiform ulcers are the least common and start as pinhead sized and coalesce to form an irregular shape as they enlarge, often causing significant pain.</p> Signup and view all the answers

<p>Cerumenolytics such as Cerumol, hydrogen peroxide, and urea, sodium bicarbonate, and olive oil. Other treatments include irrigation of the ear or syringing/suctioning of the wax.</p> Signup and view all the answers

<p>Local anaesthetics like lidocaine have a short duration of action and limited side effects. Choline salicylate, used in Bonjela, is licensed from 16 years and older and has limited side effects.</p> Signup and view all the answers

<p>Dizziness/tinnitus, foreign body in the ear canal, OTC medication failure, and pain. If the issue is recurrent, patients should see their GP to have their inner ear examined.</p> Signup and view all the answers

<p>Chlorhexidine mouthwash, anaesthetic or analgesic gels, Orabase protective paste, and hydrocortisone mucoadhesive buccal tablet.</p> Signup and view all the answers

<p>Trauma to the inside of the mouth or tongue, ill-fitting dentures, stress and emotional factors, and food allergies.</p> Signup and view all the answers

<p>Acids (e.g. salicylic acid, lactic acid) and cryotherapy are common treatments for warts and verrucas.</p> Signup and view all the answers

<p>Warn the patient that instilling ear drops may cause transient hearing loss, discomfort, dizziness, and irritation of the skin. Some ear wax treatments contain arachis oil and/or almond oil, so it's important to check for a nut allergy before using them. If ear wax issues are recurrent, patients should see their GP for examination.</p> Signup and view all the answers

<p>Coating the lice internally and externally, leading to disruption in water excretion</p> Signup and view all the answers

<p>Malathion</p> Signup and view all the answers

<p>Excessive and inconsolable crying, facial flushing, drawing up of the legs, clenching of the fists, arching of the back, passing wind, and difficulty in passing stools</p> Signup and view all the answers

<p>Pain, increased biting and chewing, drooling, gum-rubbing, sucking, irritability, wakefulness, ear-rubbing, facial rash, decreased appetite, disturbed sleep, and mild pyrexia</p> Signup and view all the answers

<p>Simeticone (e.g. infacol)</p> Signup and view all the answers

<p>Teething</p> Signup and view all the answers

<p>Gentle rubbing of the gum with a clean finger, allowing the infant to bite on a clean and cool object, cuddling and reassuring the child, wiping away excess saliva regularly to reduce the risk of facial rash</p> Signup and view all the answers

<p>Teething</p> Signup and view all the answers

<p>Infant not thriving, symptoms not improving or worsening over age of 4 months, overanxious parents</p> Signup and view all the answers

<p>Up to 3 years old</p> Signup and view all the answers

<p>Teething</p> Signup and view all the answers

<p>Oral salicylate gels, homeopathic gels/powders</p> Signup and view all the answers