Phenylephrine Flashcards
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Questions and Answers

Which of the following are brand names for phenylephrine? (Select all that apply)

  • Advil®
  • PediaCare® Children's Decongestant (correct)
  • Neo-Synephrine® (correct)
  • SudafedPE® (correct)
  • What is the generic name and pronunciation of phenylephrine?

    phenylephrine (fen il EF rin)

    What are the sound-alike/look-alike issues associated with phenylephrine?

    Sudafed PE™ may be confused with Sudafed®

    What is the therapeutic class of phenylephrine?

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

    What is the mechanism of action of phenylephrine?

    <p>Alpha adrenergic agonist which causes vasoconstriction of the arterioles in the nasal mucosa</p> Signup and view all the answers

    What are the common indications for phenylephrine?

    <p>Nasal congestion</p> Signup and view all the answers

    Phenylephrine has absolute contraindications including severe hypertension and _____.

    <p>narrow-angle glaucoma</p> Signup and view all the answers

    What dosage forms does phenylephrine come in? (Select all that apply)

    <p>Nasal spray</p> Signup and view all the answers

    What is the usual adult dosing for oral phenylephrine?

    <p>10-20 mg every 4 hours as needed for ≤7 days</p> Signup and view all the answers

    What are some common adverse effects of phenylephrine?

    <p>Burning, nasal congestion, hypertension, anxiety</p> Signup and view all the answers

    How should phenylephrine be administered via nasal route?

    <p>Should not be used for more than 3 days</p> Signup and view all the answers

    What clinical teaching should be given to patients taking oral phenylephrine?

    <p>Avoid activities requiring mental alertness until drug effects are realized</p> Signup and view all the answers

    Study Notes

    Brand Names

    • Commonly found under SudafedPE®, Neo-Synephrine®, 4 Way® Fast Acting, Little Noses® Decongestant, and PediaCare® Children's Decongestant.

    Generic Name and Pronunciation

    • Known generically as phenylephrine, pronounced as (fen il EF rin).

    Sound-alike/Look-alike Issues

    • Confusion may arise between Sudafed PE™ (phenylephrine) and Sudafed® (pseudoephedrine).

    Therapeutic Class

    • Classified primarily as a decongestant.

    Mechanism of Action

    • Functions as an alpha adrenergic agonist, leading to vasoconstriction of nasal mucosa arterioles.

    Common Indications

    • Primarily used for alleviating nasal congestion.

    Absolute Contraindications

    • Contraindicated in severe hypertension, narrow-angle glaucoma, and in infants/children of low body weight when using the 10% ophthalmic solution.

    Dosage Forms

    • Available in multiple formats including tablets, liquids, nasal spray, and nasal drops.

    Usual Dosing

    • Adults (12 years and older):
      • Oral: 10-20 mg every 4 hours as needed for up to 7 days.
      • Intranasal: 0.25% to 1% solution, 2-3 sprays or drops in each nostril every 4 hours as needed for up to 3 days.

    Adverse Effects/Side Effects

    • Common side effects:
      • Nasal: Burning, congestion, rebound effect, discharge, sneezing, stinging.
      • Oral: Hypertension, anxiety, dizziness, excitability, headache, insomnia, nervousness, restlessness.
    • Serious side effects include myocardial infarction and arrhythmia.

    Administration

    • Nasal formulations should not be used for more than 3 days to avoid worsening congestion and rebound effects.

    Clinical Teaching

    • Patients using the oral form should be cautious of activities demanding mental alertness due to potential dizziness.
    • Advisable to limit nasal use to 3-5 days to prevent rebound congestion.
    • Patients should consult healthcare professionals before using with MAO inhibitors, antidepressants, or antihypertensive medications.

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    Description

    Test your knowledge of Phenylephrine with these flashcards covering brand names, pronunciation, and potential look-alike issues. Perfect for students and professionals in the pharmaceutical field. Enhance your understanding of this common decongestant.

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