Upper Respiratory Tract Drugs KEY PDF

Summary

This document contains information about various drug classes for upper respiratory tract issues, including antihistamines, decongestants, and others. It details their actions, indications, adverse effects, and supplemental information.

Full Transcript

+-------------+-------------+-------------+-------------+-------------+ | **Class** | **Action** | **Indicatio | **Adverse | **Misc | | | | ns** | Effect** | Information | | | | | | ** | +===========...

+-------------+-------------+-------------+-------------+-------------+ | **Class** | **Action** | **Indicatio | **Adverse | **Misc | | | | ns** | Effect** | Information | | | | | | ** | +=============+=============+=============+=============+=============+ | **Antihista | Completes | **Diphenhyd | **Diphenhyd | **Diphenhyd | | mines** | with | ramine:** | ramine:** | ramine:** | | | histamine | allergic | drowsiness, | | | **Diphenhyd | for binding | rhinitis, | dizziness, | **Caution:* | | ramine** | at | common | fatigue and | * | | | H1-receptor | cold, | disturbed | glaucoma | | (first | sites and | pruritus | coordinatio | and COPD | | generation) | antagonizes | and | n | | | | histamine | urticaria, | and | **Avoid:** | | **Loratadin | effects | prevent | anticholine | driving or | | e** | | motion | rgic | operating | | | | sickness | symptoms | dangerous | | (second | | and | | machines | | generation) | | insomnia | **Loratadin | and alcohol | | | | | e:** | | | | | **Loratadin | Same as | Given PO, | | | | e:** | first | IM or IV | | | | allergic | generation, | | | | | rhinitis, | but less | Found in | | | | pruritus | sedating | many OTC | | | | and | and fewer | cold | | | | urticaria | anticholine | medicines | | | | | rgic | | | | | | symptoms | | +-------------+-------------+-------------+-------------+-------------+ | **Decongest | Stimulate | Nasal | Rebound | **Contraind | | ants** | alpha | congestion | congestion | icated/** | | | adrenergic | | | | | **Oxymetazo | receptors | | Nasal | **Extreme | | line** | | | irritation | Caution:** | | | \--\> | | | HTN, | | (nasal) | vasoconstri | | Blurred | cardiac | | | ction | | vision and | disease, | | | of | | dry eyes | hyperthyroi | | | capillaries | | | dism | | | in the | | Headache | and | | | nasal | | | diabetes | | | mucosa | | | | | | \--\> | | | 2-3 | | | shrinking | | | drops/spray | | | of nasal | | | in each | | | mucous | | | nare | | | membranes | | | | | | and | | | Limit use | | | decreased | | | to 3 days | | | fluid | | | | | | (runny | | | Act quickly | | | nose) | | | and have | | | | | | less | | | | | | adverse | | | | | | effects | | | | | | than | | | | | | systemic | +-------------+-------------+-------------+-------------+-------------+ | **Decongest | Stimulate | Nasal | **CNS:** | **Contraind | | ants** | alpha | congestion | dizziness, | icated/** | | | adrenergic | | headache, | | | **Pseudoeph | receptors | Rhinitis | restlessnes | **Extreme | | edrine** | | | s, | Caution:** | | | \--\> | Common cold | insomnia | HTN, | | (systemic) | vasoconstri | | | cardiac | | | ction | | **CV:** | disease, | | | of | | palpitation | hyperthyroi | | | capillaries | | s, | dism | | | in the | | dysrhythmia | and | | | nasal | | , | diabetes | | | mucosa | | HTN and | | | | \--\> | | tachycardia | **Interacti | | | shrinking | | | ons:** | | | of nasal | | | decrease | | | mucous | | | effects of | | | membranes | | | beta | | | and | | | blockers | | | decreased | | | and can | | | fluid | | | cause HTN | | | (runny | | | with MAOIs | | | nose) | | | | | | | | | Avoid large | | | | | | amounts of | | | | | | caffeine | | | | | | | | | | | | Given PO | | | | | | regular and | | | | | | extended | | | | | | release | | | | | | | | | | | | Combined | | | | | | with other | | | | | | drugs in | | | | | | OTC cold | | | | | | medicines | | | | | | | | | | | | Work longer | | | | | | than nasal | | | | | | forms | +-------------+-------------+-------------+-------------+-------------+ | **Intranasa | Produce | Allergic | **CNS:** | Short term | | l | anti-inflam | rhinitis | headache, | use only | | Glucocortic | mation | | blurred | | | oids** | \--\> | Asthma | vision, | 2 | | | decrease in | | fatigue, | sprays/each | | **Fluticaso | allergic | | insomnia | nostril | | ne** | rhinitis | | | week 1 then | | | symptoms | | Pharyngitis | 1-2 sprays | | | | | | qd PRN | | | | | Nasal | | | | | | candidiasis | | | | | | /irritation | | +-------------+-------------+-------------+-------------+-------------+ | **Class** | **Action** | **Indicatio | **Adverse | **Misc** | | | | ns** | Effects** | | +-------------+-------------+-------------+-------------+-------------+ | **Antitussi | Act on | Temporary | **CNS:** | Used in | | ves** | cough | cough | dizziness, | many OTC | | | control | relief of a | drowsiness, | cold | | **Dextromet | center in | non-product | fatigue | medicines | | horphan** | the medulla | ive | | | | | to suppress | cough due | | Rapid | | | the cough | to sore | | absorption | | | reflex | throat, | | and works | | | | irritation | | in 15-30 | | | | or cold | | minutes | | | | | | | | | | | | Last 3-6 | | | | | | hours | +-------------+-------------+-------------+-------------+-------------+ | **Expectora | Loosen | Cough with | **CNS:** | In OTC cold | | nts** | bronchial | URI and | headache, | medicines | | | sections to | cold | dizziness, | | | **Guaifenes | they can be | | drowsiness | Hydration | | in** | eliminated | | | important | | | by coughing | | **GI:** | | | | | | nausea, | Take with | | | | | vomiting | full glass | | | | | | of water | | | | | | | | | | | | Drink 8 | | | | | | glasses/day | +-------------+-------------+-------------+-------------+-------------+ | **Mucolytic | Thin mucous | Cystic | GI | Avoid: | | s** | secretions | fibrosis, | irritation | asthma (due | | | to help | atelectasis | | to | | **Acetylcys | make the | , | Rash | increased | | teine** | cough more | facilitate | | airway | | | productive | airway | Oropharynge | resistance) | | | | clearance | al | , | | | | | irritation | avoid | | | | Oral: | | agents with | | | | protects | | dextrometho | | | | liver in | | rphan | | | | acetaminoph | | (suppress | | | | en | | cough) | | | | toxicity | | | | | | | | Given via | | | | | | nebulizer | | | | | | | | | | | | Given | | | | | | bronchodila | | | | | | tor | | | | | | 5 minutes | | | | | | before | +-------------+-------------+-------------+-------------+-------------+

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