Top 100 OTC Drugs - Counseling Points

Abreva

Cold Sore Medication

TOPICAL AGENTS

• Protect from freezing

• Ask the patient if this is a reoccurring symptom. If so, they may need to see a physician

• Avoid applying directly inside the mouth

• Do not share containers. This will avoid spreading the herpes simplex 1 virus

Advil

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Do not use if currently taking medication for blood thinning, ulcers, or arthritis

• Do not use with a history of asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Medication should be swallowed and followed with a glass of water

• Do not take during the last trimester of pregnancy

• Take with food or milk to decrease gastric distress

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

• Children should not continue treatment if relief is not achieved within 24 hours or if condition worsens

Advil Cold & Sinus

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their medical history including heart disease, hypertension, thyroid disease, and drug therapy

• Do not use if currently taking medication for blood thinning, ulcers, or arthritis

• Do not use with a history of asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Contact a physician if the patient vomits blood, has bloody or black stools, or has stomach pain that gets worse or persists

• May take with food or milk to decrease gastric distress

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

Afrin Nasal Spray

Nasal Decongestant

UPPER RESPIRATORY AGENTS

• Ask the patient how they have been treating their symptoms thus far

• Internal decongestants may be used for long-term therapy

• Do not use Afrin for more than 3 days

• If nasal congestion persists, consult a physician

• Do not share the dispenser

• To spray, squeeze bottle quickly and firmly. Do not tilt head backward while spraying. Wipe nozzle clean after each use

Aleve

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• May be taken without regard to meals

• Concurrent ingestion of alcohol may increase ulcerogenic effect

• Contact a physician if side effects are severe or persistent

• Ask the patient if they are currently taking medication for blood thinning, ulcers, or arthritis

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Do not use with other prescription or OTC analgesics unless directed to do so by a physician, nurse, or pharmacist

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Medication should be swallowed and followed with a glass of water

• Do not take during the last trimester of pregnancy

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

alli

Weight Management

MISCELLANEOUS AGENTS

• Patients should read the patient information pamphlet carefully

• Doses may be skipped if a meal is skipped or does not contain fat

• Do not take more than three times a day

• Take a multivitamin with vitamins A, D, E, K once daily at least 2 hours before or after a dose

Anbesol Liquid

Oral Cavity Analgesic

TOPICAL ANALGESICS

• Ask the patient if this is a reoccurring symptom

• Advise the patient to see a physician or dentist if pain (other than canker sores or fever blisters) lasts more than two days

• Advise parents to use sparingly for teething pain in infants. Prolonged use is not advisable

• Do not use in or around the eyes

• Let product dry before smoking or replacing dental work

Azo Standard

Urinary Analgesic

MISC. ANALGESICS

• May make the urine an orange to red color, which may stain fabric

• Take with food or milk

• Store in a cool, dry place away from sunlight and children

• Contact a physician if the above side effects are severe or persistent

• Do not use for more than 2 days

Bayer Aspirin

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Medication should be swallowed and followed with a glass of water

• Do not use with a history of asthma, allergies, or ulcers

• Ask the patient if they are currently taking medication for blood thinning, ulcers, gout, arthritis, or diabetes

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Do not take during the last trimester of pregnancy

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

• Do not give to children with chicken pox or flu-like symptoms

Benadryl Oral

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their medical history including asthma, glaucoma, enlarged prostate gland (males), diabetes, heart disease, thyroid disease, and high blood pressure

• This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever

Benadryl Topical Original Strength Cream

Topical Antipruritic

TOPICAL AGENT

• Ask how long the symptoms have been present and if previous therapy has been successful

• Do not use in or around the eyes, mouth, or nose

• Do not use on broken, blistered, or oozing areas of the skin

• If no improvement is seen after 7 days, consult a physician

• If area becomes swollen or bleeds after use, consult a physician

BENGAY Original Ointment

Topical Analgesic

TOPICAL ANALGESICS

• Avoid contact with mucous membranes and the eyes

• Do not use with heating pads or heating devices

• Do not apply to open or broken skin

• Do not bandage tightly after application

• Consult a physician if the symptoms persist for more than 7 days or become worse

Bonine

Motion Sickness Medication

MISC. CNS AGENTS

• Ask the patient about their medical history including asthma, glaucoma, and enlarged prostate gland (males)

• This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Measures should be attempted to allow the patient a clear view during the activity causing the motion sickness

Bufferin Tablets/Caplets

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Ask the patient if they are currently taking medication for blood thinning, ulcers, gout, arthritis, or diabetes

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Do not take during the last trimester of pregnancy

• Medication should be swallowed and followed with a glass of water

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

• Do not give to children with chicken pox or flu-like symptoms

Capzasin-P

Topical Analgesic

TOPICAL ANALGESICS

• Consult a physician if conditions do not improve after 28 days or become worse

• Avoid contact with the eyes

• Do not apply to open or broken skin or apply tight bandage after application

• Gently massage into skin to increase absorption and wash hands after application (unless hands are included in the area to be treated)

• Apply 3 to 4 times a day to get maximum benefit. Positive effects may not be seen immediately and may take up to 2 weeks to be noticed. Some cases of head and neck neuralgias have taken 4 to 6 weeks to seen benefits

• Transient burning after application should disappear after several days

Carmex Lip Balm

Cold Sore Medication

TOPICAL ANALGESICS

• Ask the patient if this is a reoccurring symptom

• Do not use in or around the eyes

• Do not share containers. This will avoid spreading the herpes simplex 1 virus

• Do not use on cold sores for more than 14 days

Cepacol Sore Throat Lozenges

Oral Cavity Analgesic

TOPICAL ANALGESICS

• Ask the patient if they have a fever, headache, nausea, vomiting or trouble breathing

• Do not exceed 18 lozenges per day for adults and 10 lozenges per day for children ages 6 to 12 years

• Do not use for more than 7 days or if condition worsens

• Allow lozenge to dissolve in mouth

Chloraseptic Throat Spray

Oral Antiseptic/Analgesic

TOPICAL ANALGESICS

• Ask the patient if they have a fever, headache, nausea, vomiting or trouble breathing

• Do not use for more than 7 days or if condition worsens

• Keep spray in mouth as long as possible

Citracal Regular 250 + D

Essential Mineral

MINERALS

• Can be taken without regard to meals

• Do not exceed recommended dosages

• Patients should be told that antacids may alter the effects of other medications and that a pharmacist should be consulted prior to use

• Weight-bearing exercise will help to prevent the onset of osteoporosis

Claritin

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• May cause drowsiness, use caution when performing activities that demand alertness

• May cause headache or dry mouth—contact physician if these are troublesome

• Preferably taken on an empty stomach

• Store in a cool, dry place away from sunlight

• Do not take sooner than every 24 hours

• Use of Claritin RediTabs: Place one tablet on the tongue and allow to dissolve. May be followed with water. Blister cards (10 tablets) should be used within 6 months of opening laminated foil pouches. Tablets should be used immediately upon removing from blister card

Claritin-D

Cold and Allergy Relief

UPPER RESPIRATORY AGENTS

• Take 12-hour tablets on an empty stomach one hour before or two hours after a meal

• Take 24-hour tablets with at least 8 ounces of water

• May cause dry mouth

• Swallow tablets whole; do not crush, chew, or dissolve

• Store in a cool, dry place away from sunlight and children

• Contact a physician if the above side effects are severe or persistent

• If a dose is missed, skip it and return to normal dosing schedule

Colace

Stool Softener

LAXATIVES

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Ask if they have tried increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding occurs

• Do not use for more than 7 days unless directed to do so by a physician

COLD-EEZE

Cold Remedy

UPPER RESPIRATORY AGENTS

• Preferably taken with food to avoid stomach upset

• Do not take citrus fruits or juices within 30 minutes of COLD-EEZE

• If symptoms worsen, or persist beyond 7 days, consult a physician

• Let COLD-EEZE lozenges dissolve completely in the mouth; do not chew

• For maximum effectiveness, start taking COLD-EEZE at the first sign of a cold

Compound W Liquid

Keratolytic

TOPICAL AGENTS

• Soak the wart for 5 minutes and dry before applying medication

• Cover the wart after the medication completely dries

• Do not apply to warts that do not fit the description of common warts

• Do not use for more than 12 weeks unless directed to do so by a physician

• Keep away from flame or heat and refrain from smoking during application and until medication dries

• Use of a petroleum jelly on the surrounding skin may be beneficial to avoid over-application

• Warts are contagious therefore wash clothing and towels after touching wart tissue

• Do not try to remove the wart using a knife or razor blade; doing so may cause a secondary infection

Cortaid Maximum Strength Ointment and Cream

Topical Antipruritic

TOPICAL ANALGESICS

• Ask how long the symptoms have been present and if previous therapy has been successful

• Do not use in or around the eyes, mouth, or nose

• Do not use on broken, blistered, or oozing areas of the skin

• Consult a physician if no improvement is seen after 7 days

• If area becomes swollen or bleeds after use, consult a physician

DayQuil Cold and Flu Liquid

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient to describe their symptoms. Coughs accompanied by excess phlegm should be treated with an expectorant or by a physician

• Ask the patient about their drug therapy including treatment of depression or Parkinson's disease

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever or headache

• Patients who consume 3 or more alcoholic beverages per day should consult their physician before using acetaminophen

Debrox

Earwax Removal Aid

OTICS

• To use, tilt the head sideways and place 5-10 drops into the ear

• Do not allow the tip of the bottle to enter the ear canal

• Keep ear drops in the ear by tilting the head or by placing cotton in the outer part of the ear

• Do not use for more than 4 days unless directed to do so by a physician

• Consult a physician if earwax remains after 4 days of treatment and flushing with warm water

• Avoid contact with the eyes

• Stop use and consult a physician if irritation (too much burning) or pain occurs

• Product is flammable: Keep away from fire or flame

• Ask the patient if they have ear drainage or discharge, pain, irritation, or rash in the ear, or if they have recently had ear surgery or dizziness

Delsym

Cough Suppressant

ANTITUSSIVES

• Ask the patient to describe their symptoms. Coughs accompanied by excess phlegm should be treated with an expectorant or by a physician

• Ask the patient about their drug therapy including treatment of depression or Parkinson's disease

• Ask how long the symptoms have been present and if previous therapy has been successful

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever or headache

Desitin Original Paste

Skin Protectant

TOPICAL AGENTS

• Do not apply in or around the eyes

• Change wet and soiled diapers promptly

• Allow diaper area to dry before applying

• Contact a physician if the condition worsens or persists for more than 7 days

Dimetapp Cold and Cough Elixir

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, and enlarged prostate gland (males)

• Products containing antihistamines may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Contact a physician if no improvement is seen after 7 days or in the presence of a high fever

Dramamine

Motion Sickness

MISC. CNS AGENTS

• Ask the patient about their medical history including asthma, glaucoma, and enlarged prostate gland (males)

• This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Measures should be attempted to allow the patient a clear view during the activity causing the motion sickness

Dramamine (Less Drowsy Formulation)

Motion Sickness

MISC. CNS AGENTS

• Ask the patient about their medical history including asthma, glaucoma, and enlarged prostate gland (males)

• This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Measures should be attempted to allow the patient a clear view during the activity causing the motion sickness

Dulcolax

Laxative

LAXATIVES

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Ask if they have tried increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Do not crush or chew tablets

• Do not use for more than 7 days

e.p.t.

Pregnancy Test

TESTS

• Follow the directions for the pregnancy test carefully, tests procedures vary

• Most tests follow these basic steps: 1) unpackage the test stick, 2) place the absorbent tip under a urine stream (5 seconds) or in a cup of collected urine (20 seconds), 3) keep the absorbent tip pointing downward at all times, 4) place the test stick on a flat surface with the display facing upward for at least 2 minutes, 5) read the results within 10 minutes

• Test sticks should not be removed from the sealed wrapper until use

• Test sticks should not be used more than once

• Test results should be read within 10 minutes of performing the test

• The first urine of the day is preferred but not mandatory

• Do not insert the stick into the vagina

Ecotrin

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Ask the patient if they are currently taking medication for blood thinning, ulcers, gout, arthritis, or diabetes

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Do not take during the last trimester of pregnancy

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

• Medication should be swallowed whole and followed with a glass of water

• Do not give to children with chicken pox or flu-like symptoms

Emetrol

Antiemetic

MISC. GATROINTESTINAL AGENTS

• Do not dilute solution prior to use or drink fluids before or within 15 minutes following last dose

• Do not take for more than one hour (5 doses) without first consulting a physician

Estroven plus Multivitamin

Menopause Support

MISCELLANEOUS AGENTS

• May be taken without regard to meals

• Preferably taken at bedtime

• Please allow one to two months before determining effectiveness

Eucerin Original Cream

Skin Moisturizer

TOPICAL AGENTS

• Collect a medical history from the patient including medical conditions (diabetes, allergies, hypothyroidism) and drug therapy (antihistimines, diuretics)

• Apply moisturizers to hydrated skin in order to lock in moisture. Moisturizers are not as helpful when applied to already dry skin. Apply after bathing for best results

• Limit exposure to water to a few minutes and use mild soap. Do not use abrasive scrubbers

• Turn down the home thermostat in the winter and turn it up in the summer

• Avoid contact with the eyes

• Discontinue use if irritation occurs

• Contact a physician if symptoms last more than 7 days or clear up and occur again within a few days

Excedrin Extra Strength

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Ask the patient if they are currently taking medication for blood thinning, ulcers, gout, arthritis, or diabetes

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Do not take during the last trimester of pregnancy

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

• Do not give to children with chicken pox or flu-like symptoms

FiberCon

Laxative

LAXATIVES

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask the patient if they are currently taking any antibiotics

• Ask if anything has changed in their bowel habits or appearance

• Ask if they have tried increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Stress the importance of adequate fluid intake (at least 8 ounces per dose)

First Response Ovulation Test

Ovulation Test

TESTS

• Keep the test at room temperature (<86°F) and do not freeze

• Limit fluid intake for 2 hours prior to testing

• Follow the directions included in the package

• Test sticks should not be removed from the sealed wrapper until use

• Test sticks should not be used more than once

• Test results should be read between 5 and 60 minutes of performing the test

• It is preferable to test at the same time every day

• Do not insert the stick into the vagina

Fungi-Nail

Topical Antifungal

ANTIFUNGALS

• Apply after washing and drying the affected area

• Wear well-fitting, ventilated shoes, and change shoes and socks at least once daily

• Do not use for more than 4 weeks unless directed to do so by a physician

• This product is not effective on the scalp or nails

Gas-X Chewable Tablets

Antiflatulent

MISC. GASTROINTESTINAL AGENTS

• For best results take after meals and at bedtime

• Follow a proper diet to prevent gas symptoms

Halls Cough Drops

Antitussive

ANTITUSSIVES

• Do not take Halls Defense for more than 8 weeks consecutively

• Ask the patient if they have a fever, headache, nausea, vomiting, or trouble breathing

• Do not use for more than 7 days or if condition worsens

• Allow lozenge to dissolve in mouth

Imodium A-D

Antidiarrheal

MISC. GASTROINTESTINAL AGENTS

• Do not use for more than 2 days or in the presence

• Prevent dehydration by drinking plenty of fluids high in electrolytes

• Avoid milk until diarrhea subsides

• May cause drowsiness; use caution when engaging in activities that require alertness of a high fever or bloody stools

Kerasal Exfoliating Moisturizer

Skin Moisturizer

TOPICAL AGENTS

• Apply moisturizers to hydrated skin in order to lock in moisture. Moisturizers are not as helpful when applied to already dry skin. Apply after bathing for best results

• Limit exposure to water to a few minutes and use mild soap. Do not use abrasive scrubbers

• Turn down the home thermostat in the winter and turn it up in the summer

• Ammonium lactate may sensitize the skin to the sun

• Avoid contact with the eyes

• Discontinue use if irritation occurs

• Contact a physician if symptoms last more than 7 days or clear up and occur again within a few days

Lactaid

Digestive Aid

MISC. GASTROINTESTINAL AGENTS

• Must be taken with the first bite of dairy foods

• Consult with a physician if this product does not prevent symptoms or if the symptoms seem unrelated to dairy product ingestion

• Patients who are limiting their dairy intake should consider supplementing their diet with calcium

Lamisil AT Cream

Topical Antifungal

ANTIFUNGALS

• Avoid contact with the eyes and mucous membranes

• Notify a physician if you develop a rash during therapy or if your condition worsens

• Have patient consult with their physician if they are being treated for diabetes, asthma, or any condition that could decrease normal defense mechanisms

• Treatment may take 2 to 4 weeks to cure the infection—follow directions closely

• Cleanse affected area with soap and water and dry thoroughly prior to use

• Avoid heat and moisture by wearing well-ventilated shoes and by changing shoes and sock at least once a day

• Avoid spreading the disease by washing towels and clothing after use on the affected area

• If symptoms of athlete's foot or ringworm do not disappear within two weeks, or symptoms of jock itch do not disappear within one week, consult a physician

Lamisil AT Powder and Spray

Topical Antifungal

ANTIFUNGALS

• Avoid contact with the eyes and mucous membranes

• Notify a physician if you develop a rash during therapy or if your condition worsens

• Have patient consult with their physician if they are being treated for diabetes, asthma, or any condition that could decrease normal defense mechanisms

• Treatment may take 2 to 4 weeks to cure the infection—follow directions closely

• Cleanse affected area with soap and water and dry thoroughly prior to use

• Avoid heat and moisture by wearing well-ventilated shoes and by changing shoes and sock at least once a day

• Avoid spreading the disease by washing towels and clothing after use on the affected area

• If symptoms of athlete's foot or ringworm do not disappear within two weeks, or symptoms of jock itch do not disappear within one week, consult a physician

Lotrimin AF Cream

Topical Antifungal

ANTIFUNGALS

• Have patient consult with their physician if they are being treated for diabetes, asthma, or any condition that could decrease normal defense mechanisms

• Treatment may take 2 to 4 weeks to cure the infection—follow directions closely

• Cleanse affected area with soap and water and dry thoroughly prior to use

• Avoid heat and moisture by wearing well-ventilated shoes and by changing shoes and sock at least once a day

• Avoid spreading the disease by washing towels and clothing after use on the affected area

• If symptoms of athlete's foot or ringworm do not disappear within four weeks, or symptoms of jock itch do not disappear within two weeks, consult a physician

Lotrimin AF Spray Powder

Topical Antifungal

ANTIFUNGALS

• Have patient consult with their physician if they are being treated for diabetes, asthma, or any condition that could decrease normal defense mechanisms

• Treatment may take 2 to 4 weeks to cure the infection—follow directions closely

• Cleanse affected area with soap and water and dry thoroughly prior to use

• Avoid heat and moisture by wearing well-ventilated shoes and by changing shoes and sock at least once a day

• Avoid spreading the disease by washing towels and clothing after use on the affected area

• If symptoms of athlete's foot or ringworm do not disappear within four weeks, or symptoms of jock itch do not disappear within two weeks, consult a physician

Maalox Liquid

Antacid

ANTIULCER AGENTS

• Do not use for more than 14 days unless directed to do so by a physician

• Patients should be told that antacids may alter the effects of other medications and that a pharmacist should be consulted prior to use

Metamucil

Laxative

LAXATIVES

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Ask if they have tried increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Stress the importance of adequate fluid intake (at least 8 ounces per dose)

Midol Menstrual Complete

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• May cause drowsiness, use caution when driving or performing activities that require alertness

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Abnormal bleeding, intense pain during menses and failure to menstruate are not signs of PMS and are reason to seek advice from a physician

Miralax

Laxative

LAXATIVES

• Ask the patient why they feel they need a laxative

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Recommend to the patient to try increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Each dose should be dissolved in 8 ounces of water, juice, soda, coffee, or tea immediately prior to administration

• Two to four days may be required to produce a bowel movement

• Do not use for more than 2 weeks unless directed to do so by a physician

Monistat 7 Cream

Vaginal Antifungal

ANTIFUNGALS

• Complete full course of therapy

• May stain clothing; take appropriate precautions

• Avoid sexual intercourse during therapy

• Do not use tampons concurrently as they may absorb the medication

• Contact a physician if symptoms persist

• Closely follow enclosed directions for application

Motrin IB Tablets

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Ask the patient if they are currently taking medication for blood thinning, ulcers, or arthritis

• Ask the patient if they have or have ever had asthma, allergies, or ulcers

• Do not use with other prescription or OTC analgesics unless directed to do so by a physician, nurse, or pharmacist

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Stop use if a rash appears or if patient has difficulty in breathing after administration

• Medication should be swallowed and followed with a glass of water

• Do not take during the last trimester of pregnancy

• Take with food or milk to decrease gastric distress

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

Mucinex

Expectorant/Antitussive

ANTITUSSIVES

• May be taken without regard to meals

• Take each dose with a full glass of water

• Do not chew, crush, or split tablets. Tablets should be taken whole

• Do not take more than 4 tablets in a 24 hour period

• Consult with a physician if the cough is accompanied by a rash, fever, or headache

• See a doctor if coughs last more than 7 days or reoccur frequently

Mylanta Liquid

Antacid

ANTIULCER AGENTS

• Do not use for more than 14 days unless directed to do so by a physician

• Patients should be told that antacids may alter the effects of other medications and that a pharmacist should be consulted prior to use

Mylicon Drops

Antiflatulant

MISC. GASTROINTESTINAL AGENTS

• For best results take after meals and at bedtime

• Follow a proper diet to prevent gas symptoms

• For best results, clean dropper after each use and replace original cap

Naphcon A

Ophthalmic Anti-allergy

OPHTHALMICS

• Consult a physician if the condition is not improved within 72 hours or becomes worse

• Consult a physician if you experience eye pain, changes in vision, or eye irritation

• Remove contact lenses prior to use

• Wash hands prior to application

• To instill drops: Lie down or tilt head backward and look up. Pull down the skin under the eye creating a small "sac" of the lower eyelid. Instill drops into the sac and keep the eye open for a few seconds

• To avoid contamination of the solution, do not touch the end of the dropper to any surface

• Discard 3 months after opening or if solution becomes colored or cloudy

Nasalcrom

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Store in a cool, dry place away from sunlight and children

• Contact a physician if the above side effects are severe or persistent or if symptoms do not improve or if they worsen

• If a dose is missed, skip it and return to normal dosing schedule

• Read patient instructions carefully before use

• Not intended for PRN use. Follow dosage recommendations at even intervals every day

• Clear nasal passages before each dose

• May take up to 4 weeks to reach maximum effect. Do not stop treatment abruptly

• Avoid contact with eyes

Neosporin Ointment

Topical Anti-infective

TOPICAL ANTI-INFECTIVES

• If condition does not improve or becomes worse, consult a physician. Do not use for longer than 7 days unless directed to do so by a physician

• Clean the affected area well with mild soap and water prior to treatment

• Ask the patient if they have any underlying disease such as diabetes. If so, have them consult a physician

• Have the patient consult a physician if fever, pain, or excess drainage occurs

Nicoderm CQ

Smoking Cessation Aid

MISCELLANEOUS AGENTS

• Store in a cool, dry place away from sunlight and children

• If a dose is missed apply it as soon as possible and return to dosing schedule

• Contact a physician if the above side effects are severe or persistent

• Stop smoking immediately

• Read and follow instruction pamphlet carefully

• Apply once daily to a non-hairy, clean, dry skin area on the upper body or upper outer arm. After 24 hours, the used system should be removed and a new system applied to a different site. Skin sites should not be reused for at least one week

• Nicoderm systems should be applied promptly upon removal from the protective pouch. Do not use a system in a defective pouch

• Dispose of a used system by folding it over onto itself and putting it in the protective pouch the new system came in, then promptly set it out of the reach of children and pets. A used 21 mg/day system still contains up to 73% of its initial nicotine content and can prove harmful or fatal to children or pets

• Rinse hands with water alone after applying a system. Do not touch eyes.

Nicorette

Smoking Cessation Aid

MISCELLANEOUS AGENTS

• Use Nicorette gum instead of smoking tobacco

• Contact a physician if the above side effects are severe or persistent

• Chew gum slowly until a tingling sensation is felt or the taste of the gum becomes apparent. Refrain from chewing until the tingling or taste is gone and then repeat. Most of the nicotine should be released in 30 minutes

• Dissolve lozenge in mouth by moving it from one side to the other

• Avoid pregnancy while using Nicorette

• Do not chew more than 24 pieces per day

Nix

Pediculicide

MISC. ANTI-INFECTIVES

• Follow application directions closely

• If infestation of the eyebrows occurs, apply petrolatum ophthalmic ointment to the eyebrows for 8 days and remove nits during treatment. If this fails, consult a physician

• Live can live on clothes and linen. Disinfect clothing and linen including bed sheets by drycleaning or washing in hot water and drying in a clothes dryer. Disinfect combs by soaking in hot water for 10 minutes

• Inspect family members daily for two weeks for infestation

Nizoral AD Shampoo

Antifungal

ANTIFUNGALS

• Removal of the curl from permanently waved hair may occur from topical use on the scalp

• Store in a cool, dry place away from sunlight and children

• Protect from freezing

• Stop use and consult a physician if a rash appears or condition worsens or does not improve in 2-4 weeks

• Avoid contact with eyes

NoDoz

Analeptic

MISC. CNS AGENTS

• Ask the patient why they believe they need the medication and for how long they plan on using it

• Ask the patient if they are a regular drinker of coffee or tea

• Advise the patient to keep within the recommended dosage

• Advise the patient that long-term use may cause sleep-deprivation, tolerance, and psychological dependence

NyQuil Cold/Flu Liquid

Cold and Allergy Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their symptoms; they may not need all the components of this combination

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, and enlarged prostate gland (males)

• This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever

Ocean Spray

Nasal Decongestant/Moisturizer

UPPER RESPIRATORY AGENTS

• Do not aspirate nasal contents back into the bottle

• Rinse and dry the tips of the applicators and spray bottles

• Prolonged congestion may be a sign of a more serious condition. Consult a physician if symptoms do not improve within 10 days

Orabase

Oral Cavity Anesthetic

TOPICAL ANALGESICS

• Ask the patient if this is a reoccuring symptom

• Do not use in or around the eyes

• Gently wipe a small amount over the lesion. Do not rub in

• If condition persists or worsens during treatment, stop use and consult a physician or dentist

Orajel Regular Strength

Oral Cavity Anesthetic

TOPICAL ANALGESICS

• Ask the patient if this is a reoccuring symptom

• Advise the patient to see a physician or dentist if pain other than canker sores lasts more than two days

• Advise parents to use sparingly for teething pain in infants. Prolonged use is not advisable

• Do not use in or around the eyes

OralBalance

Oral Moisturizer

MISCELLANEOUS AGENTS

• OralBalance and related Biotene products may be useful in the treatment of dry mouth

• May be used under dentures

• Provides up to 8 hours of comfort

• It is safe to swallow OralBalance

Os-Cal 500 + D

Essential Mineral

MINERALS

• Take with food or milk

• Do not exceed recommended dosages

Pepcid-AC

Acid Reducer

ANTIULCER AGENTS

• Antacids may be given concomitantly to relieve acute pain

• Contact a physician if the above side effects are severe or persistent

• Should be taken with plenty of water

• Avoid alcohol during therapy

• Do not take more than the maximum daily dose for more than 2 weeks without consulting a physician

• Have the patient consult a physician if they have trouble swallowing or have severe abdominal pain

Pepcid Complete

Acid Reducer

ANTIULCER AGENTS

• Contact a physician if the above side effects are severe or persistent

• Should be taken with plenty of water

• Avoid alcohol during therapy

• Do not take more than the maximum daily dose for more than 2 weeks without consulting a physician

• Have the patient consult a physician if they have trouble swallowing or have severe abdominal pain

Pepto Bismol

Antidiarrheal

MISC. GASTROINTESTINAL AGENTS

• Ask the patient if they are currently taking prescription medications

• Do not use for more than 2 days or in the presence of a high fever or bloody stools

• Prevent dehydration by drinking plenty of fluids high in electrolytes

• Avoid milk until diarrhea subsides

• May cause harmless darkening of the tongue or stools

• Shake liquid well before use

Peri-Colace

Stool Softener plus Laxative

LAXATIVES

• Ask the patient why they feel they need a laxative

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Recommend to the patient to try increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Do not use for more than 7 days

Phillips' MOM

Laxative/Antacid

LAXATIVES

• Determine if the patient is wanting a laxative or antacid and why they feel they need one

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Ask if they have tried increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Do not use for more than 7 days

Pin-X

Antihelmintic

MISC. ANTI-INFECTIVES

• Shake the bottle well before using

• May be taken with food, milk, or juice or on an empty stomach at anytime during the day

• Pinworm infections are highly contagious—treat all family members in close contact with the infected person

• Prevent reinfection by disinfecting toilets, changing and washing bed linens, undergarments, towels and nightclothes once daily

• A second treatment may be beneficial in pinworm infections after a period of 2 weeks

Preparation H Ointment

Hemorrhoidal Agent

TOPICAL ANALGESICS

• Consult a physician if condition does not improve within 7 days or becomes worse

• If the hemorrhoids are caused by constipation, try taking a bulk laxative and drinking plenty of water

• Optimal treatment times are at bedtime and after bowel movements

• Consult a physician if the insertion of the cream, ointment, or suppository into the rectum causes pain

• Proper hygiene is helpful including washing the effective area with a mild soap and rinsing with water

Prevacid 24 Hour

Acid Reducer

ANTIULCER AGENTS

• Take 30 minutes prior to eating

• Antacids may be taken at the same time

• Consult a physician if you have had heartburn for over 3 months

• Consult a physician if you have heartburn with lightheadedness, sweating, dizziness, chest or shoulder pain with shortness of breath, pain in the arms or neck, or frequent wheezing

• Do not use for more than 14 days or more frequently than once every 4 months unless directed to do so by a physician

• Do not use if you have trouble swallowing food, are vomiting blood, of have black or bloody stools

Prilosec OTC

Acid Reducer

ANTIULCER AGENTS

• Take 30 minutes prior to eating

• Antacids may be taken at the same time

• Consult a physician if you have had heartburn for over 3 months

• Consult a physician if you have heartburn with lightheadedness, sweating, dizziness, chest or shoulder pain with shortness of breath, pain in the arms or neck, or frequent wheezing

• Do not use for more than 14 days or more frequently than once every 4 months unless directed to do so by a physician

Primatine Mist

Bronchodilator

ANTIASTHMATICS

• Make sure that the patient has been diagnosed by a physician as having asthma—do not use in patients experiencing their first "symptoms" of asthma

• Use for only mild episodes of asthma. The most critical factor in preventing serious complications and death in asthmatics is an accurate estimation of the patient's condition

• Ask the patient if they are currently taking any prescription medications

• Seek medical assistance immediately if the symptoms are not relieved within 20 minutes or become worse

• Do not take more frequently or at higher doses than recommended

Primatine Tablets

Bronchodilator

ANTIASTHMATICS

• Make sure that the patient has been diagnosed by a physician as having asthma—do not use in patients experiencing their first "symptoms" of asthma

• Use for only mild episodes of asthma. The most critical factor in preventing serious complications and death in asthmatics is an accurate estimation of the patient's condition

• Ask the patient if they are currently taking any prescription medications

• Seek medical assistance immediately if the symptoms are not relieved within 20 minutes or become worse

• Do not take more frequently or at higher doses than recommended

• When using the inhaler; 1) exhale completely and begin a slow deep breath, 2) place teeth on the inhaler and move the tongue out of the path of the spray, 3) actuate the aerosol in the middle of the breath, 4) hold the breath for at least 10 seconds, 5) wait 2 to 3 minutes between inhalations. This will help the medication reach the lower respiratory tract

RID Shampoo

Pediculicide

TOPICAL ANTI-INFECTIVES

• Follow application directions closely

• If infestation of the eyebrows occurs, apply petrolatum ophthalmic ointment to the eyebrows for 8 days and remove nits during treatment. If this fails, consult a physician

• Live can live on clothes and linen. Disinfect clothing and linen including bed sheets by drycleaning or washing in hot water and drying in a clothes dryer. Disinfect combs by soaking in hot water for 10 minutes

• Inspect family members daily for two weeks for infestation

Robitussin Chest Congestion

Cough Relief Combination

ANTITUSSIVES

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, enlarged prostate gland (males)

• Some products may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever

Rogaine

Hair Growth Stimulant

TOPICAL AGENTS

• Avoid contact with the eyes

• Use only as directed. Do not increase dose

• Results may not be visible for up to four months

• This is a treatment, not a cure. Continued application will be necessary to sustain hair regrowth

• Store in a cool, dry place away from sunlight and children

• If a dose is missed, skip it and return to normal dosing schedule

• Contact a physician if you develop chest pain, rapid heartbeat, faintness, dizziness, unexplained weight gain, swollen hands or feet, or redness or irritation of scalp

Salivart

Saliva Substitute

MISCELLANEOUS AGENTS

• Advise the patient to consult a physician or dentist concerning their symptoms

• Avoid spraying near the eyes

Senokot

Laxative

LAXATIVES

• Ask the patient why they feel they need a laxative

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Recommend to the patient to try increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Do not use for more than 7 days

Senokot-S

Laxative

LAXATIVES

• Ask the patient why they feel they need a laxative

• Ask if they have had any abdominal pain, nausea, or vomiting associated with constipation

• Ask if anything has changed in their bowel habits or appearance

• Recommend to the patient to try increasing dietary fiber, fluid intake, or exercise to relieve constipation

• Notify a physician if rectal bleeding or failure to respond to laxative occurs

• Do not use for more than 7 days

Similasan Earache Relief

Earache Relief

OTICS

• A physician should be consulted about earaches in children as a matter of principle

• Consult a physician if the condition does not improve within 48 hours

• This medicine is for topical use only; do not ingest

• Caution should be used when ear drainage is present

• To apply, tilt head sideways and squeeze the plastic tip to drop the solution into the ear. Keep the drops in the ear by keeping the head tilted or by placing cotton in the ear

Slow-Mag

Essential Mineral

MINERALS

• Swallow tablet whole; do not chew, crush, or split

• May be taken with food to avoid mild stomach upset

• Do not take more than 2 tablets daily unless directed to do so by a physician

Sudafed Congestion

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, and enlarged prostate gland (males)

• Contact a physician if no improvement is seen after 7 days or in the presence of a high fever

Systane

Artifical Tears

OPHTHALMICS

• Shake well before use

• Do not use if this product changes color or becomes cloudy

• Do not touch the tip of the container to any surface to avoid contamination

• Replace cap after each use

• Remove contact lenses prior to use

• Consult a physician if you experience eye pain, changes in vision, or redness or irritation gets worse, persists, or lasts more than 72 hours

• Wash hands prior to application

• To instill drops: Lie down or tilt head backward and look up. Pull down the skin under the eye creating a small "sac" of the lower eyelid. Instill drops into the sac and keep the eye open for a few seconds

Tears Naturale II

Artifical Tears

OPHTHALMICS

• Consult a physician if the condition is not improved within 72 hours or if it becomes worse

• Wash hands prior to application

• To instill drops: Lie down or tilt head backward and look up. Pull down the skin under the eye creating a small "sac" of the lower eyelid. Instill drops into the sac and keep the eye open for a few seconds

• To avoid contamination of the solution, do not touch the end of the dropper to any surface

• Discard 3 months after opening or if solution becomes colored or cloudy

TUMS

Antacid

ANTIULCER AGENTS

• Do not use for more than 14 days unless directed to do so by a physician

• Chewable tablets should be followed by a full glass water

• Patients should be told that antacids may alter the effects of other medications and that a pharmacist should be consulted prior to use

Tylenol

Analgesic

NONSTEROIDAL ANTI-INFLAMMATORY AGENTS

• Intense or prolonged pain of known or unknown origin should be discussed with a physician

• Do not take for more than 10 days for pain or for more than 3 days for fever unless directed to do so by a physician

Tylenol Allergy & Sinus - Congestion and Pain Daytime

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their symptoms; they may not need all the components of this combination

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, and enlarged prostate gland (males)

• Ask how long the symptoms have been present and if previous therapy has been successful

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever

Tylenol Allergy & Sinus - Congestion and Pain Nighttime

Allergy and Cold Relief

UPPER RESPIRATORY AGENTS

• Ask the patient about their symptoms; they may not need all the components of this combination

• Ask the patient about their medical history including asthma, heart disease, hypertension, thyroid disease, glaucoma, drug therapy, and enlarged prostate gland (males)

• Ask how long the symptoms have been present and if previous therapy has been successful

• Antihistamines may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness

• Consult a physician if no improvement is seen after 7 days or in the presence of a high fever