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what are the antihistamines
diphenhydramine (Benadryl), hydroxyzine (first gen)
loratadine, cetirizine ( second gen)
wht are the antitussives
dextromethorphan, codeine
what are the decongestants meds (increase Hr and BP)
pseudoephedrine, phenylephrine , oxymetazoline (Afrin)
side effects with antihistamines ( first gen- benadryl + hydroxyzine)
Sedation -Avoid driving and activities requiring alertness.
- Do not take with CNS depressants such as benzodiazepines, opioids, or alcohol (risk for excessive sedation).
Paradoxical reactions (restlessness, irritability) can occur in children and older adults.
drugs that cause anticholinergic effects (These Agens Affect Acetylcholine)
Tricyclin antidepressants ( amitriptyline, nortriptyline)
Antihistamines ( 1st gen-diphenhydramine)
Antipsychotics ( haloperidol, olanzapine)
Antispasmodic (oxybutynin)
contraindication of anticholinergic meds
glaucoma
(+ avoid in elderly , delerium + falls)
Antitussisves suppresses the
cough ( use in non productive cough)
avoid use of codeine in copd, frail older adults bc at risk of
respiratory depression
decongestants relieve nasal congestion by decrease swelling in nasal passages which promotes
nasal drainage
NC of nasal decongestants
limit use sprays to 3 days bc rebound congestion
-report palpitaions, tachycardia,dizzynes ( BC CAN INCREASE HR AND BP)
often uses w expectorants (guaifenesin, to thin and drain secretions)