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Cerritos Community College

Health Occupations Division


Pharmacy Technology Program
PHAR 81 OTC Products
Cold, Allergies, Cough Medications
Pharmacy Visited: Walgreens
Address: 11930 Studebaker Rd., Norwalk, Ca 90650
PIC: Patty
Personnel with whom you interacted (name/position): Patty/ Pharmacist
Date/Time: 02/06/2017
Specific Location of Products: Cough medications

Drug Class Expectorants Cough Suppressant Oral Decongestants Topical Decongestants

Brand Name Mucinex Delsym Sudafed Vicks vapor rub


Manufacturer Reckitt Benckiser Reckitt Benckiser McNeil Laboratories Procter and Gamble
Active Ingredient Guafenesin Dextromethorphan Pseudoephedrine
Hydrobromide Camphor and menthol

Mechanism of Action Recruits parasympathetic Binds to and acts as Alpha-adrenergic agonist Camphor causes local
reflexes that cause antagonist to the NMDA of receptors present in irritation on the skin
glandular exocytosis of glutamatergic receptor. respiratory mucosa, that may block pain by
mucous. Is an agonist to the causing vasoconstriction; counter irritation at the
sigma 1 and sigma 2 directly stimulates beta- same segmental central
receptors adrenergic receptors and nervous system level.
causes bronchial
relaxation, as well as
increased heart rate and
contractility.
Indications Promotes the removal of Suppresses the cough Decongestant that Camphor and menthol
secretions from the reflex by a direct action shrinks blood vessels in topical (for the skin) is
respiratory tract by on the cough center in the nasal passages. Is a combination
thinning the mucous the medulla of the brain. used to treat nasal and medicine used to
within. Acts as a non- sinus congestion. relieve minor muscle or
competitive channel joint pain. This
blocker. medicine may also be
used as a chest rub to
soothe chest congestion
and relieve cough
caused by the flu or
common cold.

Recommended Take 600-1200mg q12hr Take 10 mL q12hrs (not Take 1 tab (120 mg) Apply small amount on
Dosage to exceed 20 mL in 24 q12hrs (not to exceed 2 chest area
hrs) tabs in 24 hours)
Side Effects Dizziness Nausea Tremor Fatal if ingested
Headache Vomiting Restlessness
Rash Constipation Insomnia
Nausea Drowsiness Nausea
Vomiting Dizziness Vomiting
Upset stomach Sedation Nerousness
Confusion Hypertension
Nervousness Atrial fibrillation
Myocardial
infarction
Ventricular
premature beats
Ischemic colitis
Drug Interactions Cimetidine Netupitant Iobenguane None
Narcotic Palonosetron Isocarboxazid
antagonists Dolasetron Linezolid
Quinidine Selegiline Phenelzine
Alcohol Rasagiline Procarbazine
Benzodiazepines Lorcaserin Rasgiline
Paroxetine Selegiline
Quinidine Tranylcypromine
Citalopram
Duloxetine
Trazodone
Warnings/Precautions Hypersensitivity Do not use if Hypersensitivity DO not ingest
No improvement taking MAOI or Severe
within 7 days for 2 weeks after hypertension
last taking Use caution in
MAOI mild to moderate
Certain drugs for hypertension,
depression, cardiac disease,
psychiatric or hyperthyroidism,
emotional hyperglycemia,
conditions, or BPH, DM, Renal
Parkinsons impairment,
disease seizure disorder,
thyroid
dysfunction, and
glaucoma.
No improvement
within 7 days
Other drugs in this Bidex 400 DayQuil Cough Nexafed Camphor
class Organidin NR Buckleys Zephrex-D
Guaifenesin Mixture
Elixsure Cough

Drug Class Topical Nasal Steroids Lozenges Topical Anesthetics Combination Products
(choose only one)
Brand Name Nasacort Cepacol Aspercreme Robatussin
Manufacturer Chattem, Inc Reckitt Benckiser Chattem, Inc Pfizer
Active Ingredient Triamcinolone Benzocaine/menthol Lidocaine Dextromethorphan;
Acetonide Guaifenesin
Mechanism of Action A corticosteroid that Acts to inhibit the The amide local Recruits
lowers histamine. voltage-dependent anesthetic agent blocks parasympathetic reflexes
sodium channels on the fast voltage-gated that cause glandular
neuron membrane, sodium channels in the exocytosis of mucous.
stopping the propagation cell membrane of
of the action potential. postsynaptic neurons,
preventing
depolarization and
inhibiting the
generation and
propagation of nerve
impulses.
Indications Prevents the release of Treating occasional Aspercreme with Promotes the removal of
substances in the body minor irritation, pain, lidocaine is used for secretions from the
that cause inflammation. sore mouth, or sore short term fast relief respiratory tract by
throat. against minor pain and thinning the mucous
inflammation. It within.
reduces swelling and
inflammation in the
muscle and joints.
Recommended Spray 2 times (110 mcg) Dissolve 1 lozenge po Apply thin layer to Take 600-1200mg q12hr
Dosage into each nostril qd q2hrs prn affected area Q8h
Side Effects Nasal discomfort Numbness of the No common side Dizziness
Sneezing mouth or throat effects. However, Headache
Alterations of Possible allergic Infrequent sides effects Rash
reaction include:
taste and smell Nausea
Nausea Giant Hives
Vomiting
Insomnia Hives
Upset stomach
Dizziness Itching
Fatigue Rash
Dyspnea Redness of skin
Decreased blood Skin
cortisol inflammation
Cataract Stinging skin
Glaucoma
Increased IOP
Pruritus
Rash
Hypersensitivity
Drug Interactions No known drug Lidocaine No known drug Cimetidine
interactions Prilocaine interactions. Narcotic
Sodium nitrate antagonists
Quinidine
Alcohol
Benzodiazepines
Warnings/Precautions Do not use in Stop use if: This medication is for Hypersensitivity
children under 2 Pale, gray, or external use only. Do No improvement within
years of age blue colored skin not use: 7 days
If alergic Headache On large areas
Rapid heart rate of the body or
Shortness of on a cut.
breath On puncture
Dizziness or wounds
lightheadedness For more than one week
Fatigue or lack without contacting a
of energy doctor
Other drugs in this None Chloraseptic Myoflex cream idex 400
class Lidocaine Organidin NR
Guaifenesin

Drug Class Antihistamine (1st generation) Antihistamine (2nd generation)


Brand Name Benadryl Claritin
Manufacturer McNeil Laboratories Bayer
Active Ingredient Diphenhydramine Loritadine
Mechanism of Action An inverse agonist of the histamine H1 receptor. Loratadine blocks one type of histamine receptor
(the H1 receptor) and thus prevents activation of
cells with H1 receptors by histamine.

Indications Blocks the effects of the naturally occurring Claritin is an antihistamine that reduces the effects
chemical histamine in the body of natural chemical histamine in the body.
Histamine can produce symptoms of sneezing,
itching, watery eyes, and runny nose. Claritin is
used to treat sneezing, runny nose, watery eyes,
hives, skin rash, itching, and other cold or allergy
symptoms.

Recommended Take 1-2 tabs po q4-6hrs Take 1 tab po qd


Dosage
Side Effects Marked drowsiness may occur Headache
Avoid alcoholic drinks Drowsiness
Alcohol, sedatives, and tranquilizers may Fatigue
increase drowsiness Dry mouth
Excitability may occur
Be careful when operating machinery
Drug Interactions Any sedatives or tranquilizers No major side effects

Warnings/Precautions May cause liver damage if taken with alcohol Children 25 years of age receiving oral solution:
Diarrhea, epistaxis, pharyngitis, flu-like symptoms,
fatigue, stomatitis, tooth disorder, earache, viral
infection, rash. Children 612 years of age
receiving oral solution: Nervousness, wheezing,
fatigue, hyperkinesia, abdominal pain,
conjunctivitis, dysphonia, upper respiratory tract
infection. Adults and children 12 years of age
receiving conventional or orally disintegrating
tablets: Headache, somnolence, fatigue, dry mouth.

Other drugs in this Aler-Tab, Allergy, Allermax, Altaryl, Benadryl, Alavert, Claritin, Claritin Reditab, Clear-Atadine,
class Children's Allergy, Diphen Cough, Diphenhist, Dimetapp ND, ohm Allergy Relief, QlearQuil All
Dytuss, Q-Dryl, Siladryl, Silphen Cough, Simply Day & Night, Tavist ND, Wal-itin
Sleep, Sleep-ettes, Sominex Maximum Strength
Caplet, Theraflu Thin Strips Multi Symptom,
Triaminic Thin Strips Cough & Runny Nose,
Unisom Sleepgels Maximum Strength, Valu-Dryl

Comparisons
Antihistamine and Decongestants tend to unblock your nose and chest. An antihistamine is supposed to block or slow
Decongestants the release of histamine, which produces the excess mucus.

Cough suppressant and The purpose of an expectorant (often guaifenesin, or glycerol guaicolate) is to thin or liquefy the
Expectorant body's secretions, such as mucus, that cause congestion. The purpose of cough suppressants, on
the other hand, is to stop the body's reflex or desire to cough.

First generation The first generation antihistamines are short acting and usually make people sleepy. Second
antihistamine and Second generation (are long acting once a day, and generally do not make people sleepy, or less so.
generation antihistamine
Oral and Topical A topical decongestant narrows blood vessels by reducing blood flow to the nasal passage. An oral
decongestants decongestant binds to receptors causing reduced blood flow in the nasal area.

Topical decongestants and A topical steroid is a corticosteroid that lowers histamine. A topical decongestant narrows blood
Topical steroids vessels by reducing blood flow to the nasal passage.

Herbals:

Summary of Visit: (One complete paragraph)

For this assignment, I had went to the same Walgreens on Studebaker, and I was able to catch the pharmacist, Patty, this time.
However, she was extremely nonchalant in helping me. As was the one technician working there with Patty. So I only received help on
the benedryl before the pharmacist wonder off back into the pharmacy area where they were attending no one. She couldnt even tell
me what a topical decongestant was. So, I will try my next assignment at a cvs next time. Anyway, I was able to find all the drugs
relatively quick and easy. Took a pic of the back of the boxes and headed out.