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OTC MEDICATIONS: A FOCUS ON PROTECTING YOUR SKIN
Terri M. Wensel, PharmD, BCPS, TTS
Associate Professor of Pharmacy Practice
Samford University McWhorter School of Pharmacy
OBJECTIVES
Differentiate between a variety of skin ailments such as
sunburn, poison ivy, and insect stings
Determine if it is appropriate for a patient to
self-treat
State standard knowledge parameters for select
medications
Determine an appropriate course of treatment for a given
patient case
Discuss etiology and prevention of Zika virus
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BACKGROUND
Center for Drug Evaluation and Research
Categorized as: Medications Nutritional
Supplements Natural / homeopathic
http://www.pharmacytimes.com/publications/otc/2013/otcguide-2013/otc-medication-safety
http://www.pharmacytimes.com/publications/otc/2013/otcguide-2013/otc-medication-safety
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HOW MUCH DO AMERICANS SPEND ON OTC MEDICATIONS ANNUALLY?
A. $20 million
B. $75 million
C. $23 billion
D. $40 billion
BACKGROUND
http://www.chpa.org/OTCResearch.aspx
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BACKGROUND
http://www.chpa.org/marketstats.aspx
ACCESSIBILITYAFFORDABILITY
TRUSTEMPOWERMENT
COMMON PRODUCTS
Analgesics
Allergy
Heartburn
Cough
Cold
Flu
Respiratory
Oral care
Gastrointestinal
Internal analgesics
Eye care
http://www.chpa.org/marketstats.aspx;
http://www.chpa.org/OTCvalue.aspx
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http://www.chpa.org/marketstats.aspx;
http://www.chpa.org/OTCvalue.aspx
SUNBURN
UV exposure UVA vs UVB
Risk factors
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SUNBURN: PRESENTATION
Redness
Tenderness / pain
Edema
Severe burns may result in vesicles/bullae, fever,
chills, weakness, and / or shock
WHICH OF THE FOLLOWING PATIENTS IS NOTA CANDIDATE FOR
SELF-CARE?
23 year old with redness localized to face and
shoulders
56 year old with a history of melanoma
8 year old preparing for swim lessons
3 month old heading to the beach
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NON-PHARMACOLOGIC PROTECTION
Avoid
Protective clothing
PREVENTION: SUNSCREEN
SPF…higher is better, right?
Broad-spectrum
Cream-based = water resistant Must indicate if
effective for 40 or 80 minutes while swimming or sweating
50+
What about towelettes and wipes? Sprays?
“Bad” ingredients
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SUNSCREEN APPLICATION
HOW MUCH SHOULD YOU APPLY TO EACH AREA?
HOW FAR IN ADVANCE SHOULD YOU APPLY?
WHEN SHOULD YOU REAPPLY?
FACE & NECK
ARMS & SHOULDERS
TORSO
LEGS & TOPS OF FEET
WHICH SUNSCREEN TO PICK???
https://www.ewg.org/sunscreen/
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SUNBURN
NSAIDS
Protectants / moisturizers
Topical anesthetics
Aloe vera
Cool, damp towel
POISON IVY
Form of allergic contact dermatitis
Ivy, oak, or sumac
Urushiol found in Toxicodendron genus 10
minutes Not volatile Can transfer
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POISON IVY: PRESENTATION
Itching
Redness
Vesicles / bullae
WHICH OF THE FOLLOWING PATIENTS IS A CANDIDATE FOR
SELF-CARE?
Patient with > 20% of body affected
Patient with lesions on the face / near the eye
3 year old child
Patient who has failed a 7-day course of OTC therapy
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POISON IVY: TREATMENT
Hydrocortisone 1%
Astringent compress
Calamine
Colloidal oatmeal
Oral antihistamines
POISON IVY: MANAGING EXPOSURE
Antigen removal Zanafel Tecnu
Protective clothing
Preventive barrier lotion IvyBlock
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INSECT BITES & STINGS
Mosquitos
Fleas
Bedbugs
Ticks
Chiggers
Bees
Wasp
Hornet
Yellow jacket
Fire ants
GENERAL APPROACHES TO TREATMENT
Ice pack
External analgesics
Local anesthetics
Repellants
