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Over-the-Counter Medications The Market Therapeutic Classes Commercial Products

Over the-counter medications

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Page 1: Over the-counter medications

Over-the-Counter Medications

The Market

Therapeutic Classes

Commercial Products

Page 2: Over the-counter medications
Page 3: Over the-counter medications

The OTC Market Place

Market Design Self-Care Movement Self Medication

Risks Benefits

Prevalence of OTC use

Law Review

Impact

Page 4: Over the-counter medications

OTC Industry Trends

Sales USA Global

Product Categories Active ingredients Product selection

Rx-OTC Switch Movement

Patient counseling Real medicines

Page 5: Over the-counter medications

OTC Labeling

Page 6: Over the-counter medications
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Drug ClassificationStudy Chart Example

Classification

Purpose &

Therapeutic Effect

Adverse

Effects

Cautions &

Warnings

Patient

Education

Page 9: Over the-counter medications

Analgesia

Pain Organic Psychogenic

Anatomy of Pain SensationTypes of Pain Headache, migraine Osteoarthritis, RA Neuralgia, myalgia,

arthralgia, bursitis Menstrual (diuretics)

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Oral Analgesics (Internal)

Active Ingredients Salicylates (ASA-acetyl salicylic acid) Para-aminophenol (APAP-acetaminophen) Non-steroidal anti-inflammatory (NSAIDS)

(IBU-ibuprofen)

Mechanism of Action (MOA)

Side Effects (SE)

Page 11: Over the-counter medications

Topical Analgesics (External)

Capsaicin (Zostrix)

Salicylates (Aspercreme)

Menthol (Mineral Ice, Flexall, Jointritis)

Camphor (Bayer Muscle & Joint)

Thermacare

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Is it a Cold or the Flu?Cold Flu

Fever –rareHA –rareAches/pains- slightFatigue/weak-mildRunny/stuffy nose-commonSneeze- usualSore throat- commonChest discomfort-mild

High 102-104FProminentUsual & severeExtreme – 2-3 weeksSometimes

SometimesSometimesCommon

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Anti-diarrheals

Diarrhea Types Self-limiting

OTC Treatments Non-drug

BRAT Drug

Adsorbents Kaolin,pectin, bismuth

GIT sedatives loperamide

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Laxatives

Constipation

Treatment Bulk forming Emollient Lubricants Saline Stimulant Stool softener

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Anti-Emetics

Physiology Vomiting center Chemoreceptor trigger zone

Treatment Meclizine, cyclizine Dimenhydrinate Fructose/sucrose

Coke syrup Emetrol

Sea Bands

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Antacids

Neutralizers Ingredients Na++ Bicarbonate Ca++ Carbonate Aluminum Hydroxide Magnesium Hydroxide Alginic Acid

Anti-flatulence Simethicone

Digestive Enzymes

Page 17: Over the-counter medications

Acid Reducers

Physiology

Ingredients Histamine-2 (H-2) Receptor Blockers

Cimetidine Famotidine Ranitidine

Proton Pump Inhibitors (PPI) Omeprazole

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The Common Cold

Rhinovirus LRI URI

Rhinitis Allergic

Seasonal Perennial

Infectious Non allergic

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Nasal DecongestantsTopical Oral

MOA

Agents Ephedrine Phenylephrine Naphazoline Oxymetazoline Xylometazoine

SE

MOA

Agents Ephedrine Phenylephrine Pseudo ephedrine

SE

The Sinus Headache

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Anti-Tussives

Types of Cough Congested, productive Congested, non-

productive Dry, non-productive

Agents Expectorants

Guaifenesin

Central Acting Suppressants

Dextromethorphan

Page 23: Over the-counter medications

Intermission