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41 Cards in this Set

  • Front
  • Back
The pharmacist is the ? ? health care professional.
The pharmacist is the most accessible health care professional.
The OTC section of a pharmacy provides a pharmacist with what opportunity?
The opportunity to act in a primary care capacity.
How can a pharmacists help patients self-medicate appropriately?
By acting in a professional manner and carefully providing GUIDANCE in selection of products.

('guidance only'; can't prescribe or tell them what to take)
OTC medications allow patients to manage their medical problems ?, ?, and ?.
OTC meds allow pts to manage their med problems RAPIDLY, ECONOMICALLY, and CONVENIENTLY.
Are OTC meds always economically beneficial? Give an example.
No. For example, a pt may have insurance that covers a prescription medication instead.
In 2004 $? was spent on OTC products and meds.
In 2004 $15.1 billion was spent on OTC products and medications.
Products lines keep ?.
They keep expanding...there are soooo many choices.
There are over 400 medical disorders that are what?
Over 400 medical disorders that are treatable (not necessarily cured) with one or more OTC products.
An MIT study showed that there were ? ingredients of cough and cold products in all dosage forms and manufacturers = ? possible product choices.
An MIT study showed that there were 19 ingredients of cough and cold products in all dosage forms and manufacturers = 6840 possible product choices.
? brands are products we see/hear advertised.
National brands are products we see/hear advertised.
What are store brands?
Store brands are actually generics comparable to national brands but sold under the store's name and label.
Why do store brands cost less than national brands?
Store brands do not have to pay for advertising. Advertising is the 2nd greatest expense for the national brands (after develoopment which is the greatest expense).
How do many pts feel about "store brands"?
That they are not as good as national brands.
Marketing/advertising or "media spending" is ? at a rate of ?% per year.
Marketing/advertising or "media spending" is increasing at a rate of 17% per year.
What percentage of the purchase price of a national brand is attributable to advertising?
As much as 40%.
What percentage of pts purchase a product when it is recommended by a pharmacist?
85% of pts purchase a product when it is recommended by the pharmacist.
Of the $15.1 billion spent in 2004 on otc's what percentage of the purchases were made in pharmacies?
Nearly 43% of these purchases were made in pharmacies. (this doesn't account for places like convenience stores where you can buy aspirin, etc)
List 7 aspects of pt assessment and consultation.
1. Communicate

2. Question

3. Listen

4. Observe

5. Evaluate

6. Special Considerations (pediatric, geriatric, pregnant, nursing mothers)

7. Recommend
When recommending a product it is important to focus on ? and avoid ?.
It is important to focus on SYMPTOMS and avoid EXTRANEOUS INGREDIENTS.
15 questions to ask during pt assessment and consultation.
1. Please describe the problem or condition?

2. Are you the pt?

3. If not, who is?

4. Age?

5. Weight? (esp. if a child)

6. When did it start?

7. Is it persistent or does it come and go?

8. Does it inhibit you in any way?

9. Have you had this condition before?

10. Does anything make it worse?

11. What have you done so far?

12. Does anything make it better?

13. Are there any other existing medical conditions?

14. Is the patient taking any other medications?

15. Is pt allergic to anything?
What do many pts assume when you ask if they are on any other medications?
Many assume that you are only speaking of prescription meds. You need to be sure to specifically inquire about vitamins, supplements, etc.
If a pharmacist decides an OTC drug is appropriate for a condition then how many products should a pharmacist recommend?
The pharmacist should suggest two or more products that they believe would be beneficial.
If there is no improvement after a pt has used an OTC medication recommended by a pharmacist what should you tell the pt?
Tell pt to see MD if no improvement after using med.
If you do not have an OTC recommendation for a pt what should you recommend?
Recommend the pt see an appropriate health care provider.
For a pregnant pt it is best to avoid what?
Best to avoid most OTC drugs.
In pregnant women what is the drug of choice for pain and fever?
Are NSAIDs OK in pregnant patients?
NSAIDs are ok early in pregnancy but should be avoided late in pregnancy.
What should pregnant women take?
Pregnant women should take vitamins prescribed by MD and possibly Calcium but no other supplements unless recommended by physician.
A nursing mother has a ? range of OTCs available to them than a pregnant pt.
A nursing mother has a broader range.
In nursing mothers MOST analgesics are ok except for what two exceptions?
Most OTC analgesics are ok except for aspirin and salicylates.
List 9 types of OTC meds that are usually ok for NURSING mothers?
1. Most analgesics except asa and apap

2. antacids

3. anti-diarrheal agents

4. mild laxatives

5. vitamins

6. some antihistamines

7. gastric antisecretory agents

8. cough syrups

9. decongestants
With pediatric pts it is important to check the label of an OTC product for what?
For the appropriate dose with regard to age and/or weight.
If a pediatric patient is under the recommended age listed on an OTC med bottle what should a pharmacist do?
They should check their references or tell the parent to contact MD.
In pediatric pts it is sometimes necessary to suggest possible solutions to what?
Suggest possible solutions to overcome undesirable taste.
What age range is considered a geriatric patient?
Geriatric pts make up what percentage of the US population?
They make up 13% of US population.
Geriatric pts consume what percentage of all Rx meds sold in the US?
Geriatric pts consume what percentage of all OTC meds sold in the US?
Many geriatric pts have what?
Many have pre-existing medical conditions. Many are taking several Rx drugs and often OTC analgesics, vitamins, laxatives, antacids, etc.
In geriatric pts as a general rules anthihistamines should be avoided in patients with what 4 conditions?
1. Glaucoma

2. Bronchitis

3. Emphysema

4. Urinary retention
In geriatric patients decongestants should be avoided in pts with what 4 conditions?
1. Heart disease

2. HTN

3. Thyroid disease

4. Diabetes