Pharm Spring Otc Drug Interactions

Front 1

Medical condition :HTN ; avoid nonprescription classes and types of meds such as...

Back 1

NSAIDS, herbal Ma Huang (Ephedra), anything with cold-allergy-sunus meds that contain alpha-agonists phenylephrine, pseudoephedrine

b/c they increase BP

avoid bronchodialators (primatene, bronkaid); OTC stimulants (caffeine): cicarin, NoDoz, PMS products

Front 2

HTN non prescription safe drugs

Back 2

Robitussin (plain)
Benadryl allergy
ChlorTrimeton Allergy
Coricidin HBP
Teldrin HBP
Clatirin
Alavert

Front 3

Medical condition: DM avoid non prescription classes and types of meds such as...

Back 3

NSAIDS, herbal Ma Huang (Ephedra), anything with cold-allergy-sunus meds that contain alpha-agonists phenylephrine, pseudoephedrine

b/c they increase BP

avoid bronchodialators (primatene, bronkaid); OTC stimulants (caffeine): cicarin, NoDoz, PMS products

Front 4

DM non prescription safe drugs

Back 4

Robitussin (plain)
Benadryl allergy
ChlorTrimeton Allergy
Coricidin HBP
Teldrin HBP
Clatirin
Alavert

Front 5

Medical Condition BPH prescription drugs

Back 5

Tetrazosin
Doxazosin
finasteride

Front 6

BPH nonprescription drugs to avoid

Back 6

anything with antihistamines and NSAIDS, herbal Ma Huang (Ephedra), anything with cold-allergy-sunus meds that contain alpha-agonists phenylephrine, pseudoephedrine

avoid bronchodialators (primatene, bronkaid); OTC stimulants (caffeine): cicarin, NoDoz, PMS products

note that all multisystem cough/cold products, ALL OTC sedatives and motion sickness drugs contain antihistamines

Front 7

Medical condition involving the GI (heartburn, acid indigestion, sour stomach, gas and bloating) things to avoid...

Back 7

Maalox and mylanta should not be taken at the same time as other drugs, take either 1 hr before or 2 hrs after other meds

Don't use 2 drugs from same category.. dont use PPI and H2 antagonist together.

Avoid irratants ETOH caffeine, nicotine, and all NSAIDs

Use APAP

Front 8

Antidepressants SSRI (selective serotonin reuptake inhibitors) avoidance

Back 8

all except wellbutrin...
don't use with st. johns wort products

Front 9

MAOIs (monoamine oxidase inhibitors) avoidance

Back 9

avoidance of all decongestant type drugs (cough, cold, flu, sinus) and red wines and cheeses b/c they can cause HTN-crisis with this drug

AVOID dextromethorphan

Front 10

Hyperthyroid avoidance

Back 10

avoid OTC NSAIDS, herbal Ma Huang (Ephedra), anything with cold-allergy-sunus meds that contain alpha-agonists phenylephrine, pseudoephedrine

b/c they increase BP

avoid bronchodialators (primatene, bronkaid); OTC stimulants (caffeine): cicarin, NoDoz, PMS products

Front 11

Anticoagulant therapy avoidances

Back 11

avoid all aspirin and NSAID analgesics. Use acetaminophen: tylenol, panadol

Front 12

Insomnia avoidances

Back 12

avoid all antihistamines, sedatives, and ETOH because these will increase sedative effects

avoid herbal products with melatonin, valerian, kava kava, chamomile because these will increase sedative effects

avoids all CNS stimulants: caffeine, ephedrine, epinepherine, decongestants. This will dec sedative effects

Front 13

Potential drug abuse OTC products

Back 13

Dextromethorphan
Pseudoephedrine
Caffeine products
Laxitives
Emetics

Front 14

Normal Physiological Changes: GI

Back 14

1. Changes in dentition and reduced saliva production alter dietary choices. Normal decrease in smell and taste alter dietary choices.
2. Absorption of foods and drugs generally decreases because of a decrease in gastric acid and atrophy of gastric mucosal lining.
3. Normal gastrointestinal motility is reduced. (May off-set reduced absorption.)

Front 15

Normal Physiological Changes: Renal

Back 15

1. General decrease in blood flow to kidneys and reduction in kidney function. Drugs take longer to excrete and may build-up in body.
2. Normal concentration of body water decreases. Drink water. Avoid chronic use of analgesics, especially NSAIDs.

Front 16

Normal Physiological Changes: Hepatic

Back 16

1. General decrease in liver function, especially liver enzymes which metabolize drugs. When multiple drugs are taken, they may compete for the same enzymes for metabolism, causing high levels of drug to accumulate and cause toxic effects.
2. Drugs that are toxic to the liver: acetaminophen (especially true if alchol is consumed frequently); kava kava, black cohash, niacin

Front 17

Drugs inhibiting normal liver metabolism & causing frequent toxicity:

Back 17

Generic name Trade Name
Antifungal drugs:
Ketoconazole Nizoral
Itraconazole Sporanox
Metronidazole Flagyl

Antibiotic drugs:
Ciprofloxacin Cipro
Erythromycin

Front 18

When taking drugs avoid

Back 18

grapefruit juice