As a community pharmacist, you should always be aware of the latest developments in the treatment of coughs and colds. This year’s spike in respiratory viruses will have patients asking which OTC to take for cough and cold symptoms. Continue to emphasize nondrug options like fluids, cool-mist humidifiers, ice chips for sore throat,…
قراءة المزيدAs a community pharmacist, patients will ask you how to manage acute cough due to the common cold. There still isn't good evidence for or against using OTC or prescribed medications for acute cough due to a cold. But patients often want to take something. So continue to suggest trying nondrug options first: fluids, cool-mist humidifiers, etc... …
قراءة المزيدAnalgesics during pregnancy ㅡ Acetaminophen ( Panadol, Novaldol ) is analgesic drug of choice for pain during pregnancy (Pregnancy category B). See, figure-1-FDA pregnancy categories prior to 2014 . Figure (1) FDA pregnancy categories. Non-steroidal anti-inflammatory drugs (NSAIDs) …
قراءة المزيدFDA pregnancy categories prior to 2014, figure (1) . Gastroesophageal reflux disease (GERD) occurs in up to 80%, of pregnancies and peaks in the third trimester. The exact mechanism and pathogenesis of this condition associated with pregnancy is likely multifactorial ( table 1 ) . Figure (1) FDA pregnan…
قراءة المزيدPREGNANT WOMEN WILL ASK THE PHARMACIST about OTCs for GI complaints. We know nausea and vomiting in pregnancy is common. But be ready to help manage other GI problems if nondrug measures aren't enough. HEARTBURN ― Suggest an antacid with calcium first or one with aluminum/magnesium ( Maalox , etc) . These are considered safe at labeled doses, work quickly an…
قراءة المزيدFALL AND WINTER WILL BRING UP MORE QUESTIONS ABOUT WHICH COUGH, COLD, AND ALLERGY MEDICATIONS to use during pregnancy and breastfeeding. Recommend trying nondrug options first, a humidifier or vaporizer, plenty of fluids to help thin mucus, and nasal saline for congestion. Suggest other options when this isn't enough... Nasal steroids. These don&…
قراءة المزيدOverview ㅡ Dyspepsia is a term used to describe a number of symptoms associated with the upper gastrointestinal tract that may include upper abdominal pain or discomfort, a feeling of upper abdominal 'fullness' or 'heaviness', reflux, heartburn, belching, nausea, and vomiting... Causes. Dyspepsia in pregnancy is commonly due to gastro-esophage…
قراءة المزيدOverview ㅡ Differential is broad; focus on ruling out serious illness (ex: cancer). Avoid antibiotics for viral upper respiratory infection (URI) and bronchitis. Acute cough means a cough lasting less than 3 weeks.. Assessment DIFFERENTIAL DIAGNOSIS ㅡ Viral respiratory syndromes or environmental irrita…
قراءة المزيدOverview ㅡ Over-the-counter (OTC) medications are pharmacologic agents that patients can buy without a physician’s prescription. They come in different forms, such as pills, creams, ointments, patches, or drops... Table (1) FDA pregnancy risk classification system. Diagnosis …
قراءة المزيدIntroduction ㅡ Pharyngitis is an inflammation of the pharynx (or sore throat) diagnosed clinically, and which may be due to either infectious or noninfectious causes. Clinical factors, particularly age, greatly influence the likelihood of specific infectious pathogens as the cause of pharyngitis. Infectious causes include Viral causes, such as adenovirus…
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