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Over the Counter Medication Use:


How use of these medications could affect classroom behavior ... OTC Medication Use by Category: Most common uses include: Pain (78%) Cough, cold, flu (52 ... – PowerPoint PPT presentation

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Title: Over the Counter Medication Use:

Over the Counter Medication Use
  • Basic information for educators.
  • Matthew Perri Ph.D, R.Ph., UGA College of Pharmacy

Goals for next hour
  • Help you take better care of yourself and those
    you care for
  • Learn about some key features of OTC medications
  • Problems
  • Side effects
  • Choices
  • Special considerations
  • How use of these medications could affect
    classroom behavior

How many of you have taken an OTC medication in
the last week or two?
  • Well come back to this in a minute.

Basic Points
  • Medication v. Drug
  • MOST medications can cause
  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness
  • Drowsiness

Overview of OTC Medications (Harris Survey)
  • gt 100,000 OTC Products
  • Few unique active ingredients
  • gt 700 are former Rx meds

Some Interesting OTC Facts
  • 3/5 people have used an OTC medication in the
    last 6 months
  • This is slightly more than who used an Rx
    medication in the last 6 months
  • Implication You are more likely to encounter
    OTC use in school than Rx!

Interesting Facts and OTC Problems
  • People dont consider OTCs real medicine.
  • People just dont know what is in these
    medications, and many contain the same active
  • Only 34 of consumers could identify the active
    ingredient in the medicine they were taking.

OTC Medication Use by Category
  • Most common uses include
  • Pain (78)
  • Cough, cold, flu (52)
  • Allergy and sinus (45)
  • Heartburn, stomach (37)
  • Constipation, diarrhea (21)
  • Skin problems (10)

For Example
  • Pain
  • Most common ingredients
  • Acetaminophen (Tylenol aka, APAP)
  • Aspirin (Many)
  • Ibuprofen (Motrin IB, Advil)
  • Naproxen (Aleve) and ketoprofen (Orudis)
  • Caffeine
  • Buffers, coatings, long acting, strongest pain
    reliever you can buy without a prescription.

OTC Medication Use Focus on School Age Children
  • Some specific recommendations and considerations

Key Point
  • Recognizing the rules about medication use in
    school we still have to be aware of what people
    might be doing without our knowledge
  • Communicate with parents
  • If they are taking Rx meds, chances are they use
    OTCs as well
  • Communicate with students
  • Dosed before school
  • Taken while at school without knowledge
  • Taken after school
  • Smoking? Illicit drugs?

  • Acetaminophen (apap)
  • first line treatment in those lt 18
  • Generally causes few problems
  • Is very safe to use
  • Aspirin
  • should be avoided in the under 18 age group
  • Reyes syndrome
  • Other problems usually associated with stomach
    distress (NVD)

  • Ibuprofen
  • Fine to use in the lt18 age group
  • Works about as well as apap
  • Caution if kids are dehydrated
  • Sometimes used in combo with APAP
  • Dizziness, plus stomach problems
  • Aspirin / ibuprofen allergies a concern, in some
    cases you are seeing students after their first
    dose of a medication!
  • Hives, shortness of breath, facial swelling,
    difficulty breathing or swallowing, itching,
    feeling funny
  • Seek medical assistance immediately

Cough, Cold and Flu, Allergy and Sinus
  • Decongestants (stuffy)
  • Pseudoephedrine (Sudafed)
  • PPA removed from the market, others include
    phenylepherine, and some nasal sprays (Afrin)
  • Have been associated with hallucinations,
    hypertension, irritability and hyperactivity
  • Can also cause drowsiness, especially as as the
    dose wears off
  • Products are available for very young children,
    but dosing is critical, so use pediatric dosage
    forms and measure carefully

Cough, Cold and Flu, Allergy and Sinus
  • Antihistamines (runny)
  • Claritin, Alavert (loratidine) Diphenhydramine
    (Benadryl), chlor and brompheniramine
    (Chlortrimeton, Dimetapp)
  • Alone, usually cause drowsiness
  • In combination, variable effects
  • NLD 105 AM
  • Kids need plenty of fluids when taking these,
    helps with drowsiness and dry mouth, PLUS MORE

  • Cough suppressants
  • DM dextromethorophan
  • Drowsiness, dizziness, NV
  • Codeine
  • Have to sign for OTC use
  • Not recommended for infants
  • Small or young children, can be used with caution
  • Expectorants
  • Guiafenesin (basic ingredient in most)
  • Usually no problem, need to use with water, works
    about as well as water in OTC doses.
  • No, water probably works better

Combination Products
  • Robitussin and Triaminic brands are very popular
    with pharmacists because they have many choices
  • Plain, DM, CF, PE, Orange, Grape
  • These products may contain
  • Antihistamines
  • Decongestants
  • Cough suppressants
  • Expectorants

Heartburn, Stomach, Gas
  • Antacids many, many
  • Maalox, Riopan, Gaviscon, and plenty more
  • Tagament, Zantac, Pepcid, etc.
  • Gas
  • Simethicone
  • Breaks up the gas bubbles so they can be expelled
    and not cause pain. These products do not reduce
    the amount of gas!
  • Gas X
  • Mylicon
  • Many generics available

Constipation and Diarrhea
  • The most amazing products that treat both! How do
    they know?
  • Equilactin
  • Balances water in the colon to properly form
    stools, adds fiber.

Skin Problems
  • Key here is contagiousness
  • Is the problem going to spread?
  • Bacterial, fungal, yes.
  • Contact dermatologic problems, usually not.
  • OTC Skin products usually present few problems
  • Neosporin, Polysporin, Micatin, Lotrimin,
    Lamasil, Aveeno, Bacitracin, Ivy Dry, Calamine,
    Hydrocortisone, etc.
  • Local reactions possible, sensitivity

  • 49 percent of consumers get information from ads
  • 57 percent get their information from a health

Ask Your Pharmacist!
10 Tips on OTC use
  • Read the label
  • Treat only the symptoms you have
  • Know what to avoid while taking OTCs beware of
  • ASK before you buy
  • Use as directed on the label
  • Be careful if you take gt 1 OTC
  • Dont mix Rx and OTCs including herbals
  • Give your doctor a list of ALL meds
  • For kids, use pediatric formulas
  • Throw meds away if they are expired

Keep in mind
  • If you have students taking OTC meds, more than 1
    medication, Rx and OTC meds, and something seems
    out of character, it could be the cause.
  • These kinds of problems need to be brought to the
    attention of a health professional asap.
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