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Constipation
Diarrhea
Acetaminophen does not have anti-inflammatory bleeding, and can be hepatotoxic in excessive doses (>4g/d), or when used concurrently with alcohol. Dry eyes can be treated with artificial tears or ocular emollient. Ophthalmic vasoconstrictors ( ocular decongestants) cause vasoconstriction in the conjunctiva to treat redness. Naphazoline is the ocular decongestant of choice. Ocular decongestants are contraindicated in narrow-angle glaucoma, due to the potential to cause rebound. Combination products containing an ophthalmic vasoconstrictor and ocular antihistamine should be recommended for allergic conjunctivitis (naphazoline + pheniramine or antazoline). Impacted cerumen can be treated with cerumen softening agents (carbamide peroxide in anhydrous glycerin + alcohol; hydrogen peroxide + water). Water-clogged ears may be managed with commercial preparation of isopropyl alcohol + anhydrous glycerin, or compounded acetic acid + isopropyl alchocol. Home tests are available for: o Blood glucose monitoring (diabetes) o Fertility and ovulation o Pregnancy o Urinary tract infection o Colorectal cancer o Blood pressure monitoring o Acquired immunodeficiency syndrome(AIDS) o Illicit drug use o Hepatitis C Herbal products that should be discontinued prior to surgery: gingko, garlic, ginseng St. Johns wort: takes several weeks to see effect; potential for serious drug interactions.
Ophthalmic products
Otic products
Sleeping aids
Ethanolamine antihistamines (diphenyhydramine, doxylamine) should be used for shortterm management of occasional insomnia in conjunction with good sleep hygiene.
Smoking cessation
First-line agents for pharmacotherapy in smoking cessation: * Nicotine gum (Nicorette, generic) OTC * Nicotine patch (Nicotrol, Nicoderm CQ) OTC * Nicotine inhaler (Nicotrol inhaler) * Nicotine nasal spray (Nicotrol NS) * Bupropion SR (Zyban) Contraindications/Precautions for nicotine replacament therapy: * Cardiovascular disease * <2 weeks post-MI * Serious arrhythmias * Serious/worsening angina * Esophagitis, peptic ulcer disease (gum) * Seek medical advice if pregnant or breastfeeding * Do not smoke while using NRT *Allergies, asthma, sinus conditions (nasal spray) Caffiene, a CNS stimulant, is the only FDA-approved non-prescription stimulant. The recommended dosage of 50-200 mg may increase alertness and decrease fatigue. Doses exceeding 200 mg may cause nervousness, insomnia, and/or irritability.
Stimulants