Bisacodyl
Do not chew, split, crush
Do not admin w/in 1 h of milk/dairy/antacid
Do not take more than once daily.
Lifestyle interventions = first-line management of
constipation
Carbamide peroxide
Wash hands before and after Do not touch dropper to
ear. Lie on side for 2 min after instilling drops.
Solution may foam / produce a crackling sound on contact with
wax. Remaining earwax may be removed by rinsing with warm
water and syringe bulb. Store at room temperature.
Keep out of reach of children and pets, avoid contact with
eyes. Oral consumption is not recommended.
Dextromethorphan
Shake ER suspension well before use. rest
and hydrate Take w/ plenty of noncaff liquids.
Only use the measuring cup provided
Dimenhydrinate
avoid driving / operating machinery. Avoid alcohol /
CNS depressants. Avoid in elderly Tablets are
scored for ped dosing.
Evening Primrose Oil
Avoid triggers by avoiding heat, perspiration, dry skin,
stress, and anxiety Low-water-content creams and
ointments recommended for all patients.
First generation antihistamines may be used to
control itching and sleep disturbances secondary to itching.
Topical corticosteroids are the mainstay of therapy
for mild disease.
Avoid alcohol / NSAIDs (increase the risk of
bleeding)
Ferrous Sulfate
takes weeks for max effect. black stools.
empty stomach (w/ food if nausea occurs) Avoid
calcium/antacids Keep out of reach of children (fatal)
Do not crush/chew any
Flaxseed Oil
Swallow the whole capsule
food and a full glass of water Do not eat
raw seeds
Guaifenesin
rest and hydrate Take w/ plenty of noncaff
liquids.
Tastes awful; Do not chew/crush ER
formulations. Not for persistent cough or OTC use in
children <2 y
ER formulation not for children <12 y
Human Papilloma Virus
Return to provider for all doses in the series
Lactobacillus
Gas and bloating common AE at start of trtmt;
generally diminishes over several days Store in its
original packaging (prevent loss of
potency);
Refrigeration of some products is required.
Over time, potency of product within an individual package will
decline, and pts may need to increase dose to
maintain therapeutic effect. Various products may
be crushed, chewed, or sprinkled into drinks or onto food
including cereal
Loperamide
Oral rehydration therapy for mild, uncomplicated
diarrhea must accompany
Max OTC = 8 mg for adults and children >12
y;
Max OTC = 4 mg for children ?6 y
Do not use in children <2 y
Measles, Mumps, & Rubella
Children may experience mild fever and rash 7-10 d
after admin
Avoid pregnancy for 28 d following admin
Miconazole (vaginal)
Products are petrolatum based = weakens condoms; use
alternative form of birth control.
7 d or 3 d formulations may be more effective than 1 d
preparations
Omega-3-Acid Ethyl Esters
Swallow the whole capsule
Take with food. If unable to swallow
whole capsule: puncture the capsule and squeeze contents
into glass or porcelain
cup Do not use a plastic cup; this may cause
foaming.
Pertussis
Return to provider for each dose in the series.
Phosphorated carbohydrate
Do not dilute / drink fluids immediately before
/after admin
Oral rehydration therapy for mild, uncomplicated
nausea should be attempted after nausea resolves.
Do not take more freq than once per 15 min.
Do not take >5 doses in 1 h. Use
measuring device provided.
Chilling may improve taste/palatability.
Poliovirus
Monitor for syncope, fever, or anaphylactic hypersensitivity reaction
after administration.
Polyethylene glycol
Shake vigorously to ensure powder is
dissolved. May cause nausea, anal irritation, or
vomiting. If severe bloating, abdominal distension,
or abdominal pain occurs, slow the consumption of solution;
resume once symptoms have resolved If utilized
as bowel preparation for imaging study, avoid solid foods
for 3-4 h before beginning trtmt
Rotavirus
Return to provider for each dose in the series.
Contact a health-care provider if child has diarrhea,
blood in his stool, vomiting, high fever, or abd pain as
these may be symptoms of intussusception.
Simethicone
Shake suspension
Mix liquid form w/ as little other liquid (eg, 30
mL) before admin Can admin directly into the mouth
w/o diluting
Admin toward the cheek to avoid infant spitting
out
Take after meals To reduce gas formation,
avoid carbonated beverages and other gas-producing foods.
St John's Wort
Warn patients to discuss concurrent drug use before
starting any new prescription or OTC product.
May increase sensitivity to sunlight, use
sunscreen, or avoid sun exposure.
Tetanus
Return to provider for each dose in the series.
Undecylenic acid
Wash with soap and dry area before applying. Keep skin
clean and dry during trtmt, avoid sharing personal items that come
into contact with the infected area. For athlete�s foot:
allow shoes to dry between wearing, Change socks several times
daily, wear well-ventilated shoes, Use shower shoes All
topical skin infections are contagious; avoid skin-to-skin contact
with infected area to prevent spread.
bid regimen required for maximum efficacy.
Continue use for 2 wk after symptoms have
resolved. May be used daily to prevent
athlete�s foot.
Varicella
Children may experience mild fever and rash 7-10 d
after admin Female pts should avoid
pregnancy for 1-3 mo following vacc
Zinc oxide
Clean area before use, change wet/soiled
diapers quickly
Apply liberally and rub in gently after diaper
change, esp. at bedtime or potential prolonged exposure, to
promote healing if inflamed skin and protect healthy skin.
For external use only.
Avoid contact with eyes or mucous membranes.
Do not use on animal bites, serious burns, or deep puncture
wounds.