Pharmacy Over-the-Counter (OTC) Medications and Counseling 2

Question 1

A patient with hypertension asks for an OTC decongestant for a cold. What is the best recommendation?

Accepted Answer

Phenylephrine 10 mg — use with caution; consider non-drug options like saline rinse

Answer

Pseudoephedrine 60 mg — the most effective option

Answer

Oxymetazoline nasal spray — safe for all hypertensive patients

Answer

Any decongestant is safe if taken for only 1 day

Question 2

Which OTC antacid contains calcium carbonate and may provide a supplemental calcium benefit?

Accepted Answer

Calcium carbonate (Tums)

Answer

Magnesium hydroxide (Milk of Magnesia)

Answer

Aluminum hydroxide (Amphojel)

Answer

Sodium bicarbonate (baking soda)

Question 3

A patient is selecting an OTC laxative for occasional constipation. Which type of laxative is considered safest for long-term use?

Accepted Answer

Osmotic laxatives like polyethylene glycol (MiraLAX)

Answer

Stimulant laxatives (senna, bisacodyl)

Answer

Saline laxatives (magnesium citrate)

Answer

Mineral oil

Question 4

Which OTC product should be recommended for a patient describing symptoms of vaginal yeast infection (itching, thick white discharge, no fever)?

Accepted Answer

Clotrimazole or miconazole vaginal antifungal cream/suppository

Answer

Metronidazole vaginal gel (Metrogel)

Answer

Hydrogen peroxide douche

Answer

Boric acid suppositories (prescription only)

Question 5

A patient asks about OTC proton pump inhibitors (omeprazole). The recommended OTC course is:

Accepted Answer

Take for 14 days, may repeat every 4 months if needed

Answer

Take indefinitely for best heartburn prevention

Answer

Take only as needed, maximum one dose per week

Answer

Take daily for 6 months minimum

Question 6

Aspirin therapy in children with viral illness should be avoided because of the risk of:

Accepted Answer

Reye's Syndrome

Answer

Gray baby syndrome

Answer

Kernicterus

Answer

Stevens-Johnson syndrome