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Nasal Decongestion
otc exam 2
7
Pharmacology
Undergraduate 4
11/07/2010

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Cards

Term
Direct decongestants (def. and 3 ex.)
Definition
bind alpha adrenergic receptors

phenylephrine
oxymetazoline
tetrahydrozoline
Term
Indirect decongestants (def. and 1 ex.)
Definition
displace NE in presynaptic nasal nerve terminals which increase alpha adrenergic stimulation

ephedrine
Term
Mixed decongestants (1 ex.)
Definition
pseudoephedrine
Term
Topical vs. Oral Decongestants

onset/duration/ADRs
Definition
Topical: quick onset/short duration/rebound congestion
Oral: slow onset/long duration/CNS and heart stimulation
Term
Nasal Decongestants have interactions with these 4 other classes
Definition
MAOIs: contraindicated
SSRIs: augment tachycardia/vasopressive effects
Antacids: decreased elimination of psuedoephedrine (its basic) [no adr with AlOH]
Tricyclic Antidepressants: increase BP and decrease decongestion action
Term
Oral Decongestants (2)
Definition
pseudoephedrine 60mg
phenylephrine 10mg
Term
Topical Decongestants (8)

which is the best/longest acting?
Definition
oxymetazoline (Afrin) [longest acting]
phenylephrine
ephedrine
epinephrine
l-desoxyephedrine
propylhexadrine
xylometazoline (Otrivin)
naphazoline (Privine)
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