Over-the-Counter Medications The Market Therapeutic Classes Commercial Products
 
The OTC Market Place <ul><li>Market Design </li></ul><ul><ul><li>Self-Care Movement </li></ul></ul><ul><ul><li>Self Medica...
OTC Industry Trends <ul><li>Sales </li></ul><ul><ul><li>USA </li></ul></ul><ul><ul><li>Global </li></ul></ul><ul><li>Produ...
OTC Labeling
 
 
Drug Classification Study Chart Example Patient Education Cautions & Warnings Adverse  Effects Purpose &  Therapeutic Effe...
Analgesia <ul><li>Pain </li></ul><ul><ul><li>Organic </li></ul></ul><ul><ul><li>Psychogenic </li></ul></ul><ul><li>Anatomy...
Oral Analgesics  (Internal) <ul><li>Active Ingredients </li></ul><ul><ul><li>Salicylates (ASA-acetyl salicylic acid) </li>...
Topical Analgesics  (External) <ul><li>Capsaicin  (Zostrix) </li></ul><ul><li>Salicylates  (Aspercreme) </li></ul><ul><li>...
Is it a Cold or the Flu? Cold  Flu <ul><li>Fever –rare </li></ul><ul><li>HA –rare </li></ul><ul><li>Aches/pains- slight </...
Anti-diarrheals <ul><li>Diarrhea </li></ul><ul><ul><li>Types </li></ul></ul><ul><ul><li>Self-limiting </li></ul></ul><ul><...
Laxatives <ul><li>Constipation </li></ul><ul><li>Treatment </li></ul><ul><ul><li>Bulk forming </li></ul></ul><ul><ul><li>E...
Anti-Emetics <ul><li>Physiology </li></ul><ul><ul><li>Vomiting center </li></ul></ul><ul><ul><li>Chemoreceptor trigger zon...
Antacids <ul><li>Neutralizers Ingredients </li></ul><ul><ul><li>Na++ Bicarbonate </li></ul></ul><ul><ul><li>Ca++ Carbonate...
Acid Reducers <ul><li>Physiology </li></ul><ul><li>Ingredients </li></ul><ul><ul><li>Histamine-2 (H-2)  Receptor Blockers ...
 
The Common Cold <ul><li>Rhinovirus </li></ul><ul><ul><li>LRI </li></ul></ul><ul><ul><li>URI </li></ul></ul><ul><li>Rhiniti...
 
Nasal Decongestants Topical  Oral <ul><li>MOA </li></ul><ul><li>Agents </li></ul><ul><ul><li>Ephedrine </li></ul></ul><ul>...
Anti-Tussives <ul><li>Types of Cough </li></ul><ul><ul><li>Congested, productive </li></ul></ul><ul><ul><li>Congested, non...
Intermission
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Over the-counter medications

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Over the-counter medications

  1. 1. Over-the-Counter Medications The Market Therapeutic Classes Commercial Products
  2. 3. The OTC Market Place <ul><li>Market Design </li></ul><ul><ul><li>Self-Care Movement </li></ul></ul><ul><ul><li>Self Medication </li></ul></ul><ul><ul><ul><li>Risks </li></ul></ul></ul><ul><ul><ul><li>Benefits </li></ul></ul></ul><ul><ul><li>Prevalence of OTC use </li></ul></ul><ul><li>Law Review </li></ul><ul><li>Impact </li></ul>
  3. 4. OTC Industry Trends <ul><li>Sales </li></ul><ul><ul><li>USA </li></ul></ul><ul><ul><li>Global </li></ul></ul><ul><li>Product Categories </li></ul><ul><ul><li>Active ingredients </li></ul></ul><ul><ul><li>Product selection </li></ul></ul><ul><li>Rx-OTC Switch Movement </li></ul><ul><li>Patient counseling </li></ul><ul><ul><li>Real medicines </li></ul></ul>
  4. 5. OTC Labeling
  5. 8. Drug Classification Study Chart Example Patient Education Cautions & Warnings Adverse Effects Purpose & Therapeutic Effect Classification
  6. 9. Analgesia <ul><li>Pain </li></ul><ul><ul><li>Organic </li></ul></ul><ul><ul><li>Psychogenic </li></ul></ul><ul><li>Anatomy of Pain Sensation </li></ul><ul><li>Types of Pain </li></ul><ul><ul><li>Headache, migraine </li></ul></ul><ul><ul><li>Osteoarthritis, RA </li></ul></ul><ul><ul><li>Neuralgia, myalgia, arthralgia, bursitis </li></ul></ul><ul><ul><li>Menstrual (diuretics) </li></ul></ul>
  7. 10. Oral Analgesics (Internal) <ul><li>Active Ingredients </li></ul><ul><ul><li>Salicylates (ASA-acetyl salicylic acid) </li></ul></ul><ul><ul><li>Para-aminophenol (APAP-acetaminophen) </li></ul></ul><ul><ul><li>Non-steroidal anti-inflammatory (NSAIDS) (IBU-ibuprofen) </li></ul></ul><ul><li>Mechanism of Action (MOA) </li></ul><ul><li>Side Effects (SE) </li></ul>
  8. 11. Topical Analgesics (External) <ul><li>Capsaicin (Zostrix) </li></ul><ul><li>Salicylates (Aspercreme) </li></ul><ul><li>Menthol (Mineral Ice, Flexall, Jointritis) </li></ul><ul><li>Camphor (Bayer Muscle & Joint) </li></ul><ul><li>Thermacare </li></ul>
  9. 12. Is it a Cold or the Flu? Cold Flu <ul><li>Fever –rare </li></ul><ul><li>HA –rare </li></ul><ul><li>Aches/pains- slight </li></ul><ul><li>Fatigue/weak-mild </li></ul><ul><li>Runny/stuffy nose-common </li></ul><ul><li>Sneeze- usual </li></ul><ul><li>Sore throat- common </li></ul><ul><li>Chest discomfort-mild </li></ul><ul><li>High 102-104F </li></ul><ul><li>Prominent </li></ul><ul><li>Usual & severe </li></ul><ul><li>Extreme – 2-3 weeks </li></ul><ul><li>Sometimes </li></ul><ul><li>Sometimes </li></ul><ul><li>Sometimes </li></ul><ul><li>Common </li></ul>
  10. 13. Anti-diarrheals <ul><li>Diarrhea </li></ul><ul><ul><li>Types </li></ul></ul><ul><ul><li>Self-limiting </li></ul></ul><ul><li>OTC Treatments </li></ul><ul><ul><li>Non-drug </li></ul></ul><ul><ul><ul><li>BRAT </li></ul></ul></ul><ul><ul><li>Drug </li></ul></ul><ul><ul><ul><li>Adsorbents </li></ul></ul></ul><ul><ul><ul><ul><li>Kaolin,pectin, bismuth </li></ul></ul></ul></ul><ul><ul><ul><li>GIT sedatives </li></ul></ul></ul><ul><ul><ul><ul><li>loperamide </li></ul></ul></ul></ul>
  11. 14. Laxatives <ul><li>Constipation </li></ul><ul><li>Treatment </li></ul><ul><ul><li>Bulk forming </li></ul></ul><ul><ul><li>Emollient </li></ul></ul><ul><ul><li>Lubricants </li></ul></ul><ul><ul><li>Saline </li></ul></ul><ul><ul><li>Stimulant </li></ul></ul><ul><ul><li>Stool softener </li></ul></ul>
  12. 15. Anti-Emetics <ul><li>Physiology </li></ul><ul><ul><li>Vomiting center </li></ul></ul><ul><ul><li>Chemoreceptor trigger zone </li></ul></ul><ul><li>Treatment </li></ul><ul><ul><li>Meclizine, cyclizine </li></ul></ul><ul><ul><li>Dimenhydrinate </li></ul></ul><ul><ul><li>Fructose/sucrose </li></ul></ul><ul><ul><ul><li>Coke syrup </li></ul></ul></ul><ul><ul><ul><li>Emetrol </li></ul></ul></ul><ul><ul><li>Sea Bands </li></ul></ul>
  13. 16. Antacids <ul><li>Neutralizers Ingredients </li></ul><ul><ul><li>Na++ Bicarbonate </li></ul></ul><ul><ul><li>Ca++ Carbonate </li></ul></ul><ul><ul><li>Aluminum Hydroxide </li></ul></ul><ul><ul><li>Magnesium Hydroxide </li></ul></ul><ul><ul><li>Alginic Acid </li></ul></ul><ul><li>Anti-flatulence </li></ul><ul><ul><li>Simethicone </li></ul></ul><ul><li>Digestive Enzymes </li></ul>
  14. 17. Acid Reducers <ul><li>Physiology </li></ul><ul><li>Ingredients </li></ul><ul><ul><li>Histamine-2 (H-2) Receptor Blockers </li></ul></ul><ul><ul><ul><li>Cimetidine </li></ul></ul></ul><ul><ul><ul><li>Famotidine </li></ul></ul></ul><ul><ul><ul><li>Ranitidine </li></ul></ul></ul><ul><ul><li>Proton Pump Inhibitors (PPI) </li></ul></ul><ul><ul><ul><li>Omeprazole </li></ul></ul></ul>
  15. 19. The Common Cold <ul><li>Rhinovirus </li></ul><ul><ul><li>LRI </li></ul></ul><ul><ul><li>URI </li></ul></ul><ul><li>Rhinitis </li></ul><ul><ul><li>Allergic </li></ul></ul><ul><ul><ul><li>Seasonal </li></ul></ul></ul><ul><ul><ul><li>Perennial </li></ul></ul></ul><ul><ul><li>Infectious </li></ul></ul><ul><ul><li>Non allergic </li></ul></ul>
  16. 21. Nasal Decongestants Topical Oral <ul><li>MOA </li></ul><ul><li>Agents </li></ul><ul><ul><li>Ephedrine </li></ul></ul><ul><ul><li>Phenylephrine </li></ul></ul><ul><ul><li>Naphazoline </li></ul></ul><ul><ul><li>Oxymetazoline </li></ul></ul><ul><ul><li>Xylometazoine </li></ul></ul><ul><li>SE </li></ul><ul><li>MOA </li></ul><ul><li>Agents </li></ul><ul><ul><li>Ephedrine </li></ul></ul><ul><ul><li>Phenylephrine </li></ul></ul><ul><ul><li>Pseudo ephedrine </li></ul></ul><ul><li>SE </li></ul><ul><li>The Sinus Headache </li></ul>
  17. 22. Anti-Tussives <ul><li>Types of Cough </li></ul><ul><ul><li>Congested, productive </li></ul></ul><ul><ul><li>Congested, non-productive </li></ul></ul><ul><ul><li>Dry, non-productive </li></ul></ul><ul><li>Agents </li></ul><ul><ul><li>Expectorants </li></ul></ul><ul><ul><ul><li>Guaifenesin </li></ul></ul></ul><ul><ul><li>Central Acting Suppressants </li></ul></ul><ul><ul><ul><li>Dextromethorphan </li></ul></ul></ul>
  18. 23. Intermission

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