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ASPA. Dr. Ally Dering-Anderson, RP adering-anderson@creighton.edu. Potential Misuse of Easily Acquired OTCs. OTC’s Danger over-the-counter. Alcohol . Ethanol is clearly the most abused over-the-counter drug in the United States today
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ASPA Dr. Ally Dering-Anderson, RP adering-anderson@creighton.edu
Alcohol • Ethanol is clearly the most abused over-the-counter drug in the United States today • The problem we’re discussing isn’t alcoholism, it’s a drug interaction
Acetaminophen • The drug found in Tylenol • Acetaminophen + ethanol = coma • This can occur even the morning after . . .
Tobacco • You don’t have to smoke it to have a problem • Tobacco • Raises blood pressure transiently • Causes breathing difficulties • Changes sleep habits • Is highly addictive
Caffeine • It’s hard to treat a problem when you have the problem yourself!
Sources of caffeine • Coffee, tea • Soft-drinks • Coke, Pepsi, Mountain Dew, Jolt • Other forms • gotu kola • Guarana • Caffeine tablets i.e. No-Doz
Caffeine • Major changes in sleep habits • Digestive changes • Concentration difficulties
ephedra • Stimulant • Mostly banned by the FDA • Over 700 reported deaths • Touted to be effective in weight loss, muscle building, decongestant
Decongestants • Pseudoephedrine • The best decongestant on the market • Limited sales due to the methamphetamine act • Phenylephrine • Doesn’t work very well
Anabolic Steroid-like products • Androsteindione • The “Mark McGwire” drug • All but removed from the market
D.H.E.A. • It is anabolic • It does cause steroid-rage • It is a health hazard for many people • It is available all over Lincoln
St. John’s Wort • Not an effective Antidepressant • Does have multiple, potentially fatal drug interactions • Often our “best and brightest” try this one
Stress and Sleeplessness • See all of the previous stimulants • Attention to stress is the best way to deal with this
Sleep agents • Diphenhydramine • Dry mouth, dry eyes • BAD DRIVERS • Lasts nearly 8 hours
Kava Kava • Addictive • Hepatotoxic • Not appropriate for sleep