Professional Documents
Culture Documents
O.T.C
Presented by
Khaled Sobhy
Aim Of These
LECTURES
”JUST PUT ME ON THE ROAD“
How to deal with different symptoms*
blood
GIT surgery
1-Abdominal pain
Other
diagnosis location
symptoms
Abdominal pain
yes
Upper side Gastritis & gall bladder disorder
No yes Renal stone &
Back pain & urine problem
renal infection
No
Fever & vomiting
yes
Gastroenteritis & appendicitis
No
yes
Expect menses Menstrual pain
No
yes
Gas production & spasm Spastic colon
No
Only spasm antispasmodic
Upper abdomen
appendicitis gastroenteritis
antacids -1
H2 blockers -2
It includes Na+,
It includes mg++,
Na+, Al+3
mg++, salts,
Al+3 maymay
salts, be combined
be combined
with Simethicone (Anti
with flatulence)
Simethicone (Anti flatulence)
TabletsTablets
should should
be chewed thoroughly
be chewed to obtain
thoroughly to-obtain-
.optimum effects .optimum effects
they
theyshould
shouldbe
betaken
takenafter
aftermeals
mealsto
toneutralize
neutralizegastric
gastric--
acid secretion acid secretion
antacids
antacids
H2 Blockers
-:Examples
Ranitidine
mg twice daily at breakfast and bed time 150
mg at bed time 300
Famotidine
mg twice daily at breakfast and bed time 20
mg at bed time 40
ranitidine
famotidine
Proton pump inhibitors
They inhibit > 90% of gastric acid secretion-
PPI are taken once daily before breakfast-
-:Examples
ex:- Omeprazole
ex:- Pantoprazole
omeprazole
pantoprazole
Example of OTC prescription:
Zantac 150mg
قرص صباحا ً قبل األكل وقبل النوم
Buscupan Tab
مرات قبل األكل3 قرص
vomiting
No
Give anti emetic
Motion sickness
It refers to nausea & vomiting on long *
.distance travel
Prevention:
.Avoid reading in cars & ships-
Shift the field of vision to objects out side-
.vehicles
Treatment of motion sickness
: Antihistaminic drugs as
®Cyclizine (Emetrex)
®Dimenhydrinate (Draminex)
®Meclozine (Navoproxine)
-:Side effects
Sedation & Drowsiness
Draminex tab
قرص عند اللزوم1-2
Anti emetics
Metoclopramide-3
:Dompridone-2
.Not show CNS side effects of metoclopramide
: Antihistaminic-1
metoclopramide domperidone
Example of OTC prescription
for vomiting
primepran tab
قرص عند اللزوم1-2
diarrhea
yes
Fever & vomiting Gastroenteritis
No
yes
Tensmus & offensive odour, Pain on dysentery
defecation& small quantity stool
No yes
Gas production & spasm May constipation Spastic colon
No
On starting drug use
yes
Drug induced
No yes
On changing milk type Dietary induced
No
Give anti diarrheal drug
Dysentery
Parasite infection is characterized by diarrhea,
abdominal cramps, anorexia, and offensive odour,
: pain on defecation. So treated by antiprotozoal as
Metronidazole
Diloxanide
Secindazole
Tibindazole
Tibindazole
Secindazole Diloxanide
metronidazole
Example of OTC prescription
Furazole susp
مرات يوميا ً بعد االكل3 مل10 - 5
Fladazole tab
قرص بعد العشاء2 قرص بعد الفطار و2
Antidiarrheal drugs
antibacterial agent-1
adsorbent-2
Rehydrin solution-4
1-antibacterial agent
Kapect susp
مرات يوميا ً قبل االكل3 مل10 - 5
Antinal susp ِ
مرات يوميا ً قبل االكل3 مل10 - 5
constipation
yes
Rectal pain, itching, prolapse hemorrhoid
No yes
On starting drug use Drug induced
No
Gas production ,spasm, may diarrhea
yes
Spastic colon
No
Give laxative
Prevention of constipation
.increase fluid intake -
Lactulose syrup
ملعقة كبيرة قبل االكل 3مرات يوميا
Picolax drops
15نقطة على نصف كوب ماء عند اللزjوم