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

Oral decongestants (both pseudoephedrine and phenylephrine) can raise blood pressure. If use is necessary, phenylephrine with close BP monitoring is sometimes used short-term, but saline irrigation and fluids are safer first options.

Question 2

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

Accepted Answer

Calcium carbonate (Tums)

Answer

Calcium carbonate (Tums) neutralizes gastric acid and also provides elemental calcium, making it useful as both an antacid and a calcium supplement.

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

Polyethylene glycol (PEG) works osmotically, drawing water into the colon, and is considered safe for long-term use. Stimulant laxatives can cause dependence with prolonged use.

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

OTC azole antifungals (clotrimazole, miconazole) in 1, 3, and 7-day formulations effectively treat uncomplicated vaginal candidiasis. Metronidazole treats bacterial vaginosis, not yeast infections.

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

OTC omeprazole (Prilosec OTC) is labeled for a 14-day course of treatment, repeated no more than once every 4 months. Prolonged unsupervised use warrants medical evaluation.

Pharmacy Practice Test

Pharmacy Practice Test

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