Pharmacy Over-the-Counter (OTC) Medications and Counseling 3

Question 1

A pregnant patient asks about safe OTC options for heartburn. Which is most appropriate?

Accepted Answer

Calcium carbonate antacids (Tums) in moderation

Answer

Aspirin 325 mg as needed

Answer

High-dose sodium bicarbonate

Answer

Ranitidine (Zantac) — the safest OTC option in pregnancy

Question 2

Which OTC sleep aid ingredient is the same as a common antihistamine?

Accepted Answer

Diphenhydramine (Benadryl/ZzzQuil)

Answer

Melatonin

Answer

Valerian root

Answer

Chamomile extract

Question 3

A patient with diabetes asks for an OTC cold remedy. Which ingredient should they be most cautious about?

Accepted Answer

High fructose corn syrup/sugar-containing liquid formulations

Answer

Guaifenesin (expectorant)

Answer

Dextromethorphan (cough suppressant)

Answer

Vitamin C supplements

Question 4

Emergency contraception (Plan B/levonorgestrel) is available OTC without age restriction. Counseling should include that it is MOST effective when taken:

Accepted Answer

Within 24 hours; effectiveness decreases significantly by 72 hours

Answer

Any time within 5 days with equal effectiveness

Answer

Only on days 10–14 of the menstrual cycle

Answer

After a confirmed negative pregnancy test

Question 5

Which OTC topical analgesic works by depleting substance P from sensory nerve fibers?

Accepted Answer

Capsaicin cream

Answer

Lidocaine 4% cream

Answer

Menthol-based rubs (Bengay)

Answer

Hydrocortisone 1%

Question 6

Which statement about OTC nicotine replacement therapy (NRT) is correct?

Accepted Answer

NRT can be started before or on the quit date; combination NRT is often more effective

Answer

NRT is contraindicated while smoking — the patient must stop completely before starting

Answer

Nicotine patches should never be used while wearing other NRT

Answer

NRT is only available by prescription for patients under 18