Supply of prepacked over-the-counter medication in an emergency department pharmacy: a pilot study

2017 ◽  
Vol 8 (1) ◽  
pp. 63-66
Author(s):  
Gillian Shih Yen Phua ◽  
Seau Ting Khor
Keyword(s):  
Emergency Department ◽  
Pilot Study ◽  
Over The Counter ◽  
Counter Medication

scholarly journals Aspirin misuse: a case report

BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
David Goldrich ◽  
Anita Sreedhar ◽  
Rehan Aziz ◽  
Kenneth R. Kaufman ◽  
Anthony Tobia ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Case Report ◽  
Signs And Symptoms ◽  
Over The Counter ◽  
Medication Misuse ◽  
Counter Medication ◽  
History Of ◽  
Salicylate Intoxication ◽  
At Risk Populations

Aspirin-use disorder is an underreported condition. Identification of the signs and symptoms of aspirin misuse are important in light of prevalent non-prescribed medicine/over-the-counter medication (NPM/OTC) misuse. We discuss here the case of a patient with a history of chronic aspirin misuse who presented to the emergency department with salicylate intoxication and described elation secondary to deliberate aspirin consumption. This case highlights the importance of screening for NPM/OTC medication misuse in at-risk populations.

Phenazopyridine-Induced Sulfhemoglobinemia

2005 ◽  
Vol 39 (6) ◽  
pp. 1128-1130 ◽  
Author(s):  
Anuradha S Gopalachar ◽  
Venita L Bowie ◽  
Parag Bharadwaj
Keyword(s):  
Emergency Department ◽  
Methylene Blue ◽  
Urinary Tract Infection ◽  
White Woman ◽  
Probability Scale ◽  
Drug Induced ◽  
Over The Counter ◽  
Case Summary ◽  
Counter Medication ◽  
Bluish Discoloration

OBJECTIVE: To report a case of sulfhemoglobinemia in a patient receiving phenazopyridine for a urinary tract infection. CASE SUMMARY: A 63-year-old white woman presented to the emergency department with complaints of fatigue and bluish discoloration of her body that had gradually progressed over the previous 6–8 weeks. About 4 months prior to presenting to the emergency department, she had started taking phenazopyridine, an over-the-counter medication for symptoms of dysuria. Because the cyanosis did not improve after the patient received oxygen and methylene blue, sulfhemoglobinemia was suspected and confirmed by spectrophotometer analysis. DISCUSSION: Sulfhemoglobin is a green-pigmented molecule containing a sulfur atom in one or more of the porphyrin rings. It is a rare cause of cyanosis, which is usually drug induced. Sulfhemoglobinemia is suspected when a cyanotic patient has normal to near-normal oxygen tension, laboratory reports of elevated methemoglobin, and does not respond to methylene blue therapy. Sulfhemoglobinemia is relatively rare, despite the widespread use of drugs that have been reported to cause it. Predisposing factors, such as chronic constipation, present in our patient, have been suggested as a source of hydrogen sulfide. CONCLUSIONS: This case of sulfhemoglobinemia, which occurred after the patient took phenazopyridine, is considered a probable adverse event according to the Naranjo probability scale.

scholarly journals A pilot study of decision factors influencing over-the-counter medication selection and use by older adults

2020 ◽  
Vol 16 (8) ◽  
pp. 1117-1120
Author(s):  
Jamie A. Stone ◽  
Cynthia H. Phelan ◽  
Richard J. Holden ◽  
Nora Jacobson ◽  
Michelle A. Chui
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Over The Counter ◽  
Decision Factors ◽  
Factors Influencing ◽  
Counter Medication ◽  
Medication Selection

The HEAR‐VA Pilot Study: Hearing Assistance Provided to Older Adults in the Emergency Department

2021 ◽  
Vol 69 (4) ◽  
pp. 1071-1078
Author(s):  
Joshua Chodosh ◽  
Keith Goldfeld ◽  
Barbara E. Weinstein ◽  
Kate Radcliffe ◽  
Madeleine Burlingame ◽  
...  
Keyword(s):  
Older Adults ◽  
Emergency Department ◽  
Pilot Study

Salicylate toxicity from chronic bismuth subsalicylate use

2020 ◽  
Vol 13 (11) ◽  
pp. e236929
Author(s):  
Sheliza Halani ◽  
Peter E Wu
Keyword(s):  
Emergency Department ◽  
Adverse Effects ◽  
Hearing Impairment ◽  
Reference Range ◽  
The Elderly ◽  
Intravenous Fluids ◽  
Over The Counter ◽  
Bismuth Subsalicylate ◽  
Salicylate Concentration ◽  
History Of

A 79-year-old man presented to the emergency department with a 1-week history of worsening confusion, falls and hearing impairment. An initial workup for infectious, metabolic and structural causes was unrevealing. However, further history discovered that he had been ingesting one to two bottles of Pepto-Bismol (bismuth subsalicylate) daily for gastro-oesophageal reflux symptoms. On his second day of admission, the plasma salicylate concentration was 2.08 mmol/L (reference range 1.10–2.20 mmol/L), despite no sources of salicylate in hospital. He was diagnosed with chronic salicylate toxicity and Pepto-Bismol use was discontinued. The patient was treated supportively with isotonic intravenous fluids only and plasma salicylate concentration fell to less than 0.36 mmol/L. Concurrently, all his symptoms resolved. This case highlights the potential adverse effects of over-the-counter medications. The diagnosis of chronic salicylate toxicity is challenging, specifically in the elderly and in undifferentiated presentations, as it can be missed if not suspected.

scholarly journals Benefits of a Nurse Directed over the Counter Medication Dispensing System in an Automotive Plant

AAOHN Journal ◽  
2001 ◽  
Vol 49 (9) ◽  
pp. 422-428
Author(s):  
Yvonne Abdoo ◽  
Sally L. Lusk ◽  
Cynthia S. Darling-Fisher ◽  
David L. Ronis ◽  
Richard J. Kowalski
Keyword(s):  
Over The Counter ◽  
Counter Medication ◽  
Medication Dispensing

Over-the-Counter Medication Purchase and Use by Blind Consumers

2012 ◽  
Vol 23 (3) ◽  
pp. 1048-1057
Author(s):  
Sujit S. Sansgiry ◽  
Manjiri D. Pawaskar ◽  
Prajakta Bhounsule
Keyword(s):  
Over The Counter ◽  
Counter Medication

Cognitive Factors And The Use Of Over-The-Counter Medication Organizers By Arthritis Patients

1991 ◽  
Vol 33 (1) ◽  
pp. 57-67 ◽  
Author(s):  
Denise C. Park ◽  
Roger W. Morrell ◽  
David Frieske ◽  
A. Boyd Blackburn ◽  
Daniel Birchmore
Keyword(s):  
Cognitive Factors ◽  
Over The Counter ◽  
Counter Medication
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