Questions & Answers
5 core components of the PPCP in Self-Care - ANSWERS1. Collect: Subjective/Objective info,
current medication (think SCHOLAR-MAC)
2. Assess: current status, goals of therapy, DTP's (Indication, Effectiveness, Safety, Adherence),
resolution to DTP's, succinct rational
3. Plan: Stop/Start/Use/Follow up
4. Implement: Pharmacist implements the care plan in collaboration with other health care
professionals and the patient/ caregiver
5. Follow up: Pharmacists monitors & evaluates effectiveness of plan and modifies accordingly
Common medication related problems commonly seen in the self-care environment -
ANSWERSupper respiratory issues
external analgesics
footcare
medicated skin (first aid)
internal analgesics
antidiarrheal
eczema & psoriasis
acne
heartburn
GI symptoms
sleeping aids
,What are the common components associated with self care? (7 pillars of self care) -
ANSWERSKnowledge and Health literacy
Mental wellbeing
Physical activity
Healthy eating
risk avoidance
good hygiene
rational use of products and services
What are the 3 routes to switch a prescription medication to an OTC product? - ANSWERS1.
Submit a supplemental NDA (new drug app)
2. Petition FDA
3. Amend the drug monograph (Cares Act: reformed OTC monographs)
What are the general characteristics for OTC meds?*** - ANSWERS- (G)enerally (R)ecognized
(A)s (S)afe and (E)ffective (GRASE)
- **BENEFITS OUTWEIGH RISK**
- Low potential for misuse and abuse
- Appropriate for consumer use for self-diagnosed conditions
- Can be labeled appropriately
- **Can be used safely and effectively without healthcare practitioner oversight**
What is a product line extension? - ANSWERS- adding additional products to an existing product
line
- this can confuse the consumer and cause concern because the products contain different
active ingredients
- Ex: Maalox advanced contains aluminum hydroxide while Maalox total relief has bismuth
subsalicylate.
, What are the 4 OTCs that are most commonly abused? - ANSWERS1. Dextromethorphan
2. Loperamide
3. Diphenhydramine
4. Dimenhydrinate
Dextromethorphan - ANSWERSOTC products: Delsym, Robitussin cough, Vicks 44
Abusive property: Psychoactive and sometimes psychedelic affect when overtaking
Street name: Poor Man's PCP, Robo, Robotripping, Skittles, Triple C, Velvet, Candy, Drank, Red
Devils, Poor Man's ecstasy
Loperamide - ANSWERSOTC products: Imodium A-D
Abusive property: Euphoria if taken in higher than recommended doses
Street name: Lope Dope, Poor Man's methadone
Diphenhydramine - ANSWERSOTC products: Benadryl, Nytol, Sominex
Abusive property: Antihist that can lead to elevated mood and energy levels and limited
euphoria
Street name: N/A
Dimenhydrinate - ANSWERSOTC products: Dramamine
Abusive property: Antihist that can cause Euphoria and hallucinations in double than max rec
dose
Street name: dime, dime tabs, D-Q, substance D, d-house, drams
5 steps of the PPCP in a self-care consultation - ANSWERS1. Collect: SCHOLAR-MAC