11. Diaper Rash Products

Diaper Rash Ointment – All Natural


Zinc Oxide 16%


Peds: Apply prn.


Boudreaux’s Butt Paste, Diaper Rash Ointment – Maximum Strength


Zinc Oxide 40%


Peds: Apply prn.


California Baby Calming Diaper Rash Cream


Zinc Oxide 12%


Peds: Apply prn.


Canus Li’l Goat’s Milk Ointment


Zinc Oxide 40%


Peds: Apply prn.


Desitin Maximum Strength Original Paste


Zinc Oxide 40%


Peds: Apply prn.


Desitin Rapid Relief Cream


Zinc Oxide 13%


Peds: Apply prn.


Johnson’s Baby Powder Medicated with Aloe & Vitamin E


Zinc Oxide 10%


Peds: Apply prn.


Johnson’s Baby Powder Medicated Zinc Oxide Skin Protectant


Zinc Oxide 10%


Peds: Apply prn.


Mustela Bebe Vitamin Barrier Cream


Zinc Oxide 10%


Peds: Apply prn.


Triple Paste Medicated Ointment


Zinc Oxide 12.8%


Peds: Apply prn.


COMBINATION PRODUCTS


A+D Original Ointment


Petrolatum/Lanolin 53.4%-15.5%


Peds: Apply prn.


A+D Zinc Oxide Cream


Dimethicone/Zinc oxide 1%-10%


Peds: Apply prn.


Anti Monkey Butt Diaper Rash Cream with Calamine


Zinc-Calamine 12%-2%


Peds: Apply prn.


Balmex Diaper Rash Cream with ActivGuard


Cornstarch/Zinc oxide 83.6%-11.3%


Peds: Apply prn.


Lansinoh Diaper Rash Ointment


Dimethicone/USP Modified lanolin/Zinc oxide 5.0%-15.5%-5.5%


Peds: Apply prn.


Palmer’s Cocoa Butter Formula Bottom Butter Diaper Rash Cream


Zinc oxide/Dimethicone 10%-1%


Peds: Apply prn.


Abbreviations:


Peds = pediatrics; prn = as needed






















































































Table 12. HEMORRHOIDAL PRODUCTS


BRAND


INGREDIENT(S)/STRENGTH(S)


DOSAGE


ANESTHETICS/ANESTHETIC COMBINATIONS


Hemaway Cream


Lidocaine/Phenylephrine
0.5%-0.5%


Adults & Peds ≥ 12 yrs:
Apply externally to the affected area up to 4 times a day.


Nupercainal Ointment


Dibucaine 1%


Adults & Peds ≥ 12 yrs:
Apply to affected area tid-qid.


Preparation H Hemorrhoidal Cream, Maximum Strength Pain Relief


Glycerin/Phenylephrine HCl/Pramoxine HCl/White petrolatum 14.4%-0.25%-1%-15%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 4 times q24h.


Tronolane Anesthetic Hemorrhoid Cream


Pramoxine HCl/Zinc oxide 1%-5%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 5 times q24h.


Tucks Hemorrhoidal Ointment


Pramoxine HCl/Zinc oxide/Mineral oil 1%-12.5%-46.6%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 5 times q24h.


HYDROCORTISONE


Preparation H Anti-Itch Cream


Hydrocortisone 1.0%


Adults & Peds ≥ 12 yrs:
Apply to affected area tid-qid.


WITCH HAZEL/WITCH HAZEL COMBINATIONS


Preparation H Hemorrhoidal Cooling Gel


Phenylephrine HCl/
Witch hazel 0.25%-50.0%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 4 times q24h.


Preparation H Medicated Wipes


Witch hazel 50%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 6 times q24h.


T.N. Dickinson’s Witch Hazel Hemorrhoidal Pads


Witch hazel 50%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 6 times q24h.


Tucks Medicated Pads


Witch hazel 50%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 6 times q24h.


Tucks Take Alongs Medicated Towelettes


Witch hazel 50%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 6 times q24h.


MISCELLANEOUS


Calmol 4 Hemorrhoidal Suppositories


Cocoa butter/Zinc oxide 76%-10%


Adults & Peds ≥ 12 yrs:
Insert 1 supp prn.
Max: 6 times q24h.


Preparation H Hemorrhoidal Ointment


Mineral oil/Petrolatum/Phenylephrine HCl/14%-71.9%-0.25%


Adults & Peds ≥ 12 yrs:
Apply to affected area prn. Max: 4 times q24h.


Preparation H Hemorrhoidal Suppositories


Cocoa butter/Phenylephrine HCl/85.5%-0.25%


Adults & Peds ≥ 12 yrs:
Insert 1 supp prn.
Max: 4 times q24h.


Rectal Medicone Suppositories


Hard fat/Phenylephrine 88.7%-0.25%


Adults & Peds ≥ 12 yrs:
Insert 1 supp prn.
Max: 4 times q24h.


Tronolane Suppositories


Hard fat/Phenylephrine HCl 88.7%-0.25%


Adults & Peds ≥ 12 yrs:
Insert 1 supp prn.
Max: 4 times q24h.


Tucks Internal Soothers


Topical starch 51%


Adults & Peds ≥ 12 yrs:
Insert 1 supp prn.
Max: 6 times q24h.


Abbreviations:


Peds = pediatrics; prn = as needed; q24h = every 24 hours; supp = suppository; tid-qid = three to four times daily *Please refer to the Laxatives Products chart for stool softeners or bulk-forming laxatives adjunct therapies.




































































































Table 13. INSOMNIA PRODUCTS


BRAND


INGREDIENT(S)/STRENGTH(S)


DOSAGE


DIPHENHYDRAMINE


Compoz Maximum Strength Caplets


Diphenhydramine 50mg


Adults & Peds ≥ 12 yrs: 1 tab
hs prn.


Compoz Maximum Strength Soft Gel Liquid Capsules


Diphenhydramine 50mg


Adults & Peds ≥ 12 yrs: 1 cap
hs prn.


Nytol QuickCaps Caplets


Diphenhydramine 25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs prn.


Simply Sleep Nighttime Sleep Aid Caplets


Diphenhydramine 25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs prn.


Sleepinal Capsule


Diphenhydramine 50mg


Adults & Peds ≥ 12 yrs: 1 cap
hs prn.


Sominex Original Formula


Diphenhydramine 25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs prn.


Sominex Maximum Strength Formula


Diphenhydramine 50mg


Adults & Peds ≥ 12 yrs: 1 tab
hs prn.


Unisom SleepGels


Diphenhydramine 50mg


Adults & Peds ≥ 12 yrs: 1 cap
hs prn.


Unisom SleepMelts


Diphenhydramine 25mg


Adults & Peds ≥ 12 yrs: 2 tabs on tongue hs prn.


DIPHENHYDRAMINE COMBINATION


Advil PM Caplets*


Ibuprofen/Diphenhydramine Citrate 200mg-38mg


Adults & Peds ≥ 12 yrs: 2 tabs hs.


Advil PM Liqui-Gels*


Ibuprofen/Diphenhydramine HCl 200mg-25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs.


Bayer PM Caplets


Aspirin/Diphenhydramine Citrate 500mg-38.3mg


Adults & Peds ≥ 12 yrs: 2 tabs hs prn.


Excedrin PM Caplets*


Acetaminophen/Diphenhydramine Citrate 500mg-38mg


Adults & Peds ≥ 12 yrs: 2 tabs hs prn.


Excedrin PM Express Gels*


Acetaminophen/Diphenhydramine Citrate 500mg-38mg


Adults & Peds ≥ 12 yrs: 2 caps hs prn.


Goody’s PM Powder


Acetaminophen/Diphenhydramine Citrate 500mg-38mg per powder


Adults & Peds ≥ 12 yrs:
2 powders hs prn with a full glass of water or may stir powder into water or other liquid.


Motrin PM Caplets*


Ibuprofen/Diphenhydramine Citrate 200mg-38mg


Adults & Peds ≥ 12 yrs: 2 tabs hs.


Tylenol PM Caplets*


Acetaminophen/Diphenhydramine HCl 500mg-25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs.


Tylenol PM Geltabs*


Acetaminophen/Diphenhydramine HCl 500mg-25mg


Adults & Peds ≥ 12 yrs: 2 tabs hs.


Tylenol PM Rapid Release Gelcaps*


Acetaminophen/Diphenhydramine HCl 500mg-25mg


Adults & Peds ≥ 12 yrs: 2 caps hs.


Unisom PM Pain SleepCaps


Acetaminophen/Diphenhydramine HCl 325mg-50mg


Adults & Peds ≥ 12 yrs: 1 cap hs.


DOXYLAMINE


Unisom SleepTabs


Doxylamine succinate 25mg


Adults & Peds ≥ 12 yrs: 1 tab
30 minutes before hs.


Abbreviations:


cap = capsule or gelcap; hs = at bedtime; Peds = pediatrics; prn = as needed; tab/tabs = tablet/tablets *Max: 2 tabs every 24 hrs
















































































































































Table 14. IS IT A COLD, FLU, OR AN ALLERGY?



COLD


FLU


AIRBORNE ALLERGY


SYMPTOMS


Chest discomfort


Mild to moderate


Common; can become severe


Sometimes


Cough


Common (hacking cough)


Sometimes


Sometimes


Diarrhea


Never


Sometimes (more common in children)


Never


Duration


3-14 days


Days to weeks


Weeks (eg, 6 weeks for ragweed or grass pollen seasons)


Extreme exhaustion


Never


Early and prominent


Never


Fatigue, weakness


Sometimes


Usual; can last up to 2-3 weeks


Sometimes


Fever


Rare


Characteristic; high (100-102°F; occasionally higher, especially in young children); lasts 3-4 days


Never


General aches, pains


Slight


Usual; often severe


Never


Headache


Rare


Common


Sometimes


Itchy eyes


Rare or never


Rare or never


Common


Runny nose


Common


Common


Common


Sneezing


Usual


Sometimes


Usual


Sore throat


Common


Sometimes


Sometimes


Stuffy nose


Common


Sometimes


Common


Vomiting


Never


Sometimes (more common in children)


Never


TREATMENT


 


Antihistamines*


Amantadine


Antihistamines*


 


Decongestants*


Rimantadine


Nasal steroids*


 


Nonsteroidal anti-inflammatories*


Oseltamivir


Decongestants*


 


 


Zanamivir


 


PREVENTION


 


Wash your hands often; avoid close contact with anyone with a cold


Annual vaccination Amantadine Rimantadine Oseltamivir


Avoid allergens such as pollen, house flies, dust mites, mold, pet dander, cockroaches


COMPLICATIONS


 


Sinus infection


Bronchitis


Sinus infections


 


Middle ear infection


Pneumonia


Asthma


 


Asthma


Can be life-threatening


 


 


 


Can worsen chronic conditions


 


 


 


Complications more likely in the elderly, those with chronic conditions, young children, and pregnant women


 


Adapted from the National Institute of Allergy and Infectious Diseases, November 2008 and CDC.gov. *Used only for temporary relief of cold symptoms.


 









































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Nov 25, 2016 | Posted by in PHARMACY | Comments Off on 11. Diaper Rash Products

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Table 15. LAXATIVE PRODUCTS


BRAND


INGREDIENT(S)/STRENGTH(S)


DOSAGE


BULK-FORMING


Citrucel Caplets


Methylcellulose 500mg


Adults & Peds ≥ 12 yrs: 2 tabs qd prn. Max: 12 tabs q24h. Peds 6–11 yrs: 1 tab qd prn. Max: 6 tabs q24h.


Citrucel Orange Powder


Methylcellulose 2g/tbl


Adults & Peds ≥ 12 yrs: 1 tbl qd-tid. Peds 6–11 yrs: 2.5 tsp qd-tid.


Citrucel Orange Sugar Free Powder


Methylcellulose 2g/tbl


Adults & Peds ≥ 12 yrs: 1 tbl qd-tid. Peds 6–11 yrs: 2 tsp qd-tid.


Equalactin Chewable Tablets


Calcium polycarbophil 625mg


Adults & Peds ≥ 12 yrs: 2 tabs qd. Max: 8 tabs q24h. Peds 6–11 yrs: 1 tab qd. Max: 4 tabs q24h. Peds 2–5 yrs: 1 tab qd. Max: 2 tabs q24h.


Fibercon Caplets


Calcium polycarbophil 625mg


Adults & Peds ≥ 12 yrs: 2 tabs qd. Max: 4 tabs qd.


Konsyl Balance Orange


Inulin/Refined psyllium


Adults & Peds ≥ 12 yrs: 1 tsp qd-tid. Peds 7–11 yrs: 1/2 tsp qd-tid.


Konsyl Easy Mix Powder


Psyllium 4.3g/tsp


Adults & Peds ≥ 12 yrs: 1 tsp qd-tid. Peds 6–11 yrs: 1/2 tsp qd-tid.


Konsyl Fiber Caplets