Heartburn and Dyspepsia
This is the minimum symptom frequency required to qualify a patient for an OTC 14-day proton pump inhibitor regimen rather than as-needed therapy.
What is 2 or more days per week?
The maximum recommended duration for self-treating acute diarrhea with OTC loperamide or bismuth subsalicylate before needing medical evaluation is this timeframe.
What is 48 hours (2 days)?
This hyperosmolar solution containing fructose, dextrose, and phosphoric acid works locally on the GI wall to delay gastric emptying, but is strictly contraindicated in diabetic patients.
Must give brand AND generic for points.
What is phosphorated carbohydrate solution (Emetrol)?
When counseling a patient on inserting an anorectal suppository, instruct them to lie in this specific posture and maintain it for 15 to 20 minutes.
What is lying on the left side with knees bent?
While simethicone is considered safe across all pediatric ages, this enzyme product used for oligosaccharide-induced gas is not evaluated for infants and should not be used in children.
What is alpha-galactosidase (Beano)?
While oral calcium carbonate and aluminum antacids can cause constipation, this antacid cation is known for producing dose-related osmotic diarrhea.
What is magnesium (magnesium hydroxide)?
In children under 5 years old with acute diarrhea, UNICEF recommends 10 to 14 days of supplementation with this mineral alongside oral rehydration therapy.
What is zinc?
This herbal supplement has demonstrated fetal safety and clinical efficacy for pregnancy-induced nausea when dosed at 0.5 to 2 grams daily.
What is ginger?
Tucks Medicated Cooling Pads contain this active astringent at a 50% concentration to coagulate surface proteins and dry out tissue.
What is witch hazel?
This adsorbent OTC antiflatulent product is specifically recommended when intestinal gas presents with a foul, sulfurous odor.
What is activated charcoal?
This H2RA is notorious for causing anti-androgenic adverse effects such as gynecomastia and impotence alongside extensive CYP450 inhibition.
What is cimetidine (Tagamet HB)?
This box warning was added to OTC loperamide after reports of intentional high-dose misuse to manage opioid withdrawal symptoms.
What is QT prolongation? (Causing Torsades de Pointes, cardiac arrest, sudden death)
To properly prevent motion sickness, antiemetic antihistamines should be administered within this specific window prior to departure.
What is 30 to 60 minutes before travel?
This keratolytic agent causes desquamation of epidermal cells, but carries black box risks of methemoglobinemia, tinnitus, and myxedema if absorbed systemically.
What is resorcinol?
If a patient continues to eat dairy foods beyond this time frame after their initial dose of lactase enzyme (Lactaid), they are counseled to take an additional serving.
What is 30 to 45 minutes?
Due to severe risk of systemic fluid retention and metabolic alkalosis, this specific antacid active ingredient must be avoided in patients with heart failure, renal failure, cirrhosis, or pregnancy.
What is sodium bicarbonate?
Bismuth subsalicylate must be avoided for at least 6 weeks following administration of these two vaccines to avoid potentiating adverse salicylate reactions.
What are the chickenpox (varicella) and live influenza vaccines?
When rehydrating a vomiting child or adult, oral rehydration solution should be offered in small increments every 5 minutes at these respective initial volumes.
Must give both for points.
What are 5 mL for children and 15 mL for adults?
For soothing perianal discomfort, cleansing, and increasing blood flow, this warm water soak is recommended for 10 to 20 minutes, 2 to 4 times daily.
What is a sitz bath?
This specific prebiotic carbohydrate class found naturally in leeks, onions, asparagus, and Jerusalem artichokes is fermented by colonic bifidobacteria.
What are inulin-type fructans?
This two-step pharmacologic sequence remains the preferred stepwise choice for heartburn during pregnancy after lifestyle modifications fail.
(Must give both IN ORDER for points.)
What are calcium-containing antacids (or sucralfate) followed by famotidine?
Slowing GI motility with loperamide is strictly contraindicated in this severe condition characterized by diarrhea with high fever and bloody stools.
What is acute dysentery (or invasive bacterial enterocolitis)?
An expensive prescription delayed-release combination tablet containing 10 mg each of doxylamine and pyridoxine is marketed under this specific brand name for pregnancy-related morning sickness.
What is Diclegis?
This protectant ingredient, commonly found in combination products alongside zinc oxide or petrolatum, carries a unique potential for contact allergic reactions.
What is lanolin?
Maternal probiotic supplementation during the third trimester and while breastfeeding has been clinically shown to reduce the risk of this pediatric dermatologic condition in infants.