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OTC Medicines: Adverse Effects<br />
OTC Medicines: Adverse Effects<br />
Adverse effect<br />
Increased bleeding<br />
cont...<br />
Increased blood<br />
pressure<br />
Increased risk of blood<br />
clots<br />
Injection site reactions<br />
(pain, redness, swelling)<br />
Insomnia<br />
Irritability/ fatigue<br />
Local irritation<br />
Menstrual bleeding<br />
changes<br />
Metallic taste<br />
Mouth ulcers/irritation<br />
Nasal bleeds<br />
Nasal stuffiness<br />
Rebound acid secretion<br />
Sedation<br />
Caused by<br />
Ginseng<br />
Guggul<br />
Horse chestnut<br />
NSAIDs<br />
Turmeric<br />
Aspirin (possibly)<br />
Liquorice (large doses)<br />
NSAIDs<br />
Phenylephrine<br />
Sumatriptan (transient)<br />
Combined oral contraceptives (risk depends on dosage<br />
and specific hormone)<br />
All injectable vaccinations<br />
Caffeine<br />
Ginseng, guarana<br />
Nicotine<br />
Oseltamivir<br />
Sympathomimetics (eg, possibly phenylephrine)<br />
All injectable vaccinations<br />
Chloramphenicol<br />
Nasal or ocular antihistamines<br />
Nasal corticosteroids<br />
Nasal decongestants<br />
Nicotine, nasal spray, inhalation<br />
Povidone iodine<br />
Rectal bisacodyl<br />
Tea-tree oil (Melaleuca alternifolia)<br />
Oral contraceptives (amenorrhoea, breakthrough<br />
bleeding, short-cycles)<br />
Iodine (oral)<br />
Aspirin<br />
Feverfew<br />
Iodine (oral)<br />
Nicotine lozenges, gum<br />
Nasal corticosteroids<br />
Nasal nicotine<br />
Decongestant nasal drops and sprays (prolonged use)<br />
Sildenafil<br />
Calcium carbonate (after long-term use)<br />
Antihistamines (sedating)<br />
Azelastine nasal spray<br />
Chamomile<br />
Codeine<br />
Diptheria/ tetanus/ pertussis (Tdap)<br />
Hops<br />
Hyoscine butylbromide<br />
Kava<br />
L-5-HTP<br />
Levocabastine eye drops and nose spray<br />
Loperamide<br />
Metoclopramide<br />
Passionflower<br />
Pholcodine<br />
Prochlorperazine<br />
OTC Medicines: Adverse Effects<br />
Adverse effect<br />
Sedation<br />
cont...<br />
Skin reactions<br />
Stimulation<br />
Tachycardia (fast heart<br />
beat) or palpitations<br />
Teeth staining<br />
Urinary retention<br />
Caused by<br />
Scopolamine<br />
Skullcap<br />
Sumatriptan<br />
Valerian<br />
Aciclovir, penciclovir (transient stinging, burning)<br />
Aluminium chloride topical (irritation)<br />
Aniseed (furanocoumarins, photosensitivity, contact<br />
allergy)<br />
Antifungals (burning, irritation)<br />
Antihistamines (topical)<br />
Aspirin and salicylates (hypersensitivity reactions)<br />
Benzyl benzoate (irritation)<br />
Benzoyl peroxide (irritation)<br />
Bergamot oil (photosensitivity)<br />
Capsaicin (stinging, burning)<br />
Celery (photosensitivity)<br />
Chamomile (contact allergy)<br />
Cinnamon (contact allergy)<br />
Coal tar and derivatives (photosensitivity, irritant<br />
dermatitis)<br />
Dandelion (contact allergy)<br />
Dong quai (photosensitivity)<br />
Feverfew (hypersensitivity reactions)<br />
Garlic (sulphur allergy)<br />
Gotu kola (contact dermatitis)<br />
Head lice and scabies treatments<br />
Idoxuridine (irritation, hypersensitivity)<br />
Menthol (contact dermatitis)<br />
Nicotine transdermal patches (irritation, allergy)<br />
NSAIDs (hypersensitivity reactions)<br />
Omeprazole<br />
Paracetamol (rarely serious skin reactions)<br />
Povidone iodine (hypersensitivity, irritation)<br />
Promethazine (photosensitivity)<br />
St John’s wort (sensory nerve hypersensitivity)<br />
Salicylic acid (irritation)<br />
Tea-tree oil (allergic dermatitis)<br />
Trimethoprim (rash, pruritis, dermatitis)<br />
Wood tars (irritation)<br />
Sedating antihistamines (paradoxical)<br />
Caffeine<br />
Ginseng<br />
Nicotine replacement therapy<br />
Phenylephrine (possibly)<br />
Prochlorperazine<br />
Chlorhexidine<br />
Liquid iron (dilute with water and use straw)<br />
Tannin-rich agents (eg, green tea)<br />
Antihistamines (sedating only)<br />
Hyoscine<br />
Prochlorperazine<br />
Phenylephrine<br />
Scopolamine<br />
Page 196 HEALTHCARE HANDBOOK <strong>2017</strong>-2018 References Charts
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