Guide

Transcription

Guide

Medications and Recovery
An Important Piece of the Puzzle
Second Edition
A guide to maintaining sobriety while receiving
treatment for other health problems
Renee Enstrom, Pharm.D., R.Ph.
Richard Zinni, D.O.
Copyright © 2007, Glenbeigh
2015
All rights reserved.
This publication may not be reproduced or quoted in whole or in part by
any means whatsoever without written permission from the CEO of:
Glenbeigh
2863 St Rt. 45
P.O. Box 298
Rock Creek, Ohio 44084
Table of Contents
Table of Contents
Introduction to Medications and Recovery ........................................................................................... I
Introduction to Medications and Recovery ........................................................................................... I
Chapter 1
Chapter
1
Class
A (alcohol,
anorexiants) .................................................................................................................. 1
(alcohol, anorexiants) ..................................................................................................................
Class A (antitussives/antihistamines/decongestants/expectorants/combo
products).................................. 12
Class A (ecstasy,
(antitussives/antihistamines/decongestants/expectorants/combo
products)
.................................. 32
gastrointestinal/anti-diarrheal, gastrointestinal/antispasmodic)
......................................
(ecstasy, gastrointestinal/anti-diarrheal,
gastrointestinal/antispasmodic) ...................................... 34
Class A (hallucinogens,
inhalants) ............................................................................................................
Class A (hallucinogens,
inhalants)pain,
............................................................................................................
(marijuana, neuropathic
opiates) .......................................................................................... 45
Class A (marijuana,
neuropathic pain, opiates) .......................................................................................... 65
(opiates) .......................................................................................................................................
Class A (opiates) ....................................................................................................................................... 67
(opiates) sedatives/analgesic/antimigraine,
.......................................................................................................................................
Class A (opiates,
sedatives/anti-anxiety) .............................................. 78
Class A (opiates,
sedatives/analgesic/antimigraine,
sedatives/anti-anxiety)
.............................................. 89
(sedatives/barbiturates,
sedatives/ benzodiazepines)
..................................................................
Class A (sedatives/barbiturates,
sedatives/
benzodiazepines)
..................................................................
9
(sedatives/hypnotic/sleep,
sedatives/other
central nervous
system depressants,
Class A (sedatives/hypnotic/sleep,
central nervous system depressants,
skeletal muscle relaxants) sedatives/other
...........................................................................................................
10
skeletal muscle
relaxants) ........................................................................................................... 10
Class A (stimulants)
..................................................................................................................................
11
Class A (stimulants) .................................................................................................................................. 11
Chapter 2
Chapter
2
Class B (addiction
treatments, anabolic steroids/androgens) .................................................................... 12
(addictionsteroids/androgens,
treatments, anabolicantihistamines/sedating,
steroids/androgens) ....................................................................
12
Class B (anabolic
antitussives/expectorants) ..................... 13
Class B (anabolic
steroids/androgens,
antihistamines/sedating,
antitussives/expectorants) ..................... 13
(antitussives/expectorants,
corticosteroids)
..................................................................................
14
Class B (antitussives/expectorants,
corticosteroids)
..................................................................................
(decongestants/nasal sprays,
decongestants/phenylephrine)
...................................................... 14
15
Class B (decongestants/nasal
sprays, decongestants/phenylephrine)
...................................................... 16
15
(decongestants/phenylephrine)
....................................................................................................
16
Class B (decongestants/phenylephrine) .................................................................................................... 17
(decongestants/phenylephrine) decongestants/pseudoephedrine,
.................................................................................................... 17
Class B (decongestants/phenylephrine,
Class B (decongestants/phenylephrine,
decongestants/pseudoephedrine,
gastrointestinal/constipation) .......................................................................................................
18
gastrointestinal/constipation) gastrointestinal/nausea/vomiting,
....................................................................................................... 18
Class B (gastrointestinal/constipation,
Class B (gastrointestinal/constipation,
gastrointestinal/nausea/vomiting,
skeletal muscle relaxants, sleep
aids) ......................................................................................... 19
skeletalaids,
muscle
relaxants, sleep
aids)other)
.........................................................................................
Class B (sleep
vertigo/motion
sickness,
................................................................................. 19
20
Class B (sleep aids, vertigo/motion sickness, other) ................................................................................. 20
Chapter 3
Chapter
3 Products ............................................................................................................................... 21
Alcohol-Free
Alcohol-Free Products ............................................................................................................................... 21
Chapter 4
Chapter
4
Non-Prescription
& Prescription Products That Contain Alcohol................................................................. 25
Non-Prescription & Prescription Products That Contain Alcohol ................................................................. 25
Medications and Recovery – Introduction
I
I
There are many types of medications which may present a hazard to a person beginning the journey of
recovery
chemical
include
prescription
andtoover-the-counter
medications.
There
arefrom
many
types ofdependency.
medications These
which may
present
a hazard
a person beginning
the journeyThe
of
danger isfrom
not always
a recoveringThese
addictinclude
may develop
a new
– though medications.
this certainly The
can
recovery
chemicalthat
dependency.
prescription
andaddiction
over-the-counter
happen is– not
but always
that one
be led back
into may
dependence
theiraddiction
drug of –choice.
Recent
scientific
danger
thatcan
a recovering
addict
develop aonnew
though this
certainly
can
research
that can
all the
drugs on
act their
on thedrug
brainofinchoice.
the sameRecent
way toscientific
produce
happen –has
butproven
that one
bedependence-producing
led back into dependence
addiction has
– despite
effects or a different
kindact
of on
“high”
In addition,
if urine
research
provenhaving
that alldifferent
the dependence-producing
drugs
the when
brain intaken.
the same
way to produce
drug screening
is part
of the
recovering
continuing
program,
many types
of
addiction
– despite
having
different
effectsperson’s
or a different
kind treatment
of “high” when
taken.useInofaddition,
if urine
medications
canisresult
positive tests
for the
more highly
addictive
classesuse
of drugs,
resulting
in
drug
screening
part in
of falsely
the recovering
person’s
continuing
treatment
program,
of many
types of
negative consequences.
medications
can result in falsely positive tests for the more highly addictive classes of drugs, resulting in
negative
Therefore,consequences.
it is very important for a recovering person to learn about the different types of medications and
drugs – and
ones present
a special risk
to continuing
recovery
and sobriety.
The commonly
Therefore,
it iswhich
very important
for a recovering
person
to learn about
the different
types of medications
and
available
medications
and present
drugs area divided
classes –recovery
A, B andand
C – sobriety.
to indicateThe
threecommonly
levels of
drugs
– and
which ones
special into
risk three
to continuing
risk.
available medications and drugs are divided into three classes – A, B and C – to indicate three levels of
risk.
Class A drugs must be avoided completely, as they are well known to produce addiction and are the most
dangerous
of all.
under very
unusual as
conditions
Class
A drugsaddiction
be takenand
by aarerecovering
Class A drugs
mustOnly
be avoided
completely,
they are can
well the
known
to produce
the most
addict or alcoholic
andunder
only when
by conditions
a physiciancan
or dentist.
These
exceptional
circumstances
can
dangerous
of all. –Only
very given
unusual
the Class
A drugs
be taken
by a recovering
include:or severe
including
major surgery,
car accidents
and othercircumstances
trauma, testscan
or
addict
alcoholicillness
– andand
onlyinjuries
when given
by a physician
or dentist.
These exceptional
procedures
whichillness
can only
be doneincluding
under sedation
or anesthesia.
Medication
treatments
fortests
certain
include:
severe
and injuries
major surgery,
car accidents
and other
trauma,
or
psychiatric conditions
thisdone
category,
are medications
used forMedication
drug detoxification.
“street
procedures
which canare
onlyin be
underassedation
or anesthesia.
treatments The
for certain
drugs” are also
included
A. At times,
a Class
A medication
maydrug
be necessary
for anThe
individual
psychiatric
conditions
areininClass
this category,
as are
medications
used for
detoxification.
“street
with anare
addiction
historyintoClass
take A.under
the supervision
of a physician.
is recommended
that the
drugs”
also included
At times,
a Class A medication
may beIt necessary
for an individual
individual
be proactive
andtohave
be responsible
for the medication
that is needed
be
with an addiction
history
take someone
under theelse
supervision
of a physician.
It is recommended
thatto the
given dose
dose and
at appropriate
times.
recommendation
includes
Class
B
individual
be by
proactive
have someone
elseThis
be responsible
for the also
medication
thatcertain
is needed
to be
medications.
given dose by dose at appropriate times. This recommendation also includes certain Class B
medications.
The medications in Class B are also potentially very dangerous – especially when taken by recovering
persons
without the
guidance
of aalso
physician
or another
healthcare–professional.
However,
under
certain
The
medications
in Class
B are
potentially
very dangerous
especially when
taken by
recovering
circumstances,
B group
be taken
a physician’s
care. However, under certain
persons
withoutthe
theClass
guidance
of a can
physician
or safely
anotherunder
healthcare
professional.
circumstances,
the Class
B group can
taken
under
care.
Class C medications
are generally
safebefrom
thesafely
point of
viewaofphysician’s
addiction recovery.
However, overuse of
any
– even
common
– can result
in unwanted
effects.
Classmedication
C medications
arethe
generally
safeover-the-counter
from the point ofremedies
view of addiction
recovery.
However,side
overuse
of
Classmedication
C medications
arethe
left common
out of thisover-the-counter
pamphlet.
any
– even
remedies – can result in unwanted side effects.
Class
medications
are leftwith
out of
thisaddiction
pamphlet.or alcoholism must remain aware of the tendency to look
PeopleCwho
have struggled
drug
for “external
solutions
for internal
problems”
– and
should avoid
taking
ANYaware
of these
medications
People
who have
struggled
with drug
addiction
or alcoholism
must
remain
of the
tendencyon
to their
look
own,
in ordersolutions
to medicate
emotionsproblems”
and feelings.
toolsavoid
of recovery
– including
participation
at 12-Step
for
“external
for internal
– andThe
should
taking ANY
of these
medications
on their
fellowship
meetings,
working
the and
Steps
or talking
with ofa recovery
sponsor,– including
counselor,participation
doctor or atindividual
own,
in order
to medicate
emotions
feelings.
The tools
12-Step
counseling meetings,
- provide safe
and healthy
waysorto talking
deal withwith
the astrong
feelings
that can come
any time
fellowship
working
the Steps
sponsor,
counselor,
doctoruporatindividual
in early sobriety.
counseling
- provide safe and healthy ways to deal with the strong feelings that can come up at any time
in early sobriety.
II
II
Many recovering people also have other chronic illnesses or mental health issues, such as depression,
bipolar
disorder, diabetes
or hypertension,
which require
prescription
andsuch
otherastreatments
to
Many recovering
people also
have other chronic
illnesses
or mentalmedications
health issues,
depression,
remain
healthy. diabetes
Staying clean
and sober which
from drugs
and
alcohol often
requires and
continued
use of these
bipolar disorder,
or hypertension,
require
prescription
medications
other treatments
to
medications.
Stopping
prescribed
treatments
without
doctor’soften
guidance
cancontinued
result in ause
relapse
into
remain healthy.
Stayingtheclean
and sober
from drugs
andaalcohol
requires
of these
active
addiction.
medications.
Stopping the prescribed treatments without a doctor’s guidance can result in a relapse into
active
addiction. that appear on the following pages include both the BRAND NAME, listed first, (i.e.:
The medications
“Valium”),
followed
the GENERIC
NAME pages
(i.e.: “diazepam”)
as listed
the majority
of
The medications
thatbyappear
on the following
include both intheparentheses–
BRAND NAME,
first, (i.e.:
prescriptionfollowed
bottles are
with the generic
For “street drugs”,
the COMMON
NAME
is listed
“Valium”),
by labeled
the GENERIC
NAME name.
(i.e.: “diazepam”)
in parentheses–
as the
majority
of
first, and thebottles
(chemical
“slang”
in parentheses.
each the
drugCOMMON
group in Class
B,
prescription
are name
labeledor with
the name)
genericisname.
For “streetFor
drugs”,
NAMEAisand
listed
there
is
also
a
brief
explanation
of
the
dangers
associated
with
taking
the
medication
or
street
drug.
first, and the (chemical name or “slang” name) is in parentheses. For each drug group in Class A and B,
there
alsoofa the
briefdocument
explanation
of the
associated
withistaking
thealcohol-free
medication or
street drug.
At
theisend
there
aredangers
two tables.
The first
a list of
products
grouped by
therapeutic
category.
The manufacturer
listed next
each
name. The products
second isgrouped
a table by
of
At
the end of
the document
there are twoistables.
The tofirst
is aproduct
list of alcohol-free
alcohol-containing
medications.
therapeutic
category.
The manufacturer is listed next to each product name. The second is a table of
alcohol-containing
Use of Class A andmedications.
certain Class B medications listed should become a rarity for a recovering addict and
alcoholic.
Use of Class A and certain Class B medications listed should become a rarity for a recovering addict and
alcoholic.
Please remember, this information does not include all drugs and is only intended as a quick reference
becauseremember,
manufacturers
change product
Please
this information
doesingredients
not includeand
all brand
drugs names
and is frequently.
only intended as a quick reference
because
manufacturers
change
product
ingredients
brand
frequently.
This guide
is not intended
to be
a substitute
for and
advice
thatnames
only your
own personal physician can
provide.
it is VERY
that
on thethat
basis
the information
contained
in this
This
guideInisparticular,
not intended
to be aIMPORTANT
substitute for
advice
onlyofyour
own personal
physician
can
guide, youIndo
not suddenly
discontinue
or make
of medication
that
provide.
particular,
it is VERY
IMPORTANT
thatany
on changes
the basisin
ofthe
thedoses
information
contained
in you
this
may have
Doing so may
resultany
in changes
unexpected
problems
such as withdrawal
guide,
you been
do notprescribed.
suddenly discontinue
or make
in the
doses of- medication
that you
reactions
whichprescribed.
in some cases
canso
be may
life-threatening.
You MUSTproblems
check with
your as
doctor
before
may have -been
Doing
result in unexpected
- such
withdrawal
making ANY
medication
reactions
- which
in somechanges.
cases can be life-threatening. You MUST check with your doctor before
making
medication
changes.
It is alsoANY
essential
that you
inform ALL of your personal physicians, dentists and other health care
providers
of
your
chemical
dependency
so that medications
can be prescribed
safely care
and
It is also essential that you inform
ALL ofhistory
your personal
physicians, dentists
and other health
appropriately
whenchemical
they are dependency
deemed necessary.
providers of your
history so that medications can be prescribed safely and
appropriately
they
are deemedaddict
necessary.
The
bottom linewhen
is that
a recovering
or alcoholic needs to become a good consumer, and ask a
healthcare
are questions
takingneeds
ANY kind
of medication
BEFORE taking
it. a
The bottomprofessional
line is that ifa there
recovering
addict orabout
alcoholic
to become
a good– consumer,
and ask
healthcare
professional
if
there
are
questions
about
taking
ANY
kind
of
medication
–
BEFORE
taking
it. is
Remember that “RECOVERY IS ITS OWN REWARD” – being healthy and regaining a happy life
YOUR responsibility!
Remember
that “RECOVERY IS ITS OWN REWARD” – being healthy and regaining a happy life is
YOUR responsibility!
Chapter 1
1
Class A –Chapter
Avoid Completely
Class A – Avoid Completely
Alcohol (Ethanol) Sedative Hypnotic:
Alcohol (Ethanol) Sedative Hypnotic:
Ale
Whiskey
Ale (including “non-alcoholic” forms)
Whiskey
Beer
Wine
Beer (including “non-alcoholic” forms)
Brandy
Wine Cooler
Brandy
Wine Cooler
Liquor
Liquor
Alcohol consumption initially reduces social inhibitions and produces pleasure and a sense of well-being
Alcohol
consumption
initially
reduces
social inhibitions
and produces
pleasure
and the
a sense
of well-being
and relaxation.
Those
effects
are replaced
by drowsiness
as the alcohol
leaves
system.
Drinking
and
relaxation.
Those effects
are replaced
by drowsiness
as the
alcohol
leaves
thewhich
system.
Drinking
alcohol
initially increases
the release
of dopamine
in the reward
centers
of the
brain
promotes
the
alcohol
initially
increases the
release
of dopamine
in the reward
of the
brain which
experience
of pleasure.
Alcohol
increases
the inhibitory
activitycenters
of GABA
receptors
whichpromotes
is likely the
experience
pleasure.
Alcohol
increases
the also
inhibitory
activitytheofexcitatory
GABA receptors
likely the
cause of theofsedating
effects
of alcohol.
Alcohol
decreases
activity ofwhich
NMDAis glutamate
cause
of the
sedating
effects of alcohol.
decreases
the excitatory
activity of NMDA
glutamate
receptors
which
is responsible
for the Alcohol
memoryalso
deficits
experienced
after drinking.
Chronic
alcohol
receptors
which
is responsible
for formation,
the memory
deficits
experienced
drinking.
Chronic
alcohol
consumption
compromises
memory
abstract
thinking,
problemafter
solving,
attention,
concentration
consumption
compromises
formation,
abstract
problem
attention,use.
concentration
and perception
of emotion. memory
Tolerance,
dependence
andthinking,
withdrawal
occursolving,
with continued
The “nonand perception
emotion.
Tolerance,
and withdrawal
use. of
Thealcohol
“nonalcohol”
or “NA”of forms
of beer
should dependence
not be consumed
because occur
there with
is acontinued
small amount
alcohol”
or “NA”
formsshows
of beerthatshould
there is aand
small
amount of relapse
alcohol
present and
research
smell not
maybebeconsumed
enough tobecause
trigger cravings
a subsequent
present
and research
shows
thatnote
smellthat
may
be isenough
to of
trigger
a subsequent
among certain
alcoholics.
Please
there
a variety
coughcravings
and coldand
preparations
that relapse
contain
among
alcoholics.which
Please
note
is a variety
of not
cough
and cold
that contain
alcohol certain
and medications
can
be that
takenthere
in tablet
form will
contain
ethylpreparations
alcohol. Certain
topical
alcohol and
medications
which can
takenethyl
in tablet
formand
willshould
not contain
ethyl alcohol and are safe to
products,
soft-gels
and capsules
thatbe
contain
alcohol
be avoided.
use. Certain topical products, soft-gels and capsules that contain ethyl alcohol should be avoided.
Anorexiants:
Anorexiants:
Adipex-P (phentermine tablet & capsule)
Qsymia ER (phentermine/ topiramate capsule)
Adipex-P
tablet & capsule)
Qsymia
ERstimulant
(phentermine/ topiramate capsule)
Also CNS(phentermine
stimulant
Also CNS
Also CNS stimulant
Also CNS(benzphetamine
stimulant
Regimex
tablet)
Belviq (lorcaserin tablet)
Regimex
tablet)
Also
CNS(benzphetamine
stimulant
Belviq (lorcaserin tablet)
Also CNS (phentermine
stimulant
Suprenza
tablet orally disintegrating)
Bontril PDM ER (phendimetrazine capsule)
Suprenza
tablet orally disintegrating)
Also
CNS (phentermine
stimulant
Bontril PDM ER (phendimetrazine capsule)
Also
CNS(diethylpropion
stimulant
Tenuate
tablet)
Bontril PDM (phendimetrazine tablet)
Tenuate
tablet)
Also
CNS(diethylpropion
stimulant
Bontril PDM (phendimetrazine tablet)
Also CNS stimulant
Desoxin (methamphetamine tablet)
Desoxin
tablet)
Also
CNS(methamphetamine
stimulant
Also CNS stimulant
The mechanism of action in reducing appetite for the stimulants appears to be secondary to the central
The mechanism
of action All
in reducing
for the
stimulants
appears
to be secondary
to theuse
central
nervous
system effects.
of these appetite
medications
have
a high abuse
potential
and prolonged
may
nervous
system effects.
All of theseSee
medications
have a for
high
abuse
potential and prolonged use may
lead to dependency
and withdrawal.
stimulant section
further
information.
lead to dependency and withdrawal. See stimulant section for further information.
2
 Chapter 1 Class A – Avoid Completely
Chapter 1 Class A – Avoid Completely
2
Antitussives/Antihistamines/Decongestants/Expectorants/Combo Products:
Codeine
Allfen CD (codeine/guaifenesin tablet)
Allfen CDX (codeine/guaifenesin tablet)
Cheratussin DAC (codeine/
guaifenesin/pseudoephedrine syrup)
Codar AR (codeine/chlorpheniramine liquid)
Codar D (codeine/pseudoephedrine liquid)
Codar GF (codeine/guaifenesin liquid)
Dex-Tuss (codeine/guaifenesin liquid)
Guaiatussin AC (codeine/guaifenesin syrup)
Iophen C-NR (codeine/guaifenesin liquid)
Lexuss 210 (codeine/chlorpheniramine liquid)
Lortuss EX
(codeine/guaifenesin/pseudoephedrine liquid)
M Clear (codeine/guaifenesin capsule)
M Clear WC (codeine/guaifenesin liquid)
Mar-Cof CG (codeine/guaifenesin solution)
Ninjacof-XG (codeine/guaifenesin liquid)
Notuss-DC (codeine/pseudoephedrine liquid)
Phenergan with Codeine
(codeine/promethazine syrup)
Phenergan VC with Codeine
(codeine/promethazine/phenylephrine syrup)
Codeine, continued
Phenylhistine DH (codeine/
chlorpheniramine/pseudoephedrine elixir)
Robafen AC (codeine/guaifenesin syrup)
Robitussin AC (codeine/guaifenesin liquid)
Tricode AR
(codeine/chlorpheniramine/pseudoephedrine
liquid)
Tricode GF
Tuzistra XR (codeine/chlorpheniramine
suspension)
Virtussin DAC
Hydrocodone
Hycofenix
(hydrocodone/guaifenesin/pseudoephedrine
solution, oral)
Hydromet (hydrocodone/homatropine syrup)
Obredon (hydrocodone/guaifenesin solution,
oral)
Rezira (hydrocodone/pseudoephedrine
solution)
TussiCaps ER(hydrocodone/
chlorpheniramine capsule)
Tussigon (hydrocodone/homatropine tablet)
Tussionex PennKinetic ER
(hydrocodone/chlorpheniramine suspension)
Vituz (hydrocodone/chlorpheniramine solution)
Zutripro (hydrocodone/
chlorpheniramine/pseudoephedrine solution)
Any cough medications containing narcotics such as codeine or hydrocodone should not be used. These
medications bind to opiate receptors in the central nervous system, altering the perception of and
response to pain and produce generalized central nervous system depression and may alter mood or
cause sedation.
Chapter 1 Class A – Avoid Completely  3
3
Ecstasy:
Adam (MDMA)
Beans
Eve (MDE)
Love (MDA)
Methylenedioxyamphetamine (MDA)
Methylenedioxyethylamphetamine (MDE)
Methylenedioxymethamphetamine (MDMA)
Molly
Rolls
X
XTC
MDMA increases dopamine, norepinephrine and to a greater extent, serotonin. With high doses, users
can experience jitteriness, teeth clenching, dry mouth, muscle cramping and nausea. MDMA can cause
a distorted sense of perception, hallucinogen-like effects and hyperactivity. Overdose can occur leading
to increased body temperature, hypertension and kidney failure. Ecstasy is often combined in tablet or
powder form with other drugs of abuse such as: methamphetamine, dextromethorphan, ephedrine,
pseudoephedrine, caffeine, cocaine, piperazine drugs (mCPP, TFMPP, BZP) and ketamine. This
increases the risks of adverse effects.
Gastrointestinal (Anti-Diarrheal):
Donnatal (phenobarbital/atropine/hyoscyamine/
scopolamine elixir oral, tablet oral)
Donnatal Extentabs
(phenobarbital/atropine/hyoscyamine/
scopolamine tablet ER oral)
Lomotil (atropine/diphenoxylate
solution oral, tablet oral)
Lonox (atropine/diphenoxylate tablet oral)
Motofen (atropine/difenoxin tablet oral)
Opium (morphine tincture oral) Also opiate
Paregoric (morphine tincture oral) Also opiate
Viberzi (eluxadoline oral)
Diphenoxylate is a member of the opioid class of drugs. Atropine is added to discourage abuse for
recreational purposes. At recommended doses, the atropine causes no effects but in larger doses,
unpleasant symptoms are experienced. Prolonged use with high doses may cause physical and
psychological dependence. Adverse reactions of euphoria and feeling drunk were reported in clinical trials
with the use of Viberzi. Paregoric and Opium belong to the opiate class of medications. See opiates
section for more information.
Gastrointestinal (Antispasmodic):
Librax (chlordiazepoxide/clidinium capsule oral)
Chlordiazepoxide is also a benzodiazepine
Librax can cause drowsiness, ataxia and confusion. Withdrawal can occur after prolonged use. See
benzodiazepine section for more information.
4
4
Hallucinogens:
4-bromo-2,5-dimethoxyphenethylamine (2-CB)
Ayahuasca (caapi, yage, vegetal)
Belladonna Alkaloids (atropine, scopolamine,
belladonna, deadly nightshade, Jimsonweed, stink
weed, mandrake)
Dextromethorphan (CCC, robo, red devils, poor
man’s PCP, DXM, Dex)
Dimethyltryptamine (DMT, businessman’s special)
Ketamine (Special K, K)
Lysergic Acid Diethylamide (acid, blotter, California
sunshine, LSD, microdot, paper, trip, yellow
sunshine and many others)
Mescaline (buttons, mesc, mescal, topi, peyote)
Phencyclidine (PCP, angel dust, T, PeaCe pill)
Psilocybin (boomers, magic mushroom, shrooms)
Salvia Divinorum (ska, Maria, la Maria,
ska Pastora)
People using high doses of hallucinogens begin to perceive an experience as actually happening when it
is not. Hallucinogen effects include feelings of detachment from one’s surroundings, emotional swings
and an altered sense of space and time. Hallucinations and a sense of separation from one’s body can
occur. Physical effects include jitteriness, racing or slowed heart rate, chills, nausea, numbness and
changes in coordination. Belladonna alkaloids can stimulate the heart and increase body temperature. At
the point where hallucinations occur, the user is at or very near a life-threatening level. PCP can cause
seizures, coma, or psychosis lasting several days. “Flashbacks” of the original hallucination can occur.
Inhalants:
Aimes
Anesthetics (nitrous oxide, Whippets,
halothane, ether)
Bolt
Bullets
Climax
Fuels (butane, propane, gasoline)
Glues
Locker Room
Nitrites (amyl, butyl)
Paints
Poppers
Rush
Snappers
Solvents (benzene, toluene, methanol,
chloroform, freon, coolants)
Sprays
Nitrites can cause visual distortions and sedation occurs as the dose increases. Solvent use can cause
disorientation and loss of muscle coordination. Long term effects can include depression,
hallucinations and damage to the brain, heart, liver, lungs and kidneys. All solvent use can lead to
overdose at increased doses.
5
Marijuana:
Blanche
Bhang
Charas (extracted plant resin)
Dagga
Ganga
Grass
Hash (hash oil)
Hashish (tar)
Herb
Marinol (dronabinol)
Old Man
Pot
Reefer
Sinsemilla
Smoke (dried plant material)
THC
Weed
Drowsiness and sedation follow the initial effects of marijuana. Eating marijuana can lead
to hallucinations. Because it takes a long time to eliminate THC from the body, a person’s cognitive
function can be affected for a day or more after a single dose. Marijuana can impair judgement and
coordination. The effects of marijuana on learning and memory can be long-lasting. Chronic
marijuana smoking can lead to lung damage. Chronic usage can also lead to tolerance, dependence
and withdrawal if stopped suddenly.
Neuropathic Pain:
Lyrica (pregabalin capsule oral, solution oral)
Lyrica can lead to withdrawal symptoms upon discontinuation. It also produces euphoria, blurred vision,
difficulty with attention and concentration and a “drunk or high” feeling in certain individuals.
Opiates:
Alfenta (alfentanyl solution injection)
Belladonna & Opium (suppository rectal)
Buprenorphine
Bunavail (buprenorphine/naloxone
film, buccal)
Buprenex (buprenorphine injection
solution)
Butrans (buprenorphine
transdermal patch)
Suboxone (buprenorphine/naloxone
film, sublingual)
Buprenorphine, Continued
Subutex (buprenorphine sublingual tablet)
Zubsolv (buprenorphine/naloxone tablet,
sublingual)
Stadol (butorphanol solution nasal & injection)
Codeine
Trezix (dihydrocodeine/ acetaminophen/
caffeine capsule oral)
Tylenol #2, #3 or #4 (codeine/ acetaminophen
tablet oral)
6
Opiates, Continued:
Codeine, continued
Tylenol with Codeine (codeine/
acetaminophen solution &
suspension oral)
Fentanyl
Abstral (fentanyl tablet sublingual)
Actiq (fentanyl lozenge,
transmucosal)
Duragesic (fentanyl patch,
transdermal)
Fentora (fentanyl tablet buccal)
Ionsys (fentanyl iontophoretic
transdermal system)
Lazanda (fentanyl intranasal spray)
Onsolis (fentanyl film, buccal)
Sublimaze (fentanyl solution
injection)
Subsys (fentanyl sublingual spray)
Heroin (down, dreck, H, horse, smack, mojo,
white lady, brown)
Heroin & Cocaine (speedball)
Hydrocodone, continued
Zohydro ER (hydrocodone capsule ER
oral)
Hydromorphone
Dilaudid (hydromorphone tablet oral,
solution oral & injection, suppository
rectal)
Exalgo (hydromorphone tablet ER oral)
Levo-Dromoran (levorphanol tablet oral)
Meperidine
Demerol (meperidine tablet oral,
solution, injection)
Meperitab (meperidine tablet oral)
Methadone
Dolophine (methadone tablet oral)
Methadose (methadone tablet oral)
Methadose (methadone solution
concentrate oral)
Methadone Intensol (methadone
solution concentrate oral)
Metadol (methadone solution oral)
Hydrocodone
Hysingla ER (hydrocodone tablet ER
Morphine
oral)
Hycet (hydrocodone/acetaminophen
Astramorph/PF (morphine solution
solution oral)
injection)
Norco (hydrocodone/acetaminophen
Avinza (morphine capsule ER oral)
tablet oral)
Verdrocet (hydrocodone/
Duramorph (morphine solution
acetaminophen tablet oral)
injection)
Vicodin(hydrocodone/acetaminophen
Embeda (morphine/naltrexone capsule
tablet oral)
CR oral)
Vicodin ES (hydrocodone/
Infumorph (morphine solution injection)
Vicodin HP (hydrocodone/
Kadian (morphine capsule ER oral)
Xodol (hydrocodone/acetaminophen
Morphine (solution concentrate oral)
tablet oral)
6
7
Opiates, Continued:
Morphine, continued
Oxymorphone
Opana (oxymorphone solution
Morphine (solution intramuscular)
injection)
Morphine (solution intravenous)
Opana (oxymorphone tablet oral)
MS Contin (morphine tablet ER oral)
Opana ER (oxymorphone tablet oral)
Oramorph SR (morphine )
Opana ER (oxymorphone tablet oral)
RMS (morphine suppository rectal) Pentazocine
Talacen (pentazocine/acetaminophen
Roxanol (morphine solution oral)
tablet oral)
Nubain (nalbuphine solution injection)
Talwin (pentazocine solution injection)
Opium (Chinese molasses, dreams, gong,
Talwin NX (pentazocine/naloxone tablet
O, skee, toys, zero)
oral)
Ultiva (remifentanul solution
Oxycodone
intravenous)
Combunox (oxycodone/ibuprofen
Sufenta (sufentanil solution intravenous)
tablet oral)
Endocet(oxycodone/acetaminophen
Tapentadol
tablet oral)
Endodan (oxycodone/aspirin tablet
Nucynta (tapentadol tablet)
oral)
Oxycodone (solution concentrate
Nucynta ER (tapentadol tablet)
oral)
Oxycodone (solution oral)
Tramadol
Oxycontin (oxycodone ER tablet
Active-Tramadol (cream external)
oral)
OxyIR (oxycodone capsule oral)
ConZip (tramadol capsule ER oral)
Percocet (oxycodone/
EnovaRX (tramadol cream external)
Percodan (oxycodone/aspirin tablet
Rybix (tramadol tablet orally
oral)
disintegrating)
Primlev (oxycodone/acetaminophen
Synapryn FusePaq (tramadol
tablet oral)
suspension oral)
Roxicet (oxycodone/acetaminophen
Ultram (tramadol tablet oral)
solution oral)
Roxicodone (oxycodone tablet oral)
Ultram ER(tramadol tablet oral)
Targiniq ER (oxycodone/naloxone
tablet oral)
Xartemis XR (oxycodone/
8
8
Opiates, Continued:
Opiate use causes decreased sensitivity to pain as well as slowed breathing, skin flushing, pinpoint pupils,
drowsiness, nausea, vomiting and constipation. Overdose can be lethal as the opiate suppresses the
respiratory system. Tolerance or drug dependence may result from extended use. Buprenorphine
binds to mu receptors in the brain leading to a suppression of withdrawal and cravings and a
feeling of euphoria. Opiates have the potential for drug dependency and abrupt cessation may
precipitate withdrawal.
Sedatives:
Increased doses of sedatives can cause dizziness, vertigo, drowsiness, slurred speech and muscle
incoordination. Learning is impaired and there is a loss of memory for events occurring while under the
influence. Unexpected effects of sedatives include: anxiety, nightmares, hostility and rage. Overdose of
sedatives can lead to suppression of breathing, heart failure and death. Tolerance and dependence
develop after a few weeks or more of use. Sudden withdrawal can produce seizures.
Sedatives:
Analgesic, Anti-Migraine:
Midrin (acetaminophen/
dichloralphenazone/isometheptene
capsule oral)
Migragesic (acetaminophen/
dichloralphenazone/ isometheptene
capsule oral)
Nodolor (acetaminophen/ dichloralphenazone/
isometheptene capsule oral)
Dichloralphenazone is converted to chloral hydrate which is a sedative. Dependence can occur leading to
headaches which occur more frequently and more severe than before.
Sedatives:
Antianxiety:
Equanil (meprobamate tablet oral)
Quaalude, Sopor (methaqualone)
Tolerance, psychological and physical dependence and withdrawal can occur with prolonged use. Central
nervous system depression can occur with routine use. Equanil can also cause heart arrhythmias,
decreased blood pressure, dizziness and weakness.
9
Sedatives:
Barbiturates:
Alagesic LQ (butalbital/acetaminophen/
caffeine liquid, oral)
Ascomp with Codeine
(butalbital/codeine/aspirin/caffeine
capsule, oral)
Brevital (Methohexital solution,
reconstituted, injection)
Bupap (butalbital/acetaminophen tablet, oral)
Butisol (butabarbital elixir & tablet oral)
Esgic (butalbital/acetaminophen/caffeine
capsule, oral)
Fioricet (butalbital/acetaminophen/
caffeine capsule, oral)
Fioricet with Codeine
(butalbital/codeine/acetaminophen/
Margesic (butalbital/acetaminophen/
Dolgic Plus (butalbital/acetaminophen/
caffeine tablet, oral)
Amytal (amobarbital solution, reconstituted, injection)
Fiorinal (butalbital/aspirin/ caffeine capsule, oral)
Fiorinal with Codeine
(butalbital/codeine/aspirin/caffeine capsule, oral)
Nembutal (pentobarbital solution, injection)
Phrenilin Forte (butalbital/acetaminophen
capsule, oral)
Mysoline (primidone tablet oral)
Phenobarbital (elixir oral, solution oral, solution
injection, tablet oral)
Seconal (secobarbital capsule oral)
Zebutal (butalbital/acetaminophen/
Sedatives:
Benzodiazepines:
Alprazolam Intensol (alprazolam concentrate
oral)
Ativan (lorazepam solution injection, tablet oral)
Dalmane (flurazepam capsule oral)
Diazepam Intensol (concentrate oral)
Diastat (diazepam gel rectal)
Doral (quazepam tablet oral)
Halcion (triazolam tablet oral)
Klonopin (clonazepam tablet oral & tablet orally
disintegrating)
Limbitrol (chlordiazepoxide/amitriptyline tablet
oral)
Lorazepam Intensol (concentrate oral)
Niravam (alprazolam tablet orally disintegrating)
Onfi (clobazam suspension oral & tablet oral)
ProSom (estazolam tablet oral)
Restoril (temazepam capsule oral)
Rohypnol (flunitrazepam, roofies)
Serax (oxazepam capsule oral)
Tranxene-T (clorazepate tablet oral)
Valium (diazepam solution injection, solution oral,
tablet oral)
Xanax (alprazolam tablet oral)
Xanax XR (alprazolam tablet oral)
Benzodiazepines can cause amnesia at therapeutic doses.
10
10
Sedatives:
Hypnotics (Sleep Medications):
Ambien (zolpidem tablet oral)
Ambien CR (zolpidem tablet CR oral)
Belsomra (suvorexant tablet oral)
Edular (zolpidem tablet sublingual)
Intermezzo (zolpidem tablet sublingual)
Lunesta (eszopiclone tablet oral)
Somnote (chloral hydrate capsule oral, syrup oral)
Sonata (zaleplon capsule oral)
Zolpimist (zolpidem solution oral spray)
Most drugs in this class act on a benzodiazepine receptor that induces sleep. These medications can
cause amnesia for activities that occur during the time it is effective. These activities can include: sleep
driving, sleep eating, sleep shopping, sleep sex, sleep e-mailing and criminal activity. Daytime
drowsiness, dizziness, hallucinations and agitation can occur. Belsomra can cause temporary paralysis
during early sleep and early wake cycles.
Sedatives:
Other Central Nervous System Depressants:
GHB (G, gamma-hydroxybutyrate, everclear,
Xyre
GHB can be added to drinks to cause sedation leading to rape or sexual assault. After ingestion, a person
begins to feel weak, dizzy, lightheaded or confused. Abuse is common in teenagers and young adults.
Overdose can occur leading to death. Tolerance and withdrawal occur with regular use.
Skeletal Muscle Relaxants:
Soma (carisoprodol tablet oral)
Soma Compound (carisoprodol/aspirin tablet
oral)
Soma Compound with Codeine
(codeine/carisoprodol/aspirin tablet oral)
Also opiate
Soma can impair physical and mental abilities and has been rarely associated with seizures. Tolerance,
dependence and withdrawal are common. Withdrawal can include: insomnia, vomiting, abdominal pain,
headache, tremors, ataxia, hallucinations or psychosis.
11
Stimulants:
Adderall (dextroamphetamine/amphetamine
tablet)
Adderall XR
(dextroamphetamine/amphetamine capsule)
Amphetamine (crank, bennies, uppers)
Aptensio XR (methylphenidate capsule, oral)
Cathinone
Cocaine (coke, blow, candy, crack, jack,
jimmy, rock, nose candy, whitecoat)
Concerta ER (methylphenidate tablet, oral)
Daytrana (methylphenidate patch
transdermal)
Dexedrine ER (dextroamphetamine
capsule, oral)
Dexedrine (dextroamphetamine tablet, oral)
Evekeo (amphetamine table, oral)
Focalin (dexmethylphenidate tablet, oral)
Focalin XR (dexmethylphenidate
capsule, oral)
MDPV (bath salts, ivory wave, bliss, bubbles,
meow meow, explosion, vanilla sky)
Mephedrone
Metadate CD (methylphenidate capsule, oral)
Metadate ER (methylphenidate tablet, oral)
Methamphetamine (crystal meth, meth, crystal, ice)
Methcathinone (cat, Khat, crank, goob)
Methylin (methylphenidate solution
oral & tablet chewable, oral)
Methylone
Nuvigil (armodafinil tablet, oral)
Provigil (modafinil tablet, oral)
Quillivant XR (methylphenidate suspension oral)
Ritalin (methylphenidate tablet, oral)
Ritalin LA (methylphenidate capsule, oral)
Vyvanse (lisdexamfetamine capsule, oral)
Heart rate and blood pressure are increased at therapeutic doses of stimulants. High doses can cause
adverse cardiac effects, stroke, hyperthermia, seizures and death. Repeated high doses over days to
weeks can cause a state of hostility and paranoia, similar to paranoid schizophrenia. Bizarre, repetitive
movements (picking at imaginary insects under the skin leading to wounds, repeated conversations and
sexual activity) can become extreme. Long term effects depend on how the drug is administered and
include: nasal ulcerations, bleeding in the lungs, stomach ulcers, atherosclerosis, damage to the heart
muscle and difficulties with memory and decision making. Tolerance, dependence and withdrawal can
occur.
12

Chapter 2
Class B – Take Only with Your
Doctor’s
Chapter
2 Approval or Prescription
Class B – Take Only with Your Doctor’s Approval or Prescription
***NOTE: Read all labels on OTC products. Many come in different dosage forms such as: tablets,
capsules, gel capsules, liquids, suspensions and powders. Some stores also carry their own generic
formulation
of brand
name products.
Many cough
andcome
cold in
medications
containforms
more such
than one
***NOTE: Read
all labels
on OTC products.
Many
different dosage
as: product.
tablets,
Caution
be used when
more than
cough and
cold stores
medication,
changing
and
capsules,should
gel capsules,
liquids,taking
suspensions
andone
powders.
Some
also carry
their products
own generic
taking
pain relievers
addition
to these
products
thiscold
reason.
Taking contain
more than
onethan
product
can put
formulation
of brand in
name
products.
Many
coughfor
and
medications
more
one product.
you
at risk
of receiving
recommended
dailycough
dosesand
of medications.
Tylenol
(acetaminophen)
is
Caution
should
be usedhigher
whenthan
taking
more than one
cold medication,
changing
products and
ataking
common
reliever
found in tocombination
products.
pain pain
relievers
in addition
these products
for this***reason. Taking more than one product can put
you at risk Although
of receiving
than recommended
doses
of medications.
Tylenol
(acetaminophen)
is
***NOTE:
thehigher
medications
listed below daily
in the
“Addiction
Treatments”
section
are specifically
aintended
commontopain
reliever
in combination
***
be taken
forfound
prevention
of relapseproducts.
for dependence
upon one or more drugs, none of them are
habit-forming
or addictive
themselves,listed
and should
therefore
be considered
safe for
recovering
people to
***NOTE: Although
the medications
below in
the “Addiction
Treatments”
section
are specifically
take.
However,
their for
proper
use in the
context for
of adependence
recovery program
requires
monitoring
by a of
health
intended
to be taken
prevention
of relapse
upon one
or more
drugs, none
themcare
are
professional, and
it is for this
reason thatand
weshould
place them
in Class
B.***
habit-forming
or addictive
themselves,
therefore
be considered
safe for recovering people to
take. However, their proper use in the context of a recovery program requires monitoring by a health care
Addiction Treatments:
professional,
and it is for this reason that we place them in Class B.***
Antabuse Treatments:
(disulfiram)
Revia (naltrexone)
Addiction
Campral (acamprosate)
Symmetrel (amantadine)
Antabuse (clonidine)
(disulfiram)
Revia (naltrexone)
Catapres
Vivitrol
(naltrexone ER)
Campral(varenicline)
(acamprosate)
Symmetrel
(amantadine)
Chantix
Zyban
(bupropion)
Catapres (clonidine)
Vivitrol (naltrexone ER)
Naltrexone
may precipitate intense withdrawal symptoms
in patients addicted to opiates. Clonidine acts
Chantix (varenicline)
Zyban (bupropion)
via autoreceptors in the locus coeruleus to suppress adrenergic hyperactivity that is involved in the
expression
theprecipitate
opioid withdrawal
syndrome. symptoms
Disulfiram in
is dangerous
if takentowith
alcohol.Clonidine
Amantadine
Naltrexone of
may
intense withdrawal
patients addicted
opiates.
acts
can
cause decreased
mental
or to
altered
coordination.
Chantix
and Zyban
medications
to
via autoreceptors
in the
locusalertness
coeruleus
suppress
adrenergic
hyperactivity
that are
is involved
in the
help
with nicotine
cigars,syndrome.
chewing tobacco,
snuff)
addiction. if taken with alcohol. Amantadine
expression
of the (cigarettes,
opioid withdrawal
Disulfiram
is dangerous
can cause decreased mental alertness or altered coordination. Chantix and Zyban are medications to
Anabolic
Steroids(cigarettes,
(Androgens):
help with nicotine
cigars, chewing tobacco, snuff) addiction.
Fluoxymesterone
Anabolic
Steroids (Androgens):
Androxy
Fluoxymesterone
Methyltestosterone
Androxy
Android
Methyltestosterone
Methitest
Android
Testred
Methitest
Oxandrolone
Testred
Oxandrin
Oxandrolone
Testosterone
Oxandrin
Androderm
Testosterone
AndroGel
Androderm
Aveed
AndroGel
Aveed
Testosterone, continued
Axiron
Testosterone,
continued
Depo-Testosterone
Axiron
First-Testosterone
Depo-TestosteroneMC
First-Testosterone
First-Testosterone
Fortesta
First-Testosterone
MC
Natesto
Fortesta
Striant
Natesto
Testim
Striant
Testopel
Testim
Vogelxo
Testopel
Vogelxo
Chapter 2 Class B – Take Only with Your Doctor’s Approval or Prescription  13
13
Chapter 2 Class B – Take Only with Your Doctor’s Approval or Prescription
13
Anabolic Steroids (Androgens), Continued:
Anabolic Steroids (Androgens), Continued:
“Anabolic steroids” is the familiar name for synthetic variants of the male sex hormone
testosterone.
“Anabolic”
to the drugs
promote muscle
and male
“steroid”sex
refers
to the
“Anabolic steroids”
is refers
the familiar
nameability
for tosynthetic
variantsgrowth
of the
hormone
chemical
structure.
male
hormones.
steroids
not refers
take to
effect
testosterone.
“Anabolic”Androgens
refers to thearedrugs
ability
to promoteAnabolic
muscle growth
and do
“steroid”
the
immediately.
After several
weeks ofare
use,male
some hormones.
people experience
an
chemical
structure.
Androgens
Anaboliceuphoria,
steroidsincreased
do notenergy
take and
effect
increase
in combativeness
and competitiveness.
Depression,
fatigue,
loss ofincreased
appetite,energy
insomnia
immediately.
After several weeks
of use, some people
experience
euphoria,
andand
an
headachesin can
be seen when
use of the anabolic
steroid stops.
High-doses
and prolonged
use and
can
increase
combativeness
andthecompetitiveness.
Depression,
fatigue,
loss of appetite,
insomnia
lead
to an can
increase
in when
lipid levels
attack,
decreased
libido, decreased
headaches
be seen
the useinofthe
the blood,
anabolicheart
steroid
stops.stroke,
High-doses
and prolonged
use can
spermto production
andinbreast
men. The
of certain
anabolic
steroidslibido,
can lead
to liver
lead
an increase
lipid development
levels in theinblood,
heartuseattack,
stroke,
decreased
decreased
disease,
liver cancer
blood-filled
cysts oninthe
liver.The
Physicians
may prescribe
anabolic can
steroids
sperm production
andorbreast
development
men.
use of certain
anabolic steroids
lead to men
liver
who
haveliver
inadequate
no testosterone
production.
Anabolic steroids
may also
be used
in women
to
disease,
cancer ororblood-filled
cysts on
the liver. Physicians
may prescribe
anabolic
steroids
to men
treat
certain
breast cancers,
fibrocystic breast
diseaseAnabolic
and endometriosis.
may
alsoinbe
used to
in
who have
inadequate
or no testosterone
production.
steroids may They
also be
used
women
certain
peoplebreast
for weight
gainfibrocystic
and to treat
delayed
puberty.
All anabolic steroids
usedalso
as be
above
treat certain
cancers,
breast
disease
and endometriosis.
They may
usedare
in
considered
Class
B. Anabolic
steroids
be used
to increase
mass
or are
to
certain people
for weight
gain and
to treatshould
delayednotpuberty.
All anabolic
steroidsmuscle
used as
above
improve
performance.
There areshould
many anabolic
thatincrease
are illegally
produced
in bootleg
consideredathletic
Class B.
Anabolic steroids
not be steroids
used to
muscle
mass
or to
labs
or underground
and are marketed
purpose.
medications
may have
different
names
improve
athletic performance.
There for
arethis
many
anabolicThese
steroids
that are illegally
produced
in bootleg
whichorare
not included
thismarketed
list. Anabolic
dangerous
if used
this different
way would
be
labs
underground
andinare
for this steroids
purpose. are
These
medications
mayinhave
names
considered
Class
A. in this list. Anabolic steroids are dangerous if used in this way would be
which are not
included
Antihistamines
(Sedating):
considered
Class
A.
Antihistamines (Sedating):
Atarax (hydroxyzine hydrochloride)
Periactin (cyproheptadine)
Benadryl
Allergy (diphenhydramine)
Polarmine
(dexchlorpheniramine)
Atarax (hydroxyzine
hydrochloride) OTC
Periactin (cyproheptadine)
Chlorphen-12
(chlorpheniramine)
OTCOTC
Robitussin
Nighttime Cough DM, Maximum Strength
Benadryl Allergy
(diphenhydramine)
Polarmine (dexchlorpheniramine)
(dextromethorphan/doxylamine)
Chlorphen-12 (chlorpheniramine) OTC
Robitussin Nighttime Cough DM,OTC
Maximum Strength
Chlor-Trimeton (chlorpheniramine) OTC
Tavist
(clemastine) OTC
(dextromethorphan/doxylamine)
OTC
Coricidin
HBP Cold
& Flu
Vicks
Nyquil (dextromethorphan/
Chlor-Trimeton
(chlorpheniramine)
OTC
TavistCough
(clemastine)
OTC
(acetaminophen/chlorpheniramine)
OTC
doxylamine)
Coricidin HBP Cold & Flu
Vicks Cough OTC
Nyquil (dextromethorphan/
Coricidin
HBP Multi-Symptom Cold OTC
Night
(acetaminophen/chlorpheniramine)
doxylamine) OTC
(acetaminophen/chlorpheniramine/
Vistaril (hydroxyzine pamoate)
Coricidin HBP Multi-Symptom Cold Night
dextromethorphan)
OTC
Vistaril (hydroxyzine pamoate)
Karbinal
ER (carbinoxamine)
dextromethorphan)
OTC
Karbinal ER (carbinoxamine)
Sedating antihistamines should be used with caution because they have the potential to alter judgment
and
causeantihistamines
drowsiness, grogginess,
fatigue.because they have the potential to alter judgment
Sedating
should be dizziness
used withorcaution
and cause drowsiness, grogginess, dizziness or fatigue.
Antitussives/Expectorants:
Antitussives/Expectorants:
Coricidin HBP Maximum Strength Flu
Coricidin HBP Multi-Symptom Cold
Nighttime(acetaminophen/
Coricidin HBP Maximum Strength Flu
Coricidin HBP Multi-Symptom Cold
dextromethorphan)
OTC
dextromethorphan/doxylamine)
OTC
Nighttime(acetaminophen/
Coricidin
HBP ChestOTC
Congestion & Cough
Coricidin
HBP Cough & Cold OTC
dextromethorphan)
dextromethorphan/doxylamine)
(dextromethorphan/guaifenesin)
(chlorpheniramine/dextromethorphan)
OTC
Coricidin HBP Chest CongestionOTC
& Cough
Coricidin HBP Cough & Cold
(dextromethorphan/guaifenesin) OTC
(chlorpheniramine/dextromethorphan) OTC
Coricidin HBP Multi-Symptom Cold Day
Delsym Cough (dextromethorphan) OTC
Delsym Cough + Chest Congestion, DM, Max
Diabetic Tussin DM
14  Chapter 2 Class B – Take Only with Your Doctor’s Approval or Prescription
Strength (dextromethorphan/guaifenesin) OTC
Mucinex DM & DM ER
Vicks Cough DayQuil (dextromethorphan) OTC
Vicks NyQuil
Mucinex Fast-Max DM Max,Chapter
Cough2 &Class
Chest
B – Take Only with Your Doctor’s Approval or Prescription
(acetaminophen/dextromethorphan/doxylamine) 14
Congestion (dextromethorphan/guaifenesin) OTC
OTC
Antitussives/Expectorants, Continued:
Vicks NyQuil Cold & Flu
Phenergan DM (dextromethorphan/promethazine) (acetaminophen/dextromethorphan/doxylamine)
Coricidin HBP Multi-Symptom Cold Day
OTC Cough (dextromethorphan) OTC
Delsym
Robitussin Cough + Chest Congestion DM
Vicks NyQuil
Delsym
Cough
+ Chest Congestion, DM, Max
Diabetic
TussinCough
DM
Regular
and Maximum
(dextromethorphan/doxylamine)OTC
OTC
Strength
OTC
Strength(dextromethorphan/guaifenesin) OTC
Mucinex
DM
&
DM
ER
Robitussin DM (dextromethorphan/guaifenesin) Vicks Cough DayQuil (dextromethorphan) OTC
OTC
OTC
Vicks NyQuil
Mucinex Fast-Max DM Max, Cough & Chest
(acetaminophen/dextromethorphan/doxylamine)
Perceptual
distortions
and
a
dissociative
state
can
also be seen in those people taking large doses of
Congestion (dextromethorphan/guaifenesin) OTC
dextromethorphan, similar to symptoms as seen OTC
in PCP and ketamine use. Toxic doses can cause
Vicks high
NyQuilblood
Cold pressure
& Flu
confusion, disorientation, elevated body temperature,
and nausea or vomiting.
Phenergan
DM (dextromethorphan/promethazine)
Dextromethorphan
mixed with decongestants can(acetaminophen/dextromethorphan/doxylamine)
raise blood pressure. Dextromethorphan combined
OTC toxicity.
with chlorpheniramine can cause a serotonin syndrome-like
Robitussin Cough + Chest Congestion DM
Vicks NyQuil Cough
Regular
and Maximum
Corticosteroids:
(dextromethorphan/doxylamine) OTC
Strength(dextromethorphan/guaifenesin) OTC
Robitussin
CortisoneDM (dextromethorphan/guaifenesin)
Florinef (fludrocortisone)
OTC
Cortef (hydrocortisone)
Medrol (methylprednisolone)
Decadron (dexamethasone)
Orapred (prednisolone)
Perceptual
distortions
and a dissociative state can also be seen in those people taking large doses of
Deltasone
(prednisone)
dextromethorphan, similar to symptoms as seen in PCP and ketamine use. Toxic doses can cause
confusion, disorientation, elevated body temperature, high blood pressure and nausea or vomiting.
It is important to take corticosteroids exactly as directed. Corticosteroids are similar to cortisol, a hormone
Dextromethorphan mixed with decongestants can raise blood pressure. Dextromethorphan combined
naturally made by the adrenal glands. If corticosteroids are taken for more than a few weeks, cortisol
with chlorpheniramine can cause a serotonin syndrome-like toxicity.
production is decreased in the adrenal glands. Gradually tapering the dosage of the corticosteroid gives
the adrenal glands time to resume normal function. Corticosteroids suppress the immune system and can
Corticosteroids:
cause insomnia, nervousness, cataracts and bone loss.
Cortisone
Cortef (hydrocortisone)
Decadron (dexamethasone)
Deltasone (prednisone)
Florinef (fludrocortisone)
Medrol (methylprednisolone)
Orapred (prednisolone)
It is important to take corticosteroids exactly as directed. Corticosteroids are similar to cortisol, a hormone
naturally made by the adrenal glands. If corticosteroids are taken for more than a few weeks,
cortisol production is decreased. Gradually tapering the dosage of the corticosteroid gives the adrenal
glands time to resume normal function. Corticosteroids suppress the immune system and can cause
insomnia, nervousness, cataracts and bone loss.
15
Decongestants:
Nasal Sprays:
Neo-Synephrine Cold & Sinus Mild Strength
(phenylephrine) OTC
Afrin Original, Severe Congestion, Sinus, Extra
Neo-Synephrine Cold & Sinus Regular Strength
Moisturizing (oxymetazoline) OTC
(phenylephrine) OTC
Afrin Original, Maximum Strength (oxymetazoline) Neo-Synephrine Extra Strength
OTC
(phenylephrine) OTC
Afrin Nasal Spray, Severe Congestion, Maximum
Vicks QlearQuil (oxymetazoline) OTC
Strength Plus Menthol (oxymetazoline) OTC
Benzedrex Nasal Inhaler (propylhexamine) OTC Vicks Sinex (oxymetazoline) OTC
Dristan (oxymetazoline) OTC
Vicks Vapoinhaler (levmetamfetamine) OTC
Zicam Intense Sinus Relief
Nostrilla (oxymetazoline) OTC
(oxymetazoline) OTC
4-Way (phenylephrine) OTC
Benzedrex has been used recreationally for its psychostimulant effects. Intranasal decongestants attach
to receptors on the blood vessels in the nose. After the decongestant attaches to the receptors, the blood
vessels constrict. This reduces inflammation and swelling. After a while, the cells realize the receptors
are being overstimulated and remove some receptors to create balance. The decongestant then stops
working. If an individual continues to use the decongestant, more is used to overcome this “tolerance”.
When the individual stops using the decongestant, the few receptors left on the blood vessels of the nose
are not enough and there is a huge rebound in the nasal congestion. For this reason, intranasal
decongestants (oxymetazoline, phenylephrine) should be used for a maximum of 3 days.
Decongestants (Many are cough, cold & flu combination products):
Phenylephrine:
Advil Allergy & Congestion Relief
Alka Seltzer Plus Night Cold & Flu (acetaminophen/
(chlorpheniramine/ibuprofen/ phenylephrine) OTC dextromethorphan/doxylamine/phenylephrine) OTC
Alka Seltzer Plus Severe Sinus Congestion Allergy
Advil Sinus Congestion & Pain
& Cough (acetaminophen/ dextromethorphan/
(ibuprofen/phenylephrine) OTC
doxylamine/phenylephrine) OTC
Alka Seltzer Plus Cold & Flu Severe
Alka Seltzer Plus Day Multi-Symptom
(acetaminophen/ chlorpheniramine/
(acetaminophen/ dextromethorphan/
dextromethorphan/phenylephrine) OTC
phenylephrine) OTC
Alka Seltzer Plus Severe Sinus Congestion &
Alka Seltzer Plus Severe Sinus Congestion &
Cough Night (acetaminophen/ dextromethorphan/ Cough Day (acetaminophen/
16
 Chapter 2 Class B – Take Only with Your Doctor’s Approval or Prescription
Phenylephrine, Continued:
Alka Seltzer Plus Cold & Cough
(aspirin/chlorpheniramine/
Alka Seltzer Plus Cold Night
(aspirin/ chlorpheniramine/
Alka-Seltzer Plus Cold (aspirin/
chlorpheniramine/phenylephrine) OTC
Allerest PE (chlorpheniramine/phenylephrine)
OTC
Benadryl Severe Allergy Plus Sinus Headache
(acetaminophen/diphenhydramine/
phenylephrine) OTC
Comtrex Cold & Cough Day
(acetaminophen/dextromethorphan/
phenylephrine) OTC
Comtrex Cold & Cough Night (acetaminophen/
chlorpheniramine/ dextromethorphan/
phenylephrine) OTC
Contac Cold + Flu Night Maximum Strength
phenylephrine) OTC
Contac Cold + Flu Day Maximum Strength
(acetaminophen/phenylephrine) OTC
Delsym Cough + Cold Day Time
(acetaminophen/dextromethorphan/guaifenesin/
phenylephrine) OTC
Delsym Cough + Cold Nighttime
phenylephrine) OTC
Dristan Cold (acetaminophen/chlorpheniramine/
phenylephrine) OTC
Delsym Cough + Cold Nighttime
phenylephrine) OTC
Dristan Cold (acetaminophen/
Mucinex Fast-Max Cold & Sinus
(acetaminophen/guaifenesin/phenylephrine) OTC
Mucinex Fast-Max Cold, Flu & Sore Throat
guaifenesin/phenylephrine) OTC
Mucinex Fast-Max Day Time Severe Cold
phenylephrine) OTC
Mucinex Sinus-Max Night (acetaminophen/
diphenhydramine/phenylephrine) OTC
Mucinex Fast-Max Night Time Cold & Flu
phenylephrine) OTC
Mucinex Fast-Max Severe Congestion & Cold,
Multi-Symptom, Maximum Strength
(dextromethorphan/guaifenesin/
phenylephrine) OTC
Mucinex Fast-Max Severe Cold Multi-Symptom,
Maximum Strength (acetaminophen/
dextromethorphan/ guaifenesin/
phenylephrine) OTC
Mucinex Sinus-Max Day
Mucinex Sinus-Max Pressure & Pain
Mucinex Sinus-Max Severe Congestion Relief
Robitussin CF (dextromethorphan/
Robitussin Peak Cold Multi-Symptom Cold,
Maximum Strength, CF Max (dextromethorphan/
16
17
Robitussin Peak Cold Multi-Symptom Cold, CF
Nighttime (acetaminophen/
diphenhydramine/phenylephrine) OTC
Sine Off (acetaminophen/
Sudafed PE Pressure + Pain + Cold
Sudafed PE Severe Cold
phenylephrine) OTC
Sudafed PE Sinus & Allergy
(chlorpheniramine/phenylephrine) OTC
Sudafed PE Cough & Cold
(dextromethorphan/guaifenesin/
phenylephrine) OTC
Sudafed PE (phenylephrine) OTC
Sudafed PE Pressure + Pain + Cough
phenylephrine) OTC
Sudafed PE Pressure + Pain + Mucus
Sudafed PE Triple Action
Sudafed PE Pressure + Pain
Sudafed PE Pressure + Pain Maximum Strength
Theraflu Multi-Symptom Severe Cold Nighttime
phenylephrine) OTC
TheraFlu Severe Cold & Cough Nighttime
phenylephrine) OTC
Theraflu Multi-Symptom Severe Cold Nighttime
phenylephrine) OTC
TheraFlu Severe Cold & Cough Nighttime
phenylephrine) OTC
Theraflu Warming Relief Flu & Sore Throat
phenylephrine) OTC
Theraflu Daytime
phenylephrine) OTC
Theraflu ExpressMax Severe Cold & Cough
Daytime (acetaminophen/dextromethorphan/
phenylephrine) OTC
Theraflu Multi-Symptom Severe Cold
phenylephrine) OTC
TheraFlu Severe Cold & Cough Daytime
phenylephrine) OTC
Theraflu ExpressMax Flu, Cough, & Sore Throat
phenylephrine) OTC
Theraflu ExpressMax Severe Cold & Cough
Nighttime (acetaminophen/diphenhydramine/
phenylephrine) OTC
Tylenol Cold Head Congestion Severe
Tylenol Cold Multi-Symptom Night
Tylenol Cold Multi-Symptom Severe
18
18
Tylenol Cold Multi-Symptom Day
phenylephrine) OTC
Tylenol Cold & Flu Severe (acetaminophen/
dextromethorphan/guaifenesin/
phenylephrine) OTC
Tylenol Sinus Congestion & Pain Nighttime
phenylephrine) OTC
Tylenol Sinus Congestion & Pain Daytime
Decongestants can raise blood pressure and should be used with caution because they are stimulating
and can trigger relapse.
Pseudoephedrine:
Advil Cold & Sinus (ibuprofen/pseudoephedrine)
OTC
Alavert-D 12 Hour Allergy & Sinus (loratadine/
pseudoephedrine) OTC
Advil Allergy Sinus
(chlorpheniramine/ibuprofen/pseudoephedrine)
OTC
Aleve-D Sinus & Cold (naproxen/
Aleve-D Sinus & Headache (naproxen/
Allegra-D 12 Hour Allergy & Congestion
(fexofenadine/ pseudoephedrine) OTC
Allegra-D 24 Hour Allergy & Congestion
(fexofenadine/ pseudoephedrine) OTC
Bromfed DM
(brompheniramine/pseudoephedrine) OTC
Mucinex D Original & Maximum Strength
(guaifenesin/ pseudoephedrine) OTC
Nexafed Sinus Pressure + Pain
(acetaminophen/pseudoephedrine) OTC
Pseudo-Gest (pseudoephedrine) OTC
Semprex-D (acrivastine/pseudoephedrine)
Silfedrine (pseudoephedrine) OTC
Sudafed (pseudoephedrine) OTC
Sudafed 12 Hour (pseudoephedrine) OTC
Sudafed 12 Hour Pressure + Pain
(naproxen/pseudoephedrine) OTC
Sudafed 24 Hour (pseudoephedrine) OTC
Gastrointestinal (Constipation):
Dulcolax (bisacodyl) OTC
Senokot-S (docusate sodium/sennosides) OTC
Senokot (sennosides) OTC
19
Gastrointestinal (Constipation), Continued:
Frequent use of laxatives can cause the body to become deficient in potassium, sodium and magnesium.
These deficiencies can result in electrolyte imbalances that can cause muscle pain, spasms, irregular
heartbeat and possibly death. Laxative abuse can cause: laxative dependency; long term digestion
problems; decreased immune response; dehydration and the inability of the individual to hold their bowels.
Gastrointestinal (Nausea/Vomiting):
Compazine (prochlorperazine)
Phenergan (promethazine)
Reglan (metoclopramide)
Tigan (trimethobenzamide)
Zofran (ondansetron)
Compazine and Phenergan can cause altered heart rhythm, dystonia, hypotension and sedation. Tigan
can cause central nervous system depression, dizziness, drowsiness and blurred vision. Reglan can
cause tardive dyskinesia (abnormal muscle movements). These movements happen mostly in the face
muscles and are not controllable. The movements may not go away even after stopping Reglan. Zofran
can cause an abnormal heart beat and serotonin syndrome in combination with other medications.
Skeletal Muscle Relaxants:
Dantrolene (dantrium)
Flexeril (cyclobenzaprine)
Lioresal (baclofen)
Norflex (orphenadrine)
Parafon Forte (chlorzoxazone)
Robaxin (methocarbamol)
Skelaxin (metaxalone)
Zanaflex (tizanidine)
Muscle relaxants can cause heart arrhythmias and central nervous system depression
(sedation, dizziness) which may impair physical or mental abilities. Serotonin syndrome can occur in
combination with other medications.
Sleep Aids:
Advil PM (diphenhydramine/ibuprofen) OTC
Aleve PM (diphenhydramine/naproxen) OTC
Excedrin PM Headache (acetaminophen/
aspirin/diphenhydramine) OTC
Nytol Quickcaps (diphenhydramine) OTC
Simply Sleep (diphenhydramine) OTC
Sominex (diphenhydramine) OTC
Tylenol PM Extra Strength
(diphenhydramine/acetaminophen) OTC
Unisom Sleepgels (diphenhydramine) OTC
Unisom Sleeptabs (doxylamine) OTC
Vicks ZzzQuil (diphenhydramine) OTC
20
20
Sleep Aids, Continued:
Sleep aids act in the central nervous system and can alter judgment and cause sedation. H1 antagonists
suppress the wake promoter pathway and cause the person to become sleepy. After about three days, a
person develops a tolerance to the drowsiness, therefore the sleep medication is not effective for more
than a few days at a time if used for sleep.
Vertigo/Motion Sickness
Bonine (meclizine) OTC
Dramamine (dimenhydrinate) OTC
Transderm Scop (scopolamine)
These medications affect the central nervous system and can cause dizziness, drowsiness, or blurred
vision.
Other:
Asthmanefrin (racepinephrine) OTC
Asthmanefrin in used to treat asthma and can cause nervousness, restlessness, sleeplessness,
palpitations, tachycardia, chest pain, muscle tremors, dizziness and flushing.
Chapter 1 and 2 References:
Kuhn, C; Swartzwelder, S; Wilson, W. (2014). BUZZED The Straight Facts About the Most Used and
Abused Drugs from Alcohol to Ecstasy. New York, NY: W. W. Norton & Company.
 21
Chapter 3
A Partial List of Non-Prescription
Chapter 3 and Prescription
Alcohol-Free
Products
A Partial List of Non-Prescription
and Prescription
Products
Alcohol is present in many over theAlcohol-Free
counter and prescription
liquid medications. Research shows that
even the smell of alcohol may be enough to trigger cravings and a subsequent relapse among certain
Alcohol is present
in many
counter
and prescription
medications.
Research
that
recovering
individuals.
Pleaseliquid
noteover
that the
there
is a variety
of cough and
cold preparations
thatshows
contain
even theand
smell
of alcohol
maycan
be be
enough
to tablet
triggerform
cravings
a subsequent
relapse
among
certain
alcohol
medications
which
taken in
will notand
contain
ethyl alcohol.
When
purchasing
recovering
individuals.
When
purchasing
liquidthemedications
the household,
the label to be
sure
liquid
medications
for the
household,
check
label to beforsure
the productcheck
is alcohol-free.
When
the
product
is
alcohol-free.
When
receiving
a
prescription
for
a
liquid
medication,
ask
the
pharmacist
if
the
receiving a prescription for a liquid medication, ask the pharmacist if the medication is alcohol-free. The
medicationlistisisalcohol-free.
following list
is a selection
alcohol-free
grouped
by therapeutic
following
a selection ofThe
alcohol-free
products
groupedofby
therapeuticproducts
category.
Manufacturers
are
category.
are listed
each
name. The
list is not comprehensive.
listed
afterManufacturers
each product name.
Theafter
list is
not product
comprehensive.
Manufacturers
change productManufacturers
ingredients
change
product
names
frequently.are The
the listto are
and
brand
namesingredients
frequently. and
Thebrand
following
medications
safe medications
for recoveringonpeople
take.safe
Thefor
cough,
coldpeople
and to
allergy
used medications
with caution.
See
recovering
take. medications
The cough, should
cold andbeallergy
should
be individual
used with sections
caution. on
See
antihistamines,
antitussives
and decongestants
forand
explanations.
individual sections
on antihistamines,
antitussives
decongestants for explanations.
Product
Manufacturer
Analgesics
Product
Manufacturer
Acetaminophen
Infants drops
lvax
Analgesics
Advil Children's suspension
Wyeth Consumer
Acetaminophen
Infants drops
lvax
APAP elixir
Bio-Pharm
Advil
Children's
suspension
Wyeth Consumer
Genapap
Children's
elixir
lvax
APAP
elixir
Bio-Pharm
Genapap
Infant's drops
lvax
Genapap
Children's
elixir
lvax
Motrin Children's
suspension
McNeil Consumer
Genapap
Infant's
drops
lvax
Motrin Infants'
suspension
McNeil Consumer
Motrin
Children's
suspension
McNeil
Consumer
Silapap Infant's drops
Silarx
Motrin
suspension
McNeil Consumer
TylenolInfants'
Children's
suspension McNeil
Consumer
Silapap
Infant's
drops solution McNeil Consumer
Silarx
Tylenol Extra
Strength
Tylenol
Children's
suspension
McNeil
Consumer
Tylenol Infants' suspension
McNeil Consumer
Tylenol
solution
McNeil Consumer
Cough, Extra
cold, Strength
and allergy
preparations
Tylenol
suspension
AccuhistInfants'
PDX Drops
solution McNeil Consumer
Pediamed
Cough,
Accuhistcold,
PDX and
syrupallergy preparations
Pediamed
Accuhist
PDX syrup
Drops solution
Pediamed
Allanhist PDX
Allan
Accuhist
Pediamed
AltarussinPDX
DM syrup
syrup
Altaire
Allanhist
Allan
Amerifed PDX
liquidsyrup
Ambi
Altarussin
DM
syrup
Altaire
Amerifed DM liquid
Ambi
Amerifed
liquid
Ambi
Anaplex DM
syrup
ECR
Amerifed
DM suspension
liquid
Ambi
Anaplex DMX
ECR
Anaplex
DM
syrup
ECR
Andehist DM NR syrup
Cypress
Anaplex DMX suspension
ECR
Andehist DM
NR syrup
Cypress
NR syrup
Cypress
Andehist NR syrup
Cypress
Product
Manufacturer
Cough, cold, and allergy preparations,
Product
Manufacturer
continued
Cough,
cold,
and
allergy
preparations,
Aquatab DM syrup
Adams
continued
Banophen elixir
Major
Aquatab
syrup
Adams
Benadryl DM
Allergy
solution
Pfizer Consumer
Banophen
Major
Benadryl-Delixir
Allergy & Sinus
Johnson
&
Benadryl
Allergy
solution
Pfizer
Consumer
Children's solution
Johnson Consumer
Benadryl-D
Allergy & Sinus
Johnson
&
Bromaline syrup
Rugby
Children's
Johnson Consumer
Bromaline solution
DM elixir
Rugby
Bromaline
syrup
Rugby
Bromatan-DM
suspension
Cypress
Bromaline
DM
elixir
Rugby
Bromhist Pediatric solution
Cypress
Bromatan-DM
suspension
Cypress
Bromhist-DM solution
Cypress
Bromhist
Pediatric
solution
Cypress
Bromhist-DM
Pediatric
syrup
Cypress
Bromhist-DM
solution
Cypress
Bromhist-NR solution
Cypress
Bromhist-DM
Cypress
Bromhist-PDX Pediatric
syrup syrup
Cypress
Bromhist-NR
solution
Cypress
Bromphenex DM solution
Breckenridge
Bromhist-PDX
syrup
Cypress
Bromplex DM solution
Prasco
Bromphenex
solution
Breckenridge
Bromtuss DMDM
solution
Breckenridge
Bromplex
solution
Prasco
BroncotronDM
liquid
Seyer Pharmatec
Bromtuss
DM
solution
Breckenridge
Broncotron-D suspension
Seyer Pharmatec
Broncotron
liquid
Seyer Pharmatec
Carbofed DM
syrup
Hi-Tech
Pharmacal
Broncotron-D
suspension
Seyer
Pharmatec
Cardec solution
Qualitest
Carbofed
DMsolution
syrup
Hi-Tech Pharmacal
Cardec DM
Qualitest
Cardec
solution
Qualitest
Children's
Dimetapp Cold &
Cardec
DM solution
Qualitest
Allergy solution
Wyeth Consumer
Children's Dimetapp Cold &
Allergy solution
Wyeth Consumer
22
 Chapter 3 – A Partial List of Non-Prescription Alcohol-Free Products
Chapter 3 - A Partial List of Non-Prescription and Prescription Alcohol-Free Products
Product
Manufacturer
continued
Children's Dimetapp DM Cold &
Wyeth
Cough solution
Consumer
Children's Dimetapp Long Acting
Wyeth
Cough Plus Cold solution
Consumer
Children's Dimetapp Nighttime
Wyeth
Flu syrup
Consumer
Children's Mucinex syrup
Adams
Children's Mucinex Cold solution
Adams
Children's Mucinex Cough syrup
Corfen DM solution
Crantex syrup
De-Chlor DM solution
Dex PC syrup
Diabetic Tussin solution
Adams
Cypress
Breckenridge
Cypress
Boca Pharmacal
Health Care Products
Diabetic Tussin Allergy
Health Care
Relief Liquid
Products
Diabetic Tussin
Health Care
Cough lozenges
Products
Diabetic Tussin
Health Care
DM liquid
Products
Diabetic Tussin
Health Care
DM solution
Products
Diabetic Tussin EX liquid Health Care Products
Diabetic Tussin Night Time
Health Care
Formula solution
Products
Duratan DM suspension
Proethic
Duratuss DM solution
Duratuss DM12 suspension
Endacof DM solution
Ganidin NR liquid
Gani-Tuss NR liquid
Genexpect-DM liquid
Genexpect-PE liquid
Hydramine elixir
Victory
Victory
Larken
Cypress
Cypress
Pharm Generic
Pharm Generic
lvax
22
Product
Manufacturer
continued
Lodrane liquid
ECR
Lodrane D suspension
ECR
Lodrane XR suspension
Lohist D syrup
Lohist DM syrup
Lortuss DM solution
Motrin Cold Children's
Suspension
Nasop suspension
Neotuss-D liquid A.G.
Norel DM liquid
Organidin NR liquid
PediaCare Children's syrup
PediaCare Cough + Cold
Children's liquid
PediaCare Decongestant &
Cough liquid
PediaCare Long-Acting
Cough solution
PediaCare Multi-Symptom
Cold liquid
Pediahist DM syrup
Pedia-Relief liquid
Phanatuss syrup
Phanatuss DM Diabetic
Choice syrup
Q-Tussin liquid
Q-Tussin PE liquid
Quintex syrup
Relacon-DM NR solution
Rescon-DM liquid
Rescon-GG liquid
Robitussin Chest
Congestion syrup
ECR
Larken
Larken
Proethic
McNeil
Consumer
Hawthorn
Marin
US Pharmaceutical
Medpointe
Johnson &
Johnson Consumer
Johnson &
Johnson Consumer
Johnson &
Johnson Consumer
Johnson &
Johnson Consumer
Johnson &
Johnson Consumer
Boca Pharmacal
Major
Pharmakon
Pharmakon
Qualitest
Qualitest
Qualitest
Cypress
Capellon
Capellon
Wyeth
Consumer
Chapter 3 – A Partial List of Non-Prescription Alcohol-Free Products  23
23
Product
Manufacturer
continued
Robitussin Cough &
Allergy solution
Wyeth Consumer
Robitussin Cough &
Cold CF syrup
Wyeth Consumer
Robitussin Cough &
Congestion liquid
Wyeth Consumer
Robitussin Cough, Cold
& Flu Nighttime solution
Wyeth Consumer
Robitussin Cough DM syrup Wyeth Consumer
Robitussin DM syrup
Wyeth Consumer
Robitussin Head & Chest
Congestion PE syrup
Wyeth Consumer
Robitussin PE syrup
Wyeth Consumer
Robitussin Pediatric
Wyeth
Cough syrup
Consumer
Robitussin Pediatric Cough
Wyeth
& Cold CF solution
Consumer
Robitussin Pediatric Cough &
Wyeth
Cold Long-Acting solution
Consumer
Robitussin Pediatric
Wyeth
Night Relief liquid
Consumer
Rondec solution
Biovail
Rondec DM drops
Biovail
Rondec DM solution
Biovail
Scot-Tussin Diabetes CF liquid
Scot-Tussin
Scot-Tussin DM solution
Scot-Tussin
Scot-Tussin Expectorant solution
Scot-Tussin
Scot-Tussin Original solution
Scot-Tussin
Scot-Tussin Senior solution
Scot-Tussin
Siladryl Allergy solution
Silarx
Sildec-DM syrup
Silarx
Sildec-PE solution
Silarx
Sildec PE-DM solution
Silarx
Simply Cough liquid
McNeil Consumer
Product
Manufacturer
continued
Sudafed Children's solution
Pfizer
Sudafed Children's Cold
& Cough solution
Pfizer
TriTuss solution
Everett
Tusdec-DM solution
Cypress
Tussi-Organidin DM NR solution
Tussi-Organidin NR solution
Wallace
Wallace
Tussi-Pres liquid
Kramer-Novis
Tussi-Pres Pediatric solution
Tylenol Cold
Children's Suspension
Tylenol Cold
Infants' drops
Kramer-Novis
McNeil
Consumer
McNeil
Consumer
Tusdec-DM solution
Cypress
Tussi-Organidin DM NR solution
Wallace
Tylenol Cold Plus Cough
Children's suspension
Tylenol Flu Children's
suspension
Tylenol Flu Night Time
Max Strength liquid
Tylenol Sinus
Children's suspension
Vazol solution
Vicks Dayquil
Multi-Symptom liquid
Z-Cof 8 DM suspension
Z-Cof 12 DM suspension
Z-Cof DM solution
Z-Cof DMX solution
Z-Tuss DM syrup
Z-Tuss Expectorant solution
McNeil
Consumer
McNeil
Consumer
McNeil
Consumer
McNeil
Consumer
Wraser Pharm
Gamble
Zyber
Zyber
Zyber
Zyber
Magna
Magna
W
24
 Chapter 3 – A Partial List of Non-Prescription Alcohol-Free Products
24
Product
Manufacturer Product
Manufacturer
Ear, nose, and throat products
Gastrointestinal agents, continued
4-Way Saline
BristolLiqui-Doss liquid
Ferndale
Moisturizing Mist spray
Myers
Mylicon Infants'
Johnson &
Ayr Baby Saline spray
B.F. Ascher
suspension
Johnson/Merck
Gly-Oxide solution
GlaxoSmithKline Topical products
Listermint solution
Johnson & Aloe Vesta 2-N-1
Johnson Consumer Antifungal ointment
Convatec
Dermatone Lips 'n
Nasal Moist gel
Blairex
Face Protector ointment
Dermatone
Dermatone Moisturizing
Orajel Baby liquid
Del
Sunblock cream
Dermatone
Orajel Baby Day & Night gel
Del Dermatone Skin Protector cream
Dermatone
Orajel Baby Nighttime gel
Del HandClens solution
Woodward
Neutrogena Acne Wash liquid
Neutrogena
Orajel Baby Nighttime
Teething Pain Medicine gel
Del Neutrogena Antiseptic liquid
Neutrogena
Neutrogena Antiseptic solution
Neutrogena
Orajel Baby Teething
Pain Medicine liquid
Del Neutrogena Clear Pore gel
Neutrogena
Tanac liquid
Del Neutrogena T/Derm liquid
Neutrogena
Gastrointestinal agents
Neutrogena Toner liquid
Neutrogena
Baby Gasz drops
Lee Neutrogena Toner solution
Neutrogena
Kaopectate Advanced
Pharmacia Sea Breeze Foaming
Formula Suspension
Consumer Face Wash gel
Clairol
Tiger Balm Arthritis
Prince of
Lodrane liquid
ECR
Rub lotion
Peace Enterprises
Lodrane D suspension
ECR Vitamins, minerals, and supplements
Lodrane XR suspension
ECR Poly-Vi-Sol drops
Mead Johnson
List of Alcohol-Free Products from:
Gourley, D: Eoff, J. (2013). The APhA Complete Review for Pharmacy. 10th ed. American Pharmacists
Association. Washington, DC: American Pharmacists Association.
 25
Chapter 4 - A Partial List of Non-Prescription and Prescription
that Contain Alcohol
Chapter 4 - A Partial Products
List of Non-Prescription
and Prescription Products
that Do Contain Alcohol
Below is a partial list of alcohol-containing products. All of these products should be avoided. Some nasal
sprays used for allergic rhinitis and sinus congestion contain alcohol. Alcohol-containing nasal sprays that
Below
partial listbyofrecovering
alcohol-containing
All of these
products should
be avoided.
Some nasal
should isbea avoided
persons products.
include Flonase
and Nasonex.
The majority
of mouthwashes
sprays
for allergic
rhinitis
and sinus
congestion
contain used
alcohol.
Remember
to always
check
labels forcontain
alcohol.alcohol. Alcohol-containing nasal sprays that
should be avoided by recovering persons include Flonase and Nasonex. The majority of mouthwashes
contain
alcohol.Mouthwash
Remember to always check labels for alcohol.
Act Restoring
Cepacol Antibacterial
Anticavity, Icy Cool Vanilla
McNeil PPC
Mouthwash with Ceepryn 14% Combi
Act
Restoring
Mouthwash
Mint, Cinnamon and Mint
Cepacol
Antibacterial
Denatured
Anticavity,
Icy
Cool
Vanilla
11% Water Alcohol
McNeil PPC
Mouthwash with Ceepryn 14% Combi
Mint,
Cinnamon
andwith
Mint
Advanced
Listerine
Colgate Peroxyl Antiseptic Oral
Denatured
Colgate Oral
11%
Alcohol
TartarWater
Protection
Arctic
Pfizer
Cleanser Original & Refreshing
Pharmaceuticals INC
Advanced
Listerine
with
Colgate
Peroxyl
Antiseptic
Oral
Mint 21.6% Water Alcohol
Cool Mint 6% Ethyl Alcohol
Colgate Oral
Tartar
Protection
Arctic
Pfizer
Cleanser
Original
&
Refreshing
Brometane DX Syrup
Pharmaceuticals INC
Mint
21.6% Water Alcohol Hi Tech
Cool Mint 6% Ethyl Alcohol
(brompheniramine/
Ferrous
Sulfate
Elixir
5%
Rugby
Brometane
DX Syrup
pseudoephedrine/
Pharmacal
(brompheniramine/
Hi
Tech
dextromethorphan)
Ferrous Sulfate Elixir 5%
Rugby
pseudoephedrine/
Pharmacal
Cepacol Antibacterial
dextromethorphan)
Mouthwash with Ceepryn
Combi
Hydroxyzine HCI Syrup 0.5%
Hi Tech Pharmacal
Cepacol
Antibacterial
14% Denatured
Mouthwash
with
Ceepryn
Combi
Hydroxyzine
Syrup 0.5%
Hi
TechConsumer
Pharmacal
Chlorhexidine
Oral
Rinse
Imodium
A-DHCI
Liquid
McNeil
Teva
14%
11.6%Denatured
(loperamide) 0.5%
Healthcare
Chlorhexidine
Oral Rinse
Imodium A-D Liquid
McNeil Consumer
Cheracol D Maximum
Teva
11.6%
(loperamide)
0.5%
Healthcare
Strength Cough Formula
Lee
Listerine Whitening Rinse 8%
Pfizer
Cheracol
D Maximum
(dextromethorphan/
Pharmaceuticals Water Alcohol
Strength
Cough
Formula
Lee
Listerine
Whitening
Rinse
8%
guaifenesin) 4.75%
Pfizer
(dextromethorphan/
Act Restoring Mouthwash Pharmaceuticals Water Alcohol
guaifenesin)
Anticavity, Icy4.75%
Cool Vanilla
Listerine Antiseptic Cool Mint or
McNeil PPC
Pfizer
Act Restoring
Mouthwash
Mint,
Cinnamon
and Mint
Natural Citrus .095%
Listerine
Antiseptic
Cool
Mint
or
Anticavity,
Icy
Cool
Vanilla
11% Water Alcohol
Pfizer
McNeil PPC
Natural Citrus .095%
Mint,
Cinnamon
andwith
Mint
Advanced
Listerine
Listerine Antiseptic 26.9%
11%
Alcohol
TartarWater
Protection
Arctic
Pfizer
Pfizer
Water Alcohol
Advanced
Listerine
with
Mint 21.6% Water Alcohol
Listerine Antiseptic 26.9%
Pfizer
Tartar Protection
Arctic
Pfizer
Brometane
DX Syrup
Water Alcohol
Mint
21.6% Water Alcohol Hi Tech
(brompheniramine/
Metoclopramide Solution <1%
Taro
Brometane
DX Syrup
pseudoephedrine/
Pharmacal
(brompheniramine/
Hi
Tech
dextromethorphan)
Metoclopramide Solution <1%
Taro
pseudoephedrine/
Nystatin Suspension <1% Pharmacal
Taro
Scope Cinnamon Ice 12%
Procter & Gamble
dextromethorphan)
Nystatin Suspension <1% Taro
Scope Cinnamon Ice 12%
Procter & Gamble
26
 Chapter 4 – A Partial List of Non-Prescription and Prescription Products that Contain Alcohol
Chapter 4 - A Partial List of Non-Prescription and Prescription Products that Do Contain Alcohol
Plax Soft Mint Advanced
Formula Plaque Loosening
Rinse 8.7%
Prednisolone Syrup 15
mg/5ml 5%
Pfizer
Scope Cool Peppermint 14.3%
Procter & Gamble
Hi Tech
Pharmacal
Scope Original Mint 15%
Procter & Gamble
Vicks Formula 44 Cough
Relief (dextromethorphan)
Procter &
Gamble
Vicks Formula 44 D Cough
& Head Congestion Relief,
(dextromethorphan/
phenylephrine)
Procter &
Gamble
Vicks Formula 44 E Cough
& Chest Congestion Relief
(dextromethorphan/
guaifenesin)
Procter &
Gamble
Promethazine VC Plain
(phenylephrine/
promethazine) 7%
Alpharma
Promethazine Plain Syrup
7%
MGP
Promethazine with
DM Syrup
(dextromethorphan/
promethazine) 7%
MGP
Robitussin Maximum
Strength Cough 1.4%
Wyeth
Robitussin Maximum
Strength Cough & Cold
1.4%
Wyeth
Scope Citrus Splash 10%
Procter &
Gamble
Zantac Syrup
(ranitidine)
GlaxoSmith
Kline
Sulfamethoxazole and
Trimethoprim oral
suspension 0.26%
TheraFlu Warming Relief
Daytime Severe Cold
(acetaminophen/
dextromethorphan/
phenylephrine) 10%
TheraFlu Warming Relief
Nighttime Severe Cold
(acetaminophen/
diphenhydramine/
phenylephrine) 10%
Triaminic Thin Strips Cough &
Runny Nose Grape
(diphenhydramine)
Triaminic Thin Strips LongActing Cough
(dextromethorphan)
Triaminic Thin Strips Cough &
Cold (dextromethorphan/
phenylephrine)
Vicks Nyquil Cold Flu Liquid,
Original & Cherry
(acetaminophen/
dextromethorphan/
doxylamine)
Vicks NyQuil Cough Liquid
(dextromethorphan/
doxylamine)
Vicks Formula 44 M Cough
Cold & Flu Relief
(acetaminophen/
chlorpheniramine/
dextromethorphan)
Hi Tech Pharmacal
Novartis
Novartis
Novartis
Novartis
Novartis
Procter & Gamble
Procter & Gamble
Procter & Gamble
26
Chapter 4 – A Partial List of Non-Prescription and Prescription Products that Contain Alcohol  27
27
Chapter 4 - A Partial List of Non-Prescription and Prescription Products that Do Contain Alcohol
5% Alcohol (10-Proof)
Diphenhydramine Elixir
Benylin Cough Syrup
Cheracol-D Cough Syrup
(guaifenesin/dextromethorphan)
Dihstine DH Elixir
(chlorpheniramine/pseudoephedrine/codeine)
Dramamine Liquid (dimenhydrinate)
Feosol (iron) Elixir
Imodium A-D (loperamide)
Kaon Liquid (potassium)
Kay Ciel Liquid (potassium)
Guiatuss AC Syrup (guaifenesin/codeine)
Phenergan VC Syrup
(promethazine/phenylephrine)
Tussend Syrup
(guaifenesin/chlorpheniramine/
pseudoephedrine/hydrocodone)
Tylenol Extra Strength Liquid
Tylenol with Codeine Elixir
Vicks 44 D (dextromethorphan/pseudoephedrine)
Vicks 44 E (guaifenesin/dextromethorphan)
Excedrin PM Liquid
(acetaminophen/diphenhydramine)
Geritol Tonic Liquid (multivitamin)
Hycotuss Expectorant Syrup
(hydrocodone/guaifenesin)
Niferex Elixir (iron)
Nu-Iron Elixir (iron)
Vicks Nyquil
(doxylamine/pseudoephedrine/dextromethorphan/
acetaminophen)
Vicks Formula 44M (chlorpheniramine/pseudoephedrine/
dextromethorphan/acetaminophen)
Cepacol Mouthwash
Gerivite Elixir (multivitamin)
Lomotil Liquid (diphenoxylate/atropine)
Gevrabon Liquid (vitamins)
Listerine Mouthwash (flavored)
Lufyllin Elixir (theophylline)
Theophylline Elixir
Listerine Mouthwash (regular)
N'ice Throat Spray
Notes
Notes
Glenbeigh is a 501 (c) 3 not for profit specialty hospital.

Guide

Transcription

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