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Analgesics, antihistamines and sympathomimetics

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At this time of year, it’s common for pharmacists to encounter patients complaining of respiratory ailments such as a cold, influenza, hay fever, and sinus congestion. These conditions share common symptoms such as nasal congestion, runny nose, and sometimes sore throat. To address these symptoms effectively, a combination treatment with analgesic, antipyretic, sympathomimetic, and antihistamine properties can be beneficial.

ANALGESIC AND ANTIPYRETIC PROPERTIES

Analgesics, such as paracetamol or ibuprofen, provide relief from pain associated with sore throat, headache, and muscle aches that can accompany respiratory infections. They also possess antipyretic properties, helping to reduce fever, a common symptom in influenza and some cold cases. These medications can alleviate discomfort and improve the overall well-being of the patient.

SYMPATHOMIMETIC PROPERTIES

Sympathomimetic agents, such as pseudoephedrine, phenylephrine, or ephedrine hydrochloride, act as decongestants by constricting blood vessels in the nasal passages. This helps reduce nasal congestion and sinus pressure, improving breathing and promoting comfort. Sympathomimetics are particularly effective in relieving symptoms associated with colds, influenza, and sinus mucosal congestion.

ANTIHISTAMINE PROPERTIES

Antihistamines, such as loratadine or cetirizine, are commonly used to treat symptoms associated with allergies, including hay fever. However, they can also provide relief for certain symptoms seen in respiratory infections. Antihistamines help reduce sneezing, runny nose, and itching by blocking the effects of histamine, a chemical released during allergic reactions or viral infections. This makes them useful in alleviating symptoms caused by common colds and hay fever.

When selecting combination products for patients with overlapping symptoms, pharmacists should consider factors such as the patient's medical history, age, and the presence of any contraindications or potential drug interactions. It is essential to review product labels, dosing guidelines, and possible side effects with patients to ensure safe and effective use of these medications.

Additionally, pharmacists should provide patients with appropriate self-care advice to manage these respiratory conditions effectively. This may include recommending adequate hydration, rest, nasal saline rinses, steam inhalation, and good hand hygiene practices to prevent the spread of infection.

Using combination products improves patient compliance by reducing the number of medications to be managed, benefiting patients who struggle with complex medication schedules or multiple doses. This simplification enhances adherence. Additionally, combination products offer time and cost efficiency, eliminating the need to purchase multiple individual medications. Pharmacists can recommend suitable combination products, leading to savings for patients. Furthermore, the risk of drug interactions is minimised with combination products, as they have predetermined and tested ingredient combinations. This is especially crucial for patients taking prescription medications alongside OTC products.

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