ASPA

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ASPA

• Dr. Ally Dering-Anderson, RP
• adering-anderson_at_creighton.edu

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Potential Misuse ofEasily Acquired OTCs
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OTCsDanger over-the-counter
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Alcohol

• Ethanol is clearly the most abused
  over-the-counter drug in the United States today
• The problem were discussing isnt alcoholism,
  its a drug interaction

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Acetaminophen

• The drug found in Tylenol
• Acetaminophen ethanol coma
• This can occur even the morning after . . .

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Tobacco

• You dont have to smoke it to have a problem
• Tobacco
• Raises blood pressure transiently
• Causes breathing difficulties
• Changes sleep habits
• Is highly addictive

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Caffeine

• Its hard to treat a problem when you have the
  problem yourself!

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Sources of caffeine

• Coffee, tea
• Soft-drinks
• Coke, Pepsi, Mountain Dew, Jolt
• Other forms
• gotu kola
• Guarana
• Caffeine tablets i.e. No-Doz

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Caffeine

• Major changes in sleep habits
• Digestive changes
• Concentration difficulties

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ephedra

• Stimulant
• Mostly banned by the FDA
• Over 700 reported deaths
• Touted to be effective in weight loss, muscle
  building, decongestant

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Decongestants

• Pseudoephedrine
• The best decongestant on the market
• Limited sales due to the methamphetamine act
• Phenylephrine
• Doesnt work very well

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Anabolic Steroid-like products

• Androsteindione
• The Mark McGwire drug
• All but removed from the market

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D.H.E.A.

• It is anabolic
• It does cause steroid-rage
• It is a health hazard for many people
• It is available all over Lincoln

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St. Johns Wort

• Not an effective Antidepressant
• Does have multiple, potentially fatal drug
  interactions
• Often our best and brightest try this one

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Stress and Sleeplessness

• See all of the previous stimulants
• Attention to stress is the best way to deal with
  this

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Sleep agents

• Diphenhydramine
• Dry mouth, dry eyes
• BAD DRIVERS
• Lasts nearly 8 hours

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Kava Kava

• Addictive
• Hepatotoxic
• Not appropriate for sleep

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Attention to sleeping conditions can change the
world
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Some of the challenges of youth
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Our warnings sometimes fall on unhearing ears
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We are viewed asFuddy-Duddies,Hyper-protective,
Silly
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but dont stop trying
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Any Questions??
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