1. Seoul nation univ. Jeong won Lee – Galleria pharmacy Seoul national univ. Bo sung Kim – Verment gallery pharmacy 1

2. 2 1 What is OTC? 2 Why American often use OTC? 3 Future of Korean OTC 4 Risk of OCT products 5 How to reduce risk? 6 The Importance of counseling & how to counsel?

3. Over the counter drug medicines sold directly to a consumer without a prescription from a healthcare professional. 3

4. GOOD availability Easy and quick access CVS, Walgreen, Rite aid.. (24hrs open) Frequent exposure Mother use OTC a lot Ad about drug. Lower health care costs Enables patients to select from various treatment option Cough, sleep aid etc.. 4

5. 5 Pharmacy drugstore - handle ‘Rx durg and OTC’ - grow like CVS, Walgreens, Rite aid Drugstore - focused on ‘health & beauty’ - growing market Cooperate pharmacy

6. 6 Reference – 약업닷컴 [http://www.yakup.com/news/index.html?mode=view&cat=11&nid=162837 ] OTC guideline Lack of understanding about active ingredients Use associated with potential misuse and abuse

7. 7 Possibility of incorrect self-diagnosis and treatment Increased risk of drug interactions from multiple medications Reference – 약업닷컴 [http://www.yakup.com/news/index.html?mode=view&cat=11&nid=162837] OTC guieline, 2014 Harrisinteraction survey, ‘Attitudes and Beliefs About the Use of Over-the-Counter Medicines: A Dose of Reality’

8. Refer to side effect 8

9. 9 Special control eg. Pseudoephedrine - have to fulfil the sales log - limitation of drug amount ( 3.6g/month, 900mg/day)

10. 10 - Reference [http://interventionstrategies.com/otc-drug-abuse-facts /]

11. 11 - Reference [http://interventionstrategies.com/otc-drug-abuse-facts /]

12. 12 - Reference [http://interventionstrategies.com/otc-drug-abuse-facts /]

13. 13 Reference – Harrisinteraction survey, ‘Attitudes and Beliefs About the Use of Over-the-Counter Medicines: A Dose of Reality’

14. QuantitativeQualitative - Frequency of cough? - Fever Temperature? - Pain scale? - Duration ? - Colour of sputum - feeling of the pain - trouble breathing? 14 Introduction Introduce yourself Confirm patient Establish time & privacy Information gathering : Ensure this is a self-treatable condition ask for symptoms Quality & quantitiy of the symptoms

15. Use the symptoms to establish a diagnosis or cause for referral If self-treatable, proceed to take a medical history This will allow for safe & effective treatment Remember to ask about : medical conditions prescription therapy history alternative therapies Drug interxn? Drug interaction? 15

16. 16 Take on an empty stomach Do not take sooner than every 24 hrs May cause drowsiness Claritin Allergy & Cold Relief UPPER RESPIRATORY AGENTS Take without regard to meals Do not chew, crush, or split tablets Do not take more than 4 tablets in a 24 hour period Mucinex Expectorant/ Antitussive ANTITUSSIVES

17. 17 Intense or prolonged pain → should be discussed w/a physician Do not take for more than 10 days 3 days for fever Tylenol Analgesic NONSTEROIDAL ANTI -INFLAMMATORY AG ENTS Ask the patient about their drug the rapy eg. Pankinson, Depression Should not drink alcoholic beverage Do not take more 8 tablets in 24hrs. DayQuil Cold & Flu Liquid Allergy & Cold UPPER RESPIRATORY AGENTS

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