OTC warnings requiring referral

Question

Which client situations should the pharmacy technician refer to the pharmacist before an OTC product is used? Select all that apply.

1. AA client with a past loperamide rash selects the loperamide combination product.✓ Correct

   The product warning addresses that reaction.

2. BA client taking acetaminophen selects the acetaminophen-containing sinus product.✓ Correct

   The label warns against another drug with that ingredient.

3. CA client taking an MAOI selects the dextromethorphan cough product.✓ Correct

   The cough product warns against use during MAOI therapy.

4. DA client asks where the pharmacy checkout is located.✗ Incorrect

   This is a location question, not a product warning.

5. EA client asks for a receipt for a previous purchase.✗ Incorrect

   A receipt request does not call for clinical review.

Answer

A. A client with a past loperamide rash selects the loperamide combination product. · B. A client taking acetaminophen selects the acetaminophen-containing sinus product. · C. A client taking an MAOI selects the dextromethorphan cough product.

Rationale

A prior loperamide reaction, concurrent acetaminophen products, and a current MAOI each match a warning on the respective product label. The technician should bring these situations to the pharmacist rather than make the treatment decision.