10

Oct

Non-Drowsy Claritin

Posted by The *Angriest* Pharmacist as Drug Companies, Just a question, Me being a dick, PSE, Patient Education, Stupid People

“My husband has been sick for the last month. He’s had a really bad congestion, headache, sneezing, itchy/watery eyes, and been unable to sleep. We’ve tried a bunch of stuff. Does he need to try that Mucinex stuff I’ve been seeing ads for?”
“No, no…absolutely not. Mucinex is for chest congestion, and based on what you told me, your husband is not having that problem. First, is he taking any prescription medicines? [NO]. Okay then. What have you tried?”

“Well, we’ve tried the Tylenol cold stuff [There's no telling which product they got], and he’s been taking 24-hour Wal-Phed.”
“I think he’s probably having some allergy problems — It’s not a cold since it’s been going on for a month. I’d say he needs to try taking a generic Claritin every day. He could also use some Benadryl at bedtime to help him sleep. I’m betting he’s having trouble sleeping because the products you’ve tried have Sudafed in it — which can cause people to have trouble sleeping. By taking that Claritin, we can get ahead of the symptoms and prevent them from occuring. It’s a better route that treating the congestion once it’s a problem.”
“Okay. Great. Can you show me where these product are?”
“No problem. Here’s the Claritin. One of those a day. It’ll take about two weeks for that to reach it’s full potential — and he should just take that until the end of this allergy season which is roughly the beginning of winter in this area. The generic Benadryl is right here. It will help him sleep since it causes drowsiness. It is an antihistamine as well, but because of the drowsiness, it’s best to take that at night until the Claritin kicks in. For his congestion, he can try using this generic Afrin nasal spray. Limit that to 5 days though otherwise it will make the congestion worse.”
“Now, this Claritin says ‘non-drowsy.’ He’s already having trouble sleeping and you want to give him something that is a stimulant?”
“Ohh no — not at all. Sudafed has pseudoephdrine in it, which is essentially a low grade amphetamine. It is what is keeping him up. Claritin isn’t stimulant or sedative. It’s neutral. He won’t notice anything except his allergies clearing up and those symptoms subsiding.”
“Yes, but it says NON-DROWSY right here!”
“I see that, but that doesn’t mean it will keep a person awake. It just means that it won’t make him sleepy. That’s why we’re gonna give him this Benadryl — to help him sleep and treat overnight allergies until the Claritin kicks in in about two weeks or less. It won’t keep him awake.”
“Then why do they put this on here?”
“Well, that’s because all these other allergy medicines can cause drowsiness — it’s usually known that Benadryl causes people to get drowsy — it’s used as a sleep aid as well. You’ve probably heard of Unisom. It’s just Benadryl and repackaged. They just want people to know that this product is different from those. It’s a newer generation antihistamine, so it doesn’t cause the drowsiness.”
“That’s confusing. You should tell them to take that off of there.”
“Okay. I’ll send them a note. Hope he feels better!”

-=+=-

Has anyone else had this issue? Do people really think that NON-DROWSY means insomnia?

Does Non-Profit mean that an organization is designed to LOSE money?

Just wondering…


Wait until you get to non-Hodgkin’s lymphoma!

I don’t get it.

I think you have to be pretty stupid to think non-drowsy means it will keep you awake. Are Americans getting more stupid everyday?

I’ve gotten that from people before; however, once I explain the concept, people go, ‘ohh, gotcha.’
Then, there are stubborn idiots like this one…

It happens to me all the time. I just tell them the same thing you did. Non drowsy only means “doesn’t make you sleepy” it does not mean “keeps you awake”.
People are just used to the sudafed phenomenon where they take it and cannot sleep. to them “non drowsy” means keeps them awake. THey just need to learn a new paradigm shift. Phenylephrine does not cross the blood brain barrier so it doesn’t keep you awake, but then again, its not the hottest decongestant either…. Ah, waxing nostalgic to the old days of Green Novahistine in the glass bottle….

AND, my company just sent me signs to put up “non drowsy” cetirizine. 10mg….
uh, since when?

Yeah, that is false advertisement.

Well, Sudafed says non-drowsy on it, and it keeps you awake, so the reasoning isn’t completely crazy. The arguing with the pharmacist after the question has been answered, on the other hand…

Wal-phed eh? I have a pretty good idea where you work.

Yeah - that’s a retarded assumption. I was doing as I usually do and making my patient look even more clueless. They don’t know what drug their taking — just that they are taking Wal-Phed. Search this blog for Wal-Phed…or Equate even…and see how many hits you get.

I would never work for WAG. They are a soulless, heartless corporation. I have friends that do, and they want to off themselves, but they are locked in for X years for taking the sign on bonus.

I am not a pharmacist, I’m a pre-pharmacy student and I have been hearing this for so long. I find myself constantly explaining to people that non-drowsy doesn’t mean it will keep you awake, it simply means it won’t put you to sleep, my husband is the number one offender in this case. He tells me this even though I have explained to him a gazillion times thats not how it works. I guess he is training me for the future…

I’ve found myself wondering whether a particular “non-drowsy” formula simply doesn’t make you more tired, or whether it actually keeps you awake. Then again, I’d get it the first time I was told . . . .

People seem to think that “non drowsy” is some quality that comes independently of the medication itself. Apparently, there is either some drowsy dust or non drowsy dust sprinkled in each tablet. I have been asked for “non drowsy Benadryl” and “non drowsy Sudafed.”

I’ve actually had the following conversation several times.
“I need some non drowsy Sudafed.”
“Okay, I need to see your driver’s license please” *turns to grab Sudafed off the shelf*
“Make sure it’s the non drowsy kind!”
“That’s the only way Sudafed exists. It’s a mild stimulant, so that’s one of the properties of the medication.”
“Can I see that box? I just want to be sure.”
Patient sees the words “non drowsy” on the box and is finally satisfied.

Perhaps the pt is a bit confused as both the Sudafed PE and regular Sudafed boxes both say Non Drowsy.

So it is possible to interpret that Non Drowsy does mean both. Although I personally prefer the ‘doesn’t keep you awake’ definition.

http://www.sudafed.com/#adult

To Alma,
Your husband is going to be the worst one to explain meds to. It took me 10 years to convince the ex that tylenol and non-aspirin pain reliever were the same and not aspirin. Whooda thunk?

Now I know why I didn’t have to face this non-drowsy issue. Duh—Claritin wasn’t OTC when I was in retail. We did have OTC Tavist, but I guess that one was a dud.

southernpharmer says October 12th, 2008 at 12:17 am

I have found (in my limited experience) that people ask for your professional opinion only to hope that it agrees with what they already had in mind because that is what they are gonna do regardless. I want to help, but WHY WHY do these people waste both mine and their time???

Mary Augustine says October 12th, 2008 at 10:07 am

Southernpharmer hit one of the nails on the head with observation about why people ask certain things…maybe, I should preface many of my answers with ‘what do you think and why?” Thereupon, assessing what kind of personal interaction I’m up against.

[...] ME rss search « Non-Drowsy Claritin [...]

I had the same non-drowsy discussion with a friend who came to my house the other day. I have cats, she’s allergic. I take claritin, allegra, and sometimes even benadryl because my allergies are ridiculously out of control certain times of the year (and insurance won’t cover 2X180mg allegra/day). She had an allergy attack so I offered her a claritin (which is OTC vs giving her one of my scirp allegras) and had the exact frikkin argument about the “non-drowsy” comment on it - I had to swear up and down it was not going to keep her up that night before she would take it and stop sneezing all over my condo. She’s not stupid, but people really do get ideas in their head, and once they are there it’s painful to try and change their minds.

Unfortunately, the Claritin would not have helped her. It takes at LEAST 7 days for Loratadine to get to steady state levels in the body. For an acute problem, ya gotta go with Benadryl (Diphenhydramine) or Chlor-Trimaton (Chlorpheniramine). Those work quickly. Same deal with a cold or acute illness — not allergy related. Claritin, Zyrtec, and Allegra will not work worth a crap — you have to use one of the older agents.

Rant&RavePharmacist says October 15th, 2008 at 5:04 pm

[quote]Yeah - that’s a retarded assumption. I was doing as I usually do and making my patient look even more clueless. They don’t know what drug their taking — just that they are taking Wal-Phed. Search this blog for Wal-Phed…or Equate even…and see how many hits you get.[/quote]

Very true. People have no idea what they are taking and they expect their pharmacist to know what’s in every store brand drug by name and think we’re idiots when we don’t. They also have a hard time believing that half the drugs on the shelf really have the same active ingredient.

Thanks for the tip about the chlorpheniramine…but the big question is…is it non-drowsy??


Chlorpheniramine can go both ways. It makes some people sleepy, but not as much as Diphenhydramine (Benadryl). Some people can take it all day long and not have the first yawn.

If anything, it’d be considered a sedative — except in children. It may wire children as their physiology is opposite than that of adults (meaning Sudafed makes them tired and Benadryl makes them hyper — adults are the opposite).

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