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For dry coughs, treatment with cough suppressants (antitussives) may be attempted to suppress the body's urge to cough. Q2. What is dextromethorphan? Ans: Dextromethorphan (DXM or DM) is an antitussive (cough suppressant) drug used to treat dry cough Dextromethorphan is an opiate derivative with good antitussive activity, but it does not have activity at opiate receptors and is not analgesic or addictive. Q3. What is the dose of Dextromethorphan in various age groups of children? Age Range 1 to 3 months 4 to 6 months: 7 months to 1 year 2 to 6 years 7 to 12 years 12 years or older Dose 0.5 to 1 mg orally every 6 to 8 hours. 1 to 2 mg orally every 6 to 8 hours 2 to 4 mg orally every 6 to 8 hours 2.5 to 7.5 mg orally every 4 to 8 hours. 5 to 10 mg orally every 4 hours or 15 mg every 6 to 8 hours. 10 to 30 mg orally every 4 to 8 hours. Maximum Dose per day
Maximum dose: 30 mg/day. Maximum dose: 60 mg/day. Maximum dose: 120 mg/day.
Note: Dosage in children less than 4 years of age is not well established Ref: Drugs.com
Q4. What are the different anit tussives available for dry cough? Ans: Codeine, Pholcodiene, Levodropropizine, levocloperastine
Q5. What are anti histaminics? Ans: Anti histamincs are drugs that block the H1 receptors and are used to treat allergic reactions caused due to allergens. Q6. Which anti histamics are generally used with anti tussives? Ans: Chlorpheniramine, Promethazine, Triprolidine
Q7. How much calorie does 1 gram of sugar contain? And : 4 calories Q8. What are Sugar Substitutes? Ans: Polyols are carbohydrates but they are not sugars, making them sugar-free sweeteners. Eg. Maltitol, Erythritol, Sorbitol, Xylitol, Lactitol Q9. Difference between various polyols?
Properties Calories/gm Sweetness compared to Sugar Tooth Decay/Dental Caries Other Properties GRAS Status Maltittol 2.1 90% Erythritol 0 70% Sortbitol 2.6 60% Xylitol 2.4 NA Lactitol 2 40%
No
No
No
No
No
yes
yes
yes
yes
Ans: After eating sugar it adheres to the teeth to start the formation of plaque. At the same time millions of bacteria known as Streptococcus mutans also adhere to the teeth. Although, many oral bacteria also adhere, only the S. mutans is able to cause cavities. In the next stage, the bacteria use the fructose ( from the sugar eaten) to get energy. Due to bacteria, fructose gets converted to lactic acid. The lactic acid creates extra acidity to decrease the pH to the extent of dissolving the calcium phosphate in the tooth enamel leading to the start of a cavity or tooth decay.
Bacteria use fructose for energy
Q11. How Does Maltitol not cause tooth decay? Ans: Maltitol is resistant to attack by oral bacteria, thus does not form lactic acid and thus does not cause Tooth decay/Dental caries Q12. What is GRAS? Ans: GRAS is (Generally Recognised as Safe) and this status is given by US FDA to foods/ molecules that are regarded as safe for consumption in humans of all ages