Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care

Cover
Contributors and Copyright
	Editor-in-Chief
	Associate Editors
	Contributors
		Authors
		Reviewers
	Copyright
	Notice
Foreword
Preface
Chapter Content
Chapter Features
Acknowledgments
Chapter 1: Self-Care and Nonprescription Pharmacotherapy
	The Expanding Definition of Self-Care
	Understanding Today’s Self-Care Consumer
	Self-Care Changes Driven by Health Care Reform and Changes in Pharmacy Practice
	The Current Self-Care Marketplace
		Nonprescription Medications
		Dietary Supplements
		Complementary and Integrative Health Therapies
	Legislative and Regulatory Issues Affecting Self-Care
	Educating the Public About Safe Medication Use: Collaborations
		Be MedWise and Boy Scouts of America
		Up and Away
		Know Your Dose
		OTC Medicine Safety Campaign
	The Future of Self-Care: A Changing Marketplace and Advancements in Technology
		Expansion of the Self-Care Marketplace
		Technology
	Roles for the Pharmacist and Student Pharmacist in Self-Care Practice
	Key Points
Chapter 2: Pharmacists’ Patient Care Process in Self-Care
	Pharmacists’ Patient Care Process (PPCP)
		PPCP in Self-Care: The Five Steps
			Step 1: Collect
			Step 2: Assess
				Medication Assessment
				Patient History and Risk Assessment
				Preventive Care Assessment
				Exclusions for Self-Treatment
			Step 3: Plan
				Medication-Related Problems
				Goals of Therapy
				Patient Engagement
				Care Continuity
			Step 4: Implement
			Step 5: Follow-up: Monitor and Evaluate
		PPCP in Self-Care: The Core
			Patient-Centered Care
			Specific Core Components
				Collaborate
				Communicate
			Document
	Efficient Use of PPCP in Self-Care
		QuEST/SCHOLAR-MAC
	Special Populations and PPCP in Self-Care
		Pediatric Patients
			PPCP Considerations for Pediatric Patients
				Collect
				Assess
				Plan and Implement
				Follow-up: Monitor and Evaluate
		Geriatric Patients
			PPCP Considerations for Geriatric Patients
				Collect
				Assess
				Plan and Implement
				Follow-up
		Pregnant Patients
			PPCP Considerations for Pregnant Patients
				Collect
				Assess
				Plan and Implement
				Follow-up
		Lactating Women
			PPCP Considerations for Lactating Women
				Collect
				Assess
				Plan and Implement
				Follow-up
	Case 2–1
	Case 2–2
	Case 2–3
	Case 2–4
	Key Points for PPCP in Self-Care
Chapter 3: Exploring Cultural Aspects of Self-Care
	Definitions
	Rationale for Exploring Cultural Aspects of Self-Care
		Demographic Changes in the U.S. Population
		Health Disparities
		Culturally Appropriate Health Care and Workforce Diversity
	Concepts of Working Across Cultures
		Stereotyping and Generalization
		Acculturation
		Models of Cultural Competence
	Barriers to Self-Care
		Fear and Mistrust of Health Care Providers
		Language Barriers
		Literacy and Health Literacy
	Sociocultural Framework for Self-Care Practices
		General Description of Beliefs in Different Population Groups
		Risks of Self-Medication and Suboptimal Responses to Nonprescription Drug Therapy
	Communication With Culturally Diverse Groups
		Collecting and Assessing Patient Information
		Using Language Assistance and Support
		Developing a Self-Care Plan
	Ensuring Cultural Competence in Health Care
		Organizational Commitment
	Case 3–1
	Case 3–2
	Key Points for Multicultural Aspects of Self-Care
Chapter 4: Legal and Regulatory Issues in Self-Care Pharmacy Practice
	History of Self-Care
	Nonprescription Drugs: Approval and Regulatory Processes
		Definition of Nonprescription Status
		The Nonprescription Drug Review Process
		Pathways to Nonprescription Status
		Prescription-to-Nonprescription Switch
	Safe Use of Nonprescription Drugs
		Adulteration and Misbranding
		Adverse Drug Reaction Reporting
		Labeling
		Packaging
		Advertising
	Third Class of Drugs
		De Facto Third Class of Drugs
	Abuse of Nonprescription Medications
	From Cosmetic to Drug: Crossing the Line
	Compounding Nonprescription Drugs
	Nonprescription Homeopathic Drugs
	Dietary Supplements
	Direct-to-Consumer Diagnostic Devices
	Nonprescription Product Liability
		Liability for Advice on Nonprescription Drugs
		Liability Associated With Nonprescription Drugs
	The Future: Innovative Approaches for Nonprescription Drug Products
	Key Points
Chapter 5: Headache
	Pathophysiology of Headache
	Clinical Presentation of Headache
	Algorithm: Headache
	Treatment of Headache
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Acetaminophen
			Nonsalicylate Nonsteroidal Anti-inflammatory Drugs
				A Word About NSAIDs and Stomach Bleeding
			Salicylates
			Combination Products
			Pharmacotherapeutic Comparison
				Aspirin Versus Nonacetylated Salicylates
				Aspirin Versus Acetaminophen
				Aspirin Versus Nonsalicylate NSAID
				NSAID Versus Acetaminophen
				Naproxen Versus Ibuprofen
			Product Selection Guidelines
				Special Population Considerations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Assessment of Headache: A Case-Based Approach
	Patient Counseling for Headache
	Evaluation of Patient Outcomes for Headache
	Case 5–1
	Case 5–2
	Patient Education for Headache
	Key Points for Headache
Chapter 6: Fever
	Pathophysiology of Fever
	Clinical Presentation of Fever
	Detection of Fever
	Complications of Fever
	Treatment of Fever
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
		Complementary Therapies
	Algorithm: Fever
	Assessment of Fever: A Case-Based Approach
	Case 6–1
	Case 6–2
	Patient Counseling for Fever
	Evaluation of Patient Outcomes for Fever
	Patient Education for Fever
	Key Points for Fever
Chapter 7: Musculoskeletal Injuries and Disorders
	Pathophysiology of Musculoskeletal Injuries and Disorders
	Clinical Presentation of Musculoskeletal Injuries and Disorders
	Treatment of Musculoskeletal Injuries and Disorders
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Systemic Analgesics
			Topical Products
				Topical NSAIDs
				Counterirritants
			Other Topical Analgesics
				Trolamine Salicylate
			Topical Anesthetics
			Combination Products
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
				Complementary Therapies
	Algorithm: Musculoskeletal Injuries and Disorders
	Assessment of Musculoskeletal Injuries and Disorders: A Case-Based Approach
	Case 7–1
	Case 7–2
	Patient Counseling for Musculoskeletal Injuries and Disorders
	Patient Education for Musculoskeletal Injuries and Disorders
	Evaluation of Patient Outcomes for Musculoskeletal Injuries and Disorders
	Key Points for Musculoskeletal Injuries and Disorders
Chapter 8: Vaginal and Vulvovaginal Disorders
	Differentiation of Common Vaginal Infections
	Vulvovaginal Candidiasis
	Pathophysiology of Vulvovaginal Candidiasis
	Clinical Presentation of Vulvovaginal Candidiasis
	Algorithm: Vulvovaginal Candidiasis
	Treatment of Vulvovaginal Candidiasis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Vaginal Antifungals
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors and Preferences
		Complementary Therapies
	Assessment of Vulvovaginal Candidiasis: A Case-Based Approach
	Patient Counseling for Vulvovaginal Candidiasis
	Case 8–1
	Evaluation of Patient Outcomes for Vulvovaginal Candidiasis
	Atrophic Vaginitis
	Pathophysiology of Atrophic Vaginitis
	Patient Education for Vulvovaginal Candidiasis
	Clinical Presentation of Atrophic Vaginitis
	Treatment of Atrophic Vaginitis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
			Vaginal Lubricants
	Algorithm: Atrophic Vaginitis
	Assessment of Atrophic Vaginitis: A Case-Based Approach
	Patient Counseling for Atrophic Vaginitis
	Case 8–2
	Patient Education for Atrophic Vaginitis
	Evaluation of Patient Outcomes for Atrophic Vaginitis
	Vaginal Douching
	Prevalence of Douching
	Potential Adverse Effects of Douching
	Use of Douching Equipment
	Patient Counseling for Douching
	Patient Education for Douching
	Key Points for Vaginal and Vulvovaginal Disorders
Chapter 9: Disorders Related to Menstruation
	Dysmenorrhea
	Pathophysiology of Primary Dysmenorrhea
	Clinical Presentation of Primary Dysmenorrhea
	Treatment of Primary Dysmenorrhea
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Aspirin
			Acetaminophen
			Nonsalicylate NSAIDs
			Dietary Supplements
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Algorithm: Primary Dysmenorrhea
	Assessment of Primary Dysmenorrhea: A Case-Based Approach
	Patient Counseling for Primary Dysmenorrhea
	Evaluation of Patient Outcomes for Primary Dysmenorrhea
	Case 9–1
	Patient Education for Primary Dysmenorrhea
	Premenstrual Disorders
	Pathophysiology of Premenstrual Disorders
	Algorithm: Premenstrual Syndrome
	Clinical Presentation of Premenstrual Disorders
	Treatment of Premenstrual Syndrome (PMS)
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Pyridoxine
			Calcium and Vitamin D
			Magnesium
			Vitamin E
			Nonsteroidal Anti-inflammatory Drugs
			Diuretics
			Combination Products
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Assessment of Premenstrual Syndrome: A Case-Based Approach
	Case 9–2
	Patient Counseling for Premenstrual Syndrome
	Evaluation of Patient Outcomes for Premenstrual Syndrome
	Patient Education for Premenstrual Syndrome
	Toxic Shock Syndrome
	Pathophysiology of Menstrual TSS
	Clinical Presentation of Menstrual TSS
	Prevention of Menstrual TSS
	Assessment of Menstrual TSS: A Case-Based Approach
	Patient Counseling for Menstrual TSS
	Patient Education for Toxic Shock Syndrome
	Key Points for Disorders Related to Menstruation
Chapter 10: Prevention of Pregnancy and Sexually Transmitted Infections
	Overview of Pregnancy and STIs
	Prevention of STIs and Pregnancy: Methods and Strategies
		Vaccines for STI Prevention
			Human Papillomavirus Vaccine
			Hepatitis B Vaccine
		Contraception for Pregnancy and STI Prevention
			Nonprescription Contraceptive Products
				Male Condoms
				Female Condoms
				Vaginal Spermicides
				Contraceptive Sponge
				Emergency Contraception
			Fertility Awareness–Based Methods
				Calendar Methods
				Cervical Mucus Methods
				Symptothermal Method
				Home Tests for Ovulation Prediction
				Lactational Amenorrhea Method
				Effectiveness of Fertility Awareness–Based Methods
			Coitus Interruptus
	Algorithm: Unintended Pregnancy and STIs
	Assessment of Prevention of Pregnancy and STIs: A Case-Based Approach
	Patient Counseling for Prevention of Pregnancy and STIs
	Case 10–1
	Case 10–2
	A Word About Provision of Hormonal Contraception by Pharmacists
	Evaluation of Patient Outcomes for Prevention of Pregnancy and STIs
	Key Points for Prevention of Pregnancy and STIs
Chapter 11: Colds and Allergy
	Colds
	Pathophysiology of Colds
	Clinical Presentation of Colds
	Treatment of Colds
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Decongestants
			Antihistamines
			Local Anesthetics
			Systemic Analgesics
			Antitussives and Protussives (Expectorants)
			Combination Products
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Algorithm: The Common Cold
	Assessment of Colds: A Case-Based Approach
	Case 11–1
	Patient Counseling for Colds
	Patient Education for Colds
	Evaluation of Patient Outcomes for Colds
	Allergic Rhinitis
	Pathophysiology of Allergic Rhinitis
	Algorithm: Mediator-specific symptoms
	Clinical Presentation of Allergic Rhinitis
	Algorithm: Allergic Rhinitis
	Treatment of Allergic Rhinitis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Intranasal Corticosteroids
			Antihistamines
				Combination Antihistamine Products
			Decongestants
			Cromolyn Sodium
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors and Preferences
		Complementary Therapies
	Assessment of Allergic Rhinitis: A Case-Based Approach
	Case 11–2
	Patient Counseling for Allergic Rhinitis
	Patient Education for Allergic Rhinitis
	Evaluation of Patient Outcomes for Allergic Rhinitis
	Key Points for Disorders Related to Colds and Allergic Rhinitis
Chapter 12: Cough
	Pathophysiology of Cough
	Clinical Presentation of Cough
	Algorithm: Cough
	Treatment of Cough
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Oral Antitussives
				Codeine
				Dextromethorphan
				Diphenhydramine
				Chlophedianol
			Protussives (Expectorants)
			Topical Antitussives
			Product Selection Guidelines
				Efficacy
				Dosage Formulations
				Special Populations
				Patient Factors
		Complementary Therapy
	Assessment of Cough: A Case-Based Approach
	Case 12–1
	Case 12–2
	Patient Counseling for Cough
	Patient Education for Cough
	Evaluation of Patient Outcomes for Cough
	Key Points for Cough
Chapter 13: Heartburn and Dyspepsia
	Pathophysiology of Heartburn and Dyspepsia
	Clinical Presentation of Heartburn and Dyspepsia
	Algorithm: Heartburn
	Treatment of Heartburn and Dyspepsia
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Antacids
			Histamine Type 2 Receptor Antagonists
			Proton Pump Inhibitors
			Bismuth Subsalicylate
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Assessment of Heartburn and Dyspepsia: A Case-Based Approach
	Case 13–1
	Case 13–2
	Patient Counseling for Heartburn and Dyspepsia
	Evaluation of Patient Outcomes for Heartburn and Dyspepsia
	Patient Education for Heartburn and Dyspepsia
	Key Points for Heartburn and Dyspepsia
Chapter 14: Intestinal Gas
	Pathophysiology of Intestinal Gas
	Clinical Presentation of Intestinal Gas
	Algorithm: Intestinal Gas Symptoms
	Treatment for Intestinal Gas
		Treatment Goals
		Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Simethicone
			Activated Charcoal
			α-Galactosidase
			Lactase Replacement Products
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Assessment of Intestinal Gas Complaints: A Case-Based Approach
	Case 14–1
	Case 14–2
	Patient Education for Intestinal Gas
	Patient Counseling for Intestinal Gas
	Evaluation of Patient Outcomes for Intestinal Gas
	Key Points for Intestinal Gas Complaints
Chapter 15: Constipation
	Pathophysiology of Constipation
	Clinical Presentation of Constipation
	Algorithm: Constipation
	Treatment of Constipation
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Bulk-Forming Agents
			Hyperosmotic Agents
			Emollients
			Lubricants
			Saline Laxatives
			Stimulant Agents
			Combination Products
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
	Assessment of Constipation: A Case-Based Approach
	A Word About Opioid-Induced Constipation
	A Word About Laxative Overuse
	Case 15–1
	Case 15–2
	Patient Counseling for Constipation
	Evaluation of Patient Outcomes for Constipation
	Patient Education for Constipation
	Key Points for Constipation
Chapter 16: Diarrhea
	Pathophysiology of Diarrhea
	Clinical Presentation of Diarrhea
	Algorithm: Acute Diarrhea in Children 6 Months to 5 Years
	Algorithm: Acute Diarrhea in Children Older than 5 Years
	Treatment of Diarrhea
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
			Fluid and Electrolyte Management
			Dietary Management
			Preventive Measures
		Pharmacologic Therapy
			Loperamide
			Bismuth Subsalicylate
			Digestive Enzymes
			Product Selection Guidelines
				Special Populations
				Patient Factors and Preferences
		Complementary Therapies
	Assessment of Diarrhea: A Case-Based Approach
	Case 16–1
	Case 16–2
	Patient Counseling for Diarrhea
	Evaluation of Patient Outcomes for Diarrhea
	Patient Education for Diarrhea
	Key Points for Diarrhea
Chapter 17: Anorectal Disorders
	Pathophysiology of Anorectal Disorders
		Relevant Anatomy
	Clinical Presentation of Anorectal Disorders
	Algorithm: Hemorrhoids
	Treatment of Anorectal Disorders
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Local Anesthetics
			Vasoconstrictors
			Protectants
			Astringents
			Keratolytics
			Analgesics, Anesthetics, and Antipruritics
			Corticosteroids
			Combination Products
			Product Selection Guidelines
				Special Populations
				Patient Factors
		Complementary Therapies
	Assessment of Anorectal Disorders: A Case-Based Approach
	Case 17–1
	Case 17–2
	Patient Counseling for Anorectal Disorders
	Evaluation of Patient Outcomes for Anorectal Disorders
	Patient Education for Anorectal Disorders
	Key Points for Anorectal Disorders
Chapter 18: Pinworm Infection
	Pathophysiology of Pinworm Infection
	Clinical Presentation of Pinworm Infection
	Algorithm: Pinworm Infection
	Treatment of Pinworm Infection
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Pyrantel Pamoate
			Product Selection Guidelines
		Complementary Therapies
	Assessment of Pinworm Infection: A Case-Based Approach
	Case 18–1
	Case 18–2
	Patient Counseling for Pinworm Infection
	Evaluation of Patient Outcomes for Pinworm Infection
	Patient Education for Pinworm Infection
	Key Points for Pinworm Infection
Chapter 19: Nausea and Vomiting
	Pathophysiology of Nausea and Vomiting
	Clinical Presentation of Nausea and Vomiting
	Treatment of Nausea and Vomiting
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Nausea Associated With Motion Sickness
			Nausea Associated With Food or Beverages
			Product Selection Guidelines
				Special Populations
		Complementary Therapies
			Ginger
			Pyridoxine (Vitamin B6)
			Acupressure
			Cannabinoids
	Algorithm: N/V in Adults
	Algorithm: N/V in Children
	Assessment of Nausea and Vomiting: A Case-Based Approach
	Case 19–1
	Case 19–2
	Patient Counseling for Nausea and Vomiting
	Evaluation of Patient Outcomes for Nausea and Vomiting
	Patient Education for Nausea and Vomiting
	Key Points for Nausea and Vomiting
Chapter 20: Prebiotics and Probiotics
	The Gut Microbiota
	Prebiotics
	Probiotics
		Sources
		Health Effects
		Indications (With Available Data for Prebiotics)
			Inflammatory Bowel Disease
			Irritable Bowel Syndrome
			Hepatic Disorders
			Clostridioides difficile Infection
			Antibiotic-Associated Diarrhea
			Necrotizing Enterocolitis
			Helicobacter pylori Infection
			Diabetes Mellitus
			Cardiovascular Risk Factors
			Eczema and Dermatitis
			Atopic Dermatitis
			Respiratory Syndromes
	Assessment of Safe Use of Probiotics
	Case 20–1
	Case 20–2
	Patient Counseling
	Key Points for Prebiotic and Probiotic Use
Chapter 21: Poisoning
	Clinical Presentation of Poisoning
	Algorithm: Poisoning
	Treatment of Poisoning
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Treatment With Activated Charcoal
			Pharmacotherapeutic Considerations for Activated Charcoal
	Assessment of Poisoning: A Case-Based Approach
	Case 21–1
	Case 21–2
	Patient Counseling for Poisoning
	Evaluation of Patient Outcomes for Poisoning
	Patient Education for Toxic Exposures
	Key Points for Poisoning
Chapter 22: Ostomy Care and Supplies
	Indications for Ostomies
	Types of Ostomies
		Ileostomy
		Colostomy
		Urinary Diversions
	Algorithm: Selection of Ostomy Pouching System
	Management of Ostomies
		Management Goals
		General Management Approach
		Types of Ostomy Pouching Systems
			Fit and Application
			Wear Time
			Product Selection Guidelines
		Ostomy Accessories
			Belts
			Skin Barrier Rings, Powder, Paste, Barrier Strips
			Absorbent Gel Packets and Flakes
			Cleansing and Special Skin Care Products
			Adhesive Removers and Releasers
			Irrigation Kits
			Deodorizers
			Changes in Diet
	Complications of Ostomies
		Psychological Complications
		Physiologic Complications
		Systemic Complications
		Peristomal Skin Complications
		Stoma Complications
		Medication Considerations With Ostomies
		Medication Absorption With Ostomies
			Formulation Characteristics and Absorption With Ostomies
			Specific Drug Classes Associated With Adverse Effects Including Malabsorption in Patients With Ostomies
				Antibiotics
				Sulfa Drugs
				Diuretics
				Laxatives
				Antacids
				Opioid-Containing Products
		Additional Medication-Related Issues With Ostomies
			Urine and Stool Discoloration
		Dietary Supplements
	Assessment of Patients With Ostomies: A Case-Based Approach
	Case 22–1
	Case 22–2
	Patient Counseling for Ostomy Care
	Patient Education for Ostomy Care
	Key Points for Ostomy Care
Chapter 23: Essential and Conditionally Essential Nutrients
	Epidemiology and Etiology of Nutritional Deficiencies
	Pathophysiology of Nutritional Deficiencies
	Clinical Presentation of Nutritional Deficiencies
	Nutrient Supplementation: Principles and Terminology
		Vitamins
			Fat-Soluble Vitamins
			Vitamin A
			Vitamin D (Calciferol)
			Vitamin E (Tocopherol)
			Vitamin K
			Water-Soluble Vitamins
			Vitamin C (Ascorbic Acid)
			Vitamin B12 (Cyanocobalamin)
			Folic Acid (Pteroylglutamic Acid, Folate)
			Niacin (Nicotinic Acid)
			Vitamin B6 (Pyridoxine)
			Thiamine (Vitamin B1)
			Pantothenic Acid, Riboflavin (Vitamin B2), and Biotin (Vitamin H)
			Vitamin-like Compounds: Pseudovitamins
			Choline
		Minerals
		Principal Minerals in Health and Nutrition
			Calcium
			Iron
			Magnesium
			Phosphorus
			Trace Elements
			Copper
			Fluoride
			Iodine
			Zinc
			Nutritional Considerations in Special Patient Populations
			Multivitamin and Multimineral Supplements
	Assessment of Nutritional Adequacy: A Case-Based Approach
	Case 23–1
	Case 23–2
	Patient Education for Nutritional Deficiencies
	Patient Counseling for Nutrient Supplementation
	Evaluation of Patient Outcomes for Nutritional Adequacy
	Key Points for Nutritional Adequacy
Chapter 24: Functional and Meal Replacement Foods
	Functional Foods
	Categories of Foods Classified as Functional Foods
		Foods With Health Claims
		Foods With Structure–Function Claims
		Foods for Special Dietary Use
		Medical Foods
		Conventional Foods
	Protective Effects of Functional Foods
		Functional Foods and Biomarkers: Epigenomics and Chemoprevention
		Fiber
			Recommended and Actual Intake
			Soluble and Insoluble Fibers
			Benefits of Fiber
			Laxation
			Normalization of Blood Lipid Concentrations
			Attenuation of Blood Glucose Response
			Weight Loss and Maintenance
	Assessment of Functional Food Use: A Case-Based Approach
	Case 24–1
	Medical Foods and Meal Replacement Foods
	Enteral Formula Uses
		Tube Feeding
		Supplementation of Nutrient Intake
	Classification of Enteral Nutrition Products
		Polymeric Formulas
		Oligomeric Formulas
		Modular Products
		Specialty Formulas
	Product Use for Self-Care
		Administration and Monitoring Guidelines for Enteral Nutrition
		Food–Medication Interactions
	Other Medical Foods and Meal Replacement Foods
	Assessment of Enteral Nutrition and Meal Replacements: A Case-Based Approach
	Case 24–2
	Patient Counseling for Enteral Nutrition and Meal Replacements
	Patient Education for Enteral and Meal Replacement Products
	Key Points for Functional and Meal Replacement Foods
Chapter 25: Sports Nutrition and Performance-Enhancing Nutrients and Supplements
	Popularity of Sports Nutrition Products
	Use and Regulation of Performance-Enhancing Supplements: Labeling and Antidoping Considerations
	Macronutrient Use for Athletic Performance—Basic Concepts
	Sports Nutrition Market Basics
		Carbohydrate-Based Products
		Fats: Triglyceride-Containing Products
		Protein Products for Muscle Mass Gain
			Clinical Evidence of Protein Needs for Muscle Building
			Adverse Effects of Protein Supplement Use and High Protein Intake
		Water and Electrolytes
			Health Conditions Related to Hydration and Electrolytes
			Prevention of Dehydration
			Hyponatremia Risk From Drinking Excessive Free Water
			Carbonated and Oxygen-Enhanced Water
			Electrolytes and Water Without Added Carbohydrates
			Electrolytes, Carbohydrates, and Water
			Electrolytes, Carbohydrates, Protein, and Water
			Pre-exercise Nutrition and Hydration
			Nutrition and Hydration During Exercise
			Post-exercise Nutrition and Recovery Drinks
	Safety and Efficacy of Specific Ergogenic Supplements
		Caffeine and Caffeine-Supplemented Energy Drinks
		Creatine
		Dimethylamylamine
		Ephedra and Pseudoephedrine
		Steroidal Precursors, Dehydroepiandrosterone, and Aromatization Inhibitors
		Stacking Products and Use of Proprietary Blends
	Assessment of Performance-Enhancing Nutrients: A Case-Based Approach
	Case 25–1
	Case 25–2
	Patient Counseling for Performance-Enhancing Nutrients
	Patient Education for Performance-Enhancing Nutrients
	Key Points for Sports Nutrition and Performance-Enhancing Nutrients
Chapter 26: Infant Nutrition and Special Nutritional Needs of Children
	Organ Maturation and Infant Growth
	Energy Requirements and Growth
	Infant Nutritional Standards
	Components of a Healthy Diet
		Fluid
		Carbohydrates
		Protein and Amino Acid
		Fat and Essential Fatty Acids
		Micronutrients
	Infant Food Sources
		Human Milk
		Cow Milk
			Whole Cow Milk
			Reduced-Fat Cow Milk
			Evaporated Milk
		Goat Milk
		Commercial Infant Formulas
			Formula Properties
			Microbiologic Safety
			Physical Characteristics
			Caloric Density
			Osmolality and Osmolarity
			Potential Renal Solute Load
			Types, Uses, and Selection of Commercial Infant Formulas
			Milk-Based Formulas
			Therapeutic Formulas
			Nutritional Problems in Infancy
			Diarrhea
			Other Gastrointestinal Issues
			Tooth Decay
			Nutritional Deficiencies or Toxicities
			Infant Formula Preparation
			Preparation Techniques
			Adverse Effects of Improperly Prepared and/or Administered Formulas
			Product Selection Guidelines
			Vitamin and Mineral Supplementation
			Human Milk–Fed, Full-Term Infants
			Formula-Fed, Full-Term Infants
			Preterm Infants
			Fluoride Supplementation
	Assessment of Infant Nutrition: A Case-Based Approach
	Case 26–1
	Case 26–2
	Patient Counseling for Infant Nutrition
	Patient Education for Infant Nutrition
	Key Points for Infant Nutrition and Special Nutritional Needs of Children
Chapter 27: Overweight and Obesity
	Clinical Indicators of Overweight and Obesity
	Pathophysiology of Overweight and Obesity
	Obesity and Chronic Health Problems
	Algorithm: Overweight and Obesity
	Management of Overweight and Obesity
		Management Goals and General Management Approach
		Nonpharmacologic Therapy: Lifestyle Intervention
			Dietary Change
			Caloric Restriction
			Altered Proportions of Food Groups
			Use of Food Additives
			Meal Replacement Therapy
			Commercial Weight Loss Programs
			Physical Activity
			Behavioral Therapy
			Public Health Initiatives
		Pharmacologic Therapy
			Status of Nonprescription Weight Loss Products
			Use of Inappropriate Medications for Weight Loss
		Complementary Therapies
			Botanicals and Other Preparations
			Economically Motivated Adulteration
	Assessment of Overweight and Obesity: A Case-Based Approach
	Case 27–1
	Case 27–2
	Patient Counseling for Overweight and Obesity
	Evaluation of Patient Outcomes for Overweight and Obesity
	Patient Education for Overweight and Obesity
	Key Points for Overweight and Obesity
Chapter 28: Ophthalmic Disorders
	Role of Eye Anatomy in Ocular Drug Pharmacokinetics
	Considerations With Use of Topical Ophthalmic Products
	Dry Eye Disease
	Pathophysiology and Clinical Presentation of Dry Eye Disease
	Treatment of Dry Eye Disease
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Artificial Tear Solutions
			Nonmedicated Ophthalmic Ointments
			Formulation Considerations for Ocular Lubricants and Other Ophthalmic Products
				Ophthalmic Preservatives
				Ophthalmic Excipients
				Product Selection Guidelines
				Preservative-Free Formulations
				Associated Lesions
	Allergic Conjunctivitis
	Pathophysiology and Clinical Presentation of Allergic Conjunctivitis
	Treatment of Allergic Conjunctivitis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Ophthalmic Decongestants/Alpha-Adrenergic Agonists
			Ophthalmic Antihistamines and Ophthalmologic Antihistamine/Mast Cell Stabilizer Combinations
			Product Selection Guidelines
			Complementary Therapies
	Corneal Edema
	Pathophysiology and Clinical Presentation of Corneal Edema
	Treatment of Corneal Edema
		Treatment Goals
		General Treatment Approach
		Pharmacologic Therapy
			Hyperosmotics
	Loose Foreign Substances in the Eye
	Pathophysiology and Clinical Presentation of Loose Foreign Substances in the Eye
	Treatment for Loose Foreign Substances in the Eye
		Treatment Goals
		General Treatment Approach
		Pharmacologic Therapy
			Ocular Irrigants
	Minor Eye Irritation
	Pathophysiology and Clinical Presentation of Minor Eye Irritation
	Treatment of Minor Eye Irritation
	Chemical Burn
	Pathophysiology and Clinical Presentation of Chemical Burn
	Emergency Treatment of Chemical Burn
	Artificial Eyes
	Contact Dermatitis of the Eyelid
	Pathophysiology and Clinical Presentation of Contact Dermatitis of the Eyelid
	Treatment of Contact Dermatitis of the Eyelid
	Age-Related Macular Degeneration
	Assessment of Ophthalmic Disorders: A Case-Based Approach
	Case 28–1
	Case 28–2
	Algorithm: Eye Surface Disorders
	Algorithm: Soft Lenses
	Patient Counseling for Ophthalmic Disorders
	Evaluation of Patient Outcomes for Ophthalmic Disorders
	Patient Education for Ophthalmic Disorders
	Key Points for Ophthalmic Disorders
Chapter 29: Prevention of Contact Lens-Related Disorders
	Use of Contact Lenses
		Indications for Contact Lenses
		Contraindications and Warnings for Contact Lens Wear
	Soft Versus Rigid Contact Lenses
		Hydrophilic (Soft) Contact Lenses
			Hydrophilic Lens Fitting
			Hydrophilic Contact Lenses as Therapeutic Devices
		Gas-Permeable Contact Lenses
			Gas-Permeable Lens Fitting
		Specialty Contact Lenses
	Algorithm: Soft Lenses
	Considerations for Lens Care
		Soft Contact Lens Care
			Product Selection Guidelines
				Soft Lens Disinfection
				Preservatives.
				Disinfecting Methods.
			Multipurpose Products
			Cleaning Products
			Saline Solutions
			Rewetting Solutions
			Generic Solutions
			Product Incompatibility
			Insertion and Removal
		Gas-Permeable Contact Lens Care
			Product Selection Guidelines
				Cleaning Solutions
				Storage Solutions
				Rewetting Solutions
				Enzymatic Solutions
				Insertion and Removal
	Lens Storage Case
	Follow-up Care
	Contact Lens–Related Problems
	Precautions for Contact Lens Wear
		Adverse Effects of Drugs
			Topical Medications
			Airborne Drugs and Particulate Matter
			Systemic Medications
		Use of Cosmetics
		Exclusions for Self-Care
	Case 29–1
	Case 29–2
	Patient Counseling for Prevention of Contact Lens–Related Disorders
	Patient Education for Prevention of Contact Lens–Related Disorders
	Key Points for Prevention of Contact Lens–Related Disorders
Chapter 30: Otic Disorders
	Pathophysiology of Otic Disorders
	Excessive or Impacted Cerumen
	Pathophysiology of Excessive or Impacted Cerumen
	Clinical Presentation of Excessive or Impacted Cerumen
	Algorithm: Excessive/Impacted Cerumen
	Treatment for Excessive or Impacted Cerumen
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Carbamide Peroxide
			Other Cerumenolytics
			Product Selection Guidelines
		Complementary Therapies
	Water-Clogged Ears
	Pathophysiology of Water-Clogged Ears
	Clinical Presentation of Water-Clogged Ears
	Algorithm: Water-Clogged Ears
	Treatment of Water-Clogged Ears
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Isopropyl Alcohol in Anhydrous Glycerin
			Product Selection Guidelines
	Assessment of Otic Disorders: A Case-Based Approach
	Case 30–1
	Case 30–2
	Patient Counseling for Otic Disorders
	Evaluation of Patient Outcomes for Otic Disorders
	Patient Education for Self-Treatable Otic Disorders
	Key Points for Otic Disorders
Chapter 31: Prevention of Hygiene-Related Oral Disorders
	Caries
	Pathophysiology of Caries
	Clinical Presentation of Caries
	Prevention of Caries
		General Approach
		Nonpharmacologic Therapy
			Dietary Measures
			Plaque Removal Devices
				Toothbrushes
				Dental Floss
				American Dental Association (ADA) Seal of Acceptance
				Specialty Aids
				Oral Irrigating Devices
		Pharmacologic Therapy
			Chemical Management of Plaque
			Use of Fluoride
			Dentifrices
				Fluoride Dentifrices
				Tartar Control Dentifrices
				Antiplaque and Antigingivitis Dentifrices
				Whitening Dentifrices
				Botanical-Based Dentifrices
				Administration Guidelines
				A Word about Tooth-Bleaching Products
				Product Selection Guidelines
			Mouth Rinses
		Complementary and Alternative Therapies
			Activated Charcoal
			Probiotics
			Vitamin D
			Special Population Considerations for Caries Prevention and Plaque Removal
	Assessment of Caries
	Patient Counseling for Caries Prevention
	Patient Education for Prevention of Caries, Gingivitis, and Halitosis
	Exclusions for Self-Treatment for Hygiene-Related Oral Disorders
	Gingivitis
	Pathophysiology of Gingivitis
	Clinical Presentation of Gingivitis
	Prevention of Gingivitis
		Special Population Considerations for Gingivitis
	Assessment of Gingivitis
	Patient Counseling for Gingivitis
	Case 31–1
	Halitosis
	Pathophysiology of Halitosis
	Prevention of Halitosis
		Special Population Considerations for Halitosis
	Assessment of Halitosis
	Patient Counseling for Halitosis
	Hygiene-Related Denture Problems
	Pathophysiology of Hygiene-Related Denture Problems
	Prevention of Hygiene-Related Denture Problems
	Assessment of Hygiene-Related Denture Problems
	Case 31–2
	Patient Education for Hygiene-Related Denture Problems
	Patient Counseling for Hygiene-Related Denture Problems
	Key Points for Prevention of Hygiene-Related Oral Disorders
Chapter 32: Orofacial Pain and Discomfort
	Tooth Hypersensitivity
	Pathophysiology of Tooth Hypersensitivity
	Clinical Presentation of Tooth Hypersensitivity
	Algorithm: Tooth Hypersensitivity
	Treatment of Tooth Hypersensitivity
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Product Selection Guidelines
			Special Populations
	Assessment of Toothache and Tooth Hypersensitivity: A Case-Based Approach
	Patient Counseling for Tooth Hypersensitivity
	Evaluation of Patient Outcomes for Tooth Hypersensitivity
	Teething Discomfort
	Pathophysiology of Teething Discomfort
	Clinical Presentation of Teething Discomfort
		Patient Education for Tooth Hypersensitivity
	Treatment of Teething Discomfort
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Topical Oral Anesthetics
			Systemic Analgesics
			Product Selection Guidelines
			Special Populations
	Assessment of Teething Discomfort: A Case-Based Approach
	Patient Counseling for Teething Discomfort
	Evaluation of Patient Outcomes for Teething Discomfort
		Patient Education for Teething Discomfort
	Recurrent Aphthous Stomatitis
	Pathophysiology of Recurrent Aphthous Stomatitis
	Clinical Presentation of Recurrent Aphthous Stomatitis
	Algorithm: Recurrent Aphthous Stomatitis
	Treatment of Recurrent Aphthous Stomatitis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Oral Debriding and Wound-Cleansing Agents
			Topical Oral Anesthetics
			Topical Oral Protectants
				Patient Education for Recurrent Aphthous Stomatitis
			Oral Rinses
			Systemic Analgesics
			Product Selection Guidelines
			Special Populations
	Assessment of Recurrent Aphthous Stomatitis: A Case-Based Approach
	Patient Counseling for Recurrent Aphthous Stomatitis
	Case 32–1
	Evaluation of Patient Outcomes for Recurrent Aphthous Stomatitis
	Minor Oral Mucosal Injury or Irritation
	Pathophysiology of Minor Oral Mucosal Injury or Irritation
	Algorithm: Minor Oral Mucosal Injury or Irritation
	Treatment of Minor Oral Mucosal Injury or Irritation
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
	Assessment of Minor Oral Mucosal Injury or Irritation: A Case-Based Approach
	Patient Counseling for Minor Oral Mucosal Injury or Irritation
		Patient Education for Minor Oral Mucosal Injury or Irritation
	Evaluation of Patient Outcomes for Minor Oral Mucosal Injury or Irritation
	Herpes Simplex Labialis
	Pathophysiology of Herpes Simplex Labialis
	Clinical Presentation of Herpes Simplex Labialis
	Treatment of Herpes Simplex Labialis
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
		Complementary Therapies
	Algorithm: Herpes Simplex Labialis
	Assessment of Herpes Simplex Labialis: A Case-Based Approach
	Patient Counseling for Herpes Simplex Labialis
	Evaluation of Patient Outcomes for Herpes Simplex Labialis
	Case 32–2
	Algorithm: Xerostomia
	Patient Education for Herpes Simplex Labialis
	Xerostomia
	Pathophysiology of Xerostomia
	Clinical Presentation of Xerostomia
	Treatment of Xerostomia
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Product Selection Guidelines
			Special Populations
	Assessment of Xerostomia: A Case-Based Approach
	Patient Counseling for Xerostomia
		Patient Education for Xerostomia
	Evaluation of Patient Outcomes for Xerostomia
	Key Points for Orofacial Pain and Discomfort
Chapter 33: Atopic Dermatitis and Dry Skin
	Role of Skin in Drug Absorption
	Atopic Dermatitis
		Pathophysiology of Atopic Dermatitis
		Clinical Presentation of Atopic Dermatitis
		Treatment of Atopic Dermatitis
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
				Antipruritics
			Complementary Therapies
	Algorithm: Self-Care of Dermatitis
	Dry Skin
		Pathophysiology of Dry Skin
		Clinical Presentation of Dry Skin
		Treatment of Dry Skin
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
		Nonprescription Medications Used to Treat Atopic Dermatitis and Dry Skin
			Bath Products
				Bath Oils
				Cleansers
			Moisturizers
				Vehicle Selection
			Topical Hydrocortisone
			Product Selection Guidelines
				Special Populations
				Patient Factors and Preferences
	Case 33–1
	Case 33–2
	Patient Counseling for Atopic Dermatitis and Dry Skin
	Evaluation of Patient Outcomes for Atopic Dermatitis and Dry Skin
		Patient Education for Atopic Dermatitis and Dry Skin
			Atopic Dermatitis
	Key Points for Atopic Dermatitis and Dry Skin
Chapter 34: Scaly Dermatoses
	Dandruff
	Seborrheic Dermatitis
		Pathophysiology of Seborrheic Dermatitis
		Clinical Presentation of Seborrheic Dermatitis
		Treatment for Seborrheic Dermatitis
			Treatment Goals
			General Treatment Approach
	Psoriasis
		Pathophysiology of Psoriasis
		Clinical Presentation of Psoriasis
		Treatment for Psoriasis
			Treatment Goals
			General Treatment Approach
		Management of Scaly Dermatoses
			Nonprescription Medications Used to Treat Scaly Dermatoses
				Cytostatic Agents
				Pyrithione Zinc
				Selenium Sulfide
				Coal Tar
				Antifungal Agent
				Ketoconazole
				Keratolytic Agents
				Salicylic Acid
				Sulfur
				Topical Hydrocortisone
		Assessment of Scaly Dermatoses: A Case-Based Approach
		Patient Counseling for Scaly Dermatoses
		Evaluation of Patient Outcomes for Scaly Dermatoses
	Algorithm: Scaly Dermatoses
	Case 34–1
	Case 34–2
	Patient Education for Dandruff and Seborrheic Dermatitis
	Patient Education for Psoriasis
	Key Points for Scaly Dermatoses
Chapter 35: Contact Dermatitis
	Irritant Contact Dermatitis
	Allergic Contact Dermatitis
		Pathophysiology of Allergic Contact Dermatitis
			Urushiol-Induced Allergic Contact Dermatitis
				Poison Ivy
				Poison Oak
				Poison Sumac
		Clinical Presentation of Allergic Contact Dermatitis
			General Presentation
				Presentation of Urushiol-Induced Dermatitis
				Severity of Poison Ivy/Oak/Sumac Dermatitis
		Treatment of Allergic Contact Dermatitis
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
				Prevention of Urushiol-Induced Allergic Contact Dermatitis
				Eradication of Toxicodendron Plants
				Removal of Antigen at Time of Exposure
				Relief of Itching
			Pharmacologic Therapy
				Pruritus (Itching)
				Weeping
				Inflammation
				Product Selection Guidelines
				Special Populations
				Patient Preferences
		Assessment of Contact Dermatitis: A Case-Based Approach
		Patient Counseling for Contact Dermatitis
	Algorithm: Allergic Contact Dermatitis
	Case 35–1
	Case 35–2
	Patient Education for Contact Dermatitis
	Evaluation of Patient Outcomes for Contact Dermatitis
	Key Points for Contact Dermatitis
Chapter 36: Diaper Dermatitis and Prickly Heat
	Diaper Dermatitis
	Algorithm: Diaper Dermatitis
	Case 36–1
	Patient Education for Diaper Dermatitis
	Patient Counseling for Diaper Dermatitis
	Evaluation of Patient Outcomes for Diaper Dermatitis
	Prickly Heat
		Pathophysiology of Prickly Heat
		Clinical Presentation of Prickly Heat
		Treatment of Prickly Heat
			Treatment Goals
			General Treatment Approach
				Nonpharmacologic Therapy
				Pharmacologic Therapy
				Emollients, Skin Protectants, and Antipruritics
				Other Pharmacologic Agents
				Product Selection Guidelines
		Assessment of Prickly Heat: A Case-Based Approach
	Algorithm: Prickly Heat
	Case 36–2
	Patient Counseling for Prickly Heat
	Evaluation of Patient Outcomes for Prickly Heat
	Patient Education for Prickly Heat
	Key Points for Diaper Dermatitis and Prickly Heat
		Diaper Dermatitis
		Prickly Heat
Chapter 37: Insect Stings and Bites and Pediculosis
	Insect Bites
		Pathophysiology and Clinical Presentation of Insect Bites
	Algorithm: Insect Bites
	Insect Stings
		Pathophysiology and Clinical Presentation of Insect Stings
			Wild Honeybees, Wasps, Hornets, and Yellow Jackets
				Patient Education for Insect Bites
			Fire Ants
		Treatment of Insect Stings
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
			Complementary Therapies
		Assessment of Insect Stings
		Patient Counseling for Insect Stings
		Evaluation of Patient Outcomes for Insect Stings
	Case 37–1
	Patient Education for Insect Stings
	Pediculosis
		Pathophysiology and Clinical Presentation of Pediculosis
			Head Lice
			Body Lice
			Pubic Lice
		Treatment of Pediculosis
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
				Synergized Pyrethrins
				Permethrin
				Pharmacotherapeutic Comparison
				Product Selection Guidelines
			Alternative Therapies
			Emerging Therapies
		Assessment of Pediculosis: A Case-Based Approach
		Patient Counseling for Pediculosis
	Algorithm: Pediculosis
	Case 37–2
	Patient Education for Pediculosis
	Evaluation of Patient Outcomes for Pediculosis
	Key Points for Insect Bites and Stings and Pediculosis
Chapter 38: Acne
	Pathophysiology of Acne
	Clinical Presentation of Acne
	Treatment of Acne
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Physical Treatments
		Pharmacologic Therapy
			Adapalene
			Benzoyl Peroxide
			Other Nonprescription Acne Agents
				Hydroxy Acids
			Sulfur
			Sulfur/Resorcinol
		Pharmacotherapeutic Comparison
		Product Selection Guidelines
			Special Populations
		Complementary Medicine, Vitamins, and Vitamin Analogs
	Algorithm: Acne
	Assessment of Acne: A Case-Based Approach
	Patient Counseling for Acne
	Evaluation of Patient Outcomes for Acne
	Case 38–1
	Case 38–2
	Patient Education for Acne
	Key Points for Acne
Chapter 39: Prevention of Sun-Induced Skin Disorders
	Pathophysiology of Sun-Induced Skin Disorders
	Clinical Presentation of Sun-Induced Skin Disorders
		Sunburn
		Drug Photosensitivity
		Photodermatoses
		Premature Aging
		Skin Cancer
	Prevention of Sun-Induced Skin Disorders
		Avoidance of Sun Exposure
		UVR Protection
			SPF
		Types of Sunscreens
			Chemical Sunscreens
				Aminobenzoic Acid and Derivatives
				Anthranilates
				Benzophenones
				Cinnamates
				Dibenzoylmethane Derivatives
				Salicylates
				Other Chemical Sunscreens
			Physical Sunscreens
			Combination Products
			Dosage and Administration Guidelines
			Safety Considerations
			Product Selection Guidelines
				Intended Use
				Patient Factors
				Use in Special Populations
	Assessment of Sun-Induced Skin Disorders
	Patient Counseling for Sun-Induced Skin Disorders
	Case 39–1
	Case 39–2
	Patient Education for Protection From Sun Exposure
	Evaluation of Patient Outcomes for Sun-Induced Skin Disorders
	A Word about Sun-Induced Ocular Damage
	Key Points for Sun-Induced Skin Disorders
Chapter 40: Skin Hyperpigmentation and Photoaging
	Skin Hyperpigmentation
		Pathophysiology of Skin Hyperpigmentation
	Algorithm: Skin Hyperpigmentation
	Case 40-1
	Patient Education for Skin Hyperpigmentation
	Photoaging
		Pathophysiology of Photoaging
		Clinical Presentation of Photoaging
		Treatment of Photoaging
			Treatment Goals
			General Treatment Approach
			Pharmacologic Therapy
				Hydroxy Acids
				Retinol and Retinaldehyde (Vitamin A Derivative)
				Ascorbic Acid (Vitamin C)
				Product Selection Guidelines
		Assessment of Photoaging: A Case-Based Approach
		Patient Counseling for Photoaging
		Evaluation of Patient Outcomes for Photoaging
	Case 40-2
	Patient Education for Photoaging
	Key Points for Skin Hyperpigmentation and Photoaging
Chapter 41: Minor Burns, Wounds, and Sunburn
	Pathophysiology of Minor Burns, Sunburn, and Wounds
	Clinical Presentation of Minor Burns, Sunburn, and Wounds
	Algorithm: Minor Burns and Sunburn
	Treatment of Minor Burns, Sunburn, and Wounds
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
			Wound Cooling and Cleansing
			Wound Dressing
				Types of Wound Dressings
			Minimizing Scarring
		Pharmacologic Therapy
			Systemic Analgesics
			Skin Protectants
			First Aid Antibiotics
			Topical Anesthetics
			First Aid Antiseptics
			Product Selection Guidelines
				Special Populations
		Complementary Therapies
	Assessment of Minor Burns, Sunburn, and Wounds: A Case-Based Approach
	Case 41–1
	Case 41–2
	Patient Counseling for Minor Burns, Sunburn, and Wounds
		Patient Education for Minor Burns, Sunburn and Wounds
	Evaluation of Patient Outcomes for Minor Burns, Sunburn, and Wounds
	Key Points for Minor Burns, Sunburn, and Wounds
Chapter 42: Fungal Skin Infections
	Pathophysiology of Fungal Skin Infections
	Clinical Presentation of Fungal Skin Infections
		Tinea Pedis
		Tinea Unguium
		Tinea Corporis
		Tinea Cruris
		Tinea Capitis
	Treatment of Fungal Skin Infections
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Clotrimazole and Miconazole Nitrate
			Terbinafine Hydrochloride
			Butenafine Hydrochloride
			Tolnaftate
			Undecylenic Acid
			Salts of Aluminum
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
		Complementary Therapies
	Algorithm: Fungal Skin Infections
	Assessment of Fungal Skin Infections: A Case-Based Approach
	Case 42–1
	Case 42–2
	Patient Counseling for Fungal Skin Infections
	Evaluation of Patient Outcomes for Fungal Skin Infections
		Patient Education for Fungal Skin Infections
	Key Points for Fungal Skin Infections
Chapter 43: Warts
	Pathophysiology of Warts
	Clinical Presentation of Warts
	Treatment of Warts
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Salicylic Acid
			Cryotherapy
			Other Pharmacologic Therapies
			Product Selection Guidelines in Special Populations
				Pregnancy
				Lactation
				Children
				Patients of Advanced Age
				Comorbid Conditions
				Dosage Form Considerations
		Complementary Therapies
			Folklore
			Vitamin A
			Dietary Zinc
			Garlic (Allium sativum)
			Occlusion With Duct Tape
	Algorithm: Warts
	Assessment of Warts: A Case-Based Approach
	Patient Counseling for Warts
	Evaluation of Patient Outcomes for Warts
	Case 43–1
	Case 43–2
	Patient Education for Warts
	Key Points for Warts
Chapter 44: Minor Foot Disorders
	Pathophysiology of the Foot
	Corns and Calluses
		Pathophysiology of Corns and Calluses
			A Word about Chronic Diseases and Foot Disorders
		Clinical Presentation of Corns and Calluses
			Corns
			Calluses
		Treatment of Corns and Calluses
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
				Salicylic Acid
		Assessment of Corns and Calluses: A Case-Based Approach
		Patient Counseling for Corns and Calluses
		Evaluation of Patient Outcomes for Corns and Calluses
	Algorithm: Corns and Calluses
	Case 44–1
	Patient Education for Corns and Calluses
	Tired, Aching Feet and Exercise-Induced Foot Injuries
		Pathophysiology of Tired, Aching Feet and Exercise-Induced Foot Injuries
	Assessment of Tired, Aching Feet and Exercise-Induced Foot Injuries
	Case 44–2
	Treatment of Tired, Aching Feet and Exercise-Induced Foot Injuries
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
			Shoe Inserts, Partial Insoles, and Heel Cups/Cushions
			Athletic Footwear
			Compression Stockings
			Compression Bandages
			Cryotherapy
			Contrast Bath Soaks
	Algorithm: Tired, Aching Feet
	Algorithm: Exercise-Induced Injuries
	Patient Counseling and Evaluation of Patient Outcomes for Tired, Aching Feet and Exercise-Induced Injuries
	Ingrown Toenails
	Pathophysiology of Ingrown Toenails
		Patient Education for Tired, Aching Feet
		Patient Education for Exercise-Induced Injuries
		Treatment of Ingrown Toenails
			Treatment Goals
			General Treatment Approach
			Pharmacologic Therapy
				Sodium Sulfide Gel and Nonsteroidal Anti-inflammatory Drugs
	Algorithm: Ingrown Toenail
	Assessment of Ingrown Toenail: A Case-Based Approach
	Patient Counseling for Ingrown Toenails
	Evaluation of Patient Outcomes for Ingrown Toenails
	Patient Education for Ingrown Toenails
	Key Points for Foot Disorders
Chapter 45: Hair Loss
	Pathophysiology of Hair Loss
	Clinical Presentation of Hair Loss
	Treatment of Hair Loss
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
			Minoxidil
			Product Selection Guidelines
		Complementary Therapies
	Algorithm: Hair Loss
	Assessment of Hair Loss: A Case-Based Approach
	Case 45–1
	Case 45–2
	Patient Counseling for Hair Loss
	Evaluation of Patient Outcomes for Hair Loss
	Patient Education for Hair Loss
	Key Points for Hair Loss
Chapter 46: Insomnia, Drowsiness, and Fatigue
	Insomnia
		Pathophysiology of Insomnia
	Algorithm: Transient and Short-Term Insomnia
	Case 46–1
	Patient Counseling for Insomnia
		Patient Education for Insomnia
	Evaluation of Patient Outcomes for Insomnia
	Key Points for Insomnia
	Drowsiness and Fatigue
		Pathophysiology of Drowsiness and Fatigue
		Clinical Presentation of Drowsiness and Fatigue
		Treatment of Drowsiness and Fatigue
			Treatment Goals
			General Treatment Approach
			Nonpharmacologic Therapy
			Pharmacologic Therapy
				Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
			Complementary Therapies
		Assessment of Drowsiness and Fatigue: A Case-Based Approach
	Algorithm: Drowsiness and Fatigue
	Case 46–2
	Patient Counseling for Drowsiness and Fatigue
	Evaluation of Patient Outcomes for Drowsiness and Fatigue
	Patient Education for Drowsiness and Fatigue
	Key Points for Drowsiness and Fatigue
Chapter 47: Tobacco Cessation
	Pathophysiology of Tobacco Use and Dependence
	Clinical Presentation of Tobacco Use and Dependence
	Smoking Cessation Treatment
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
			Helping Patients Quit: The 5 A’s Approach (Comprehensive Counseling)
				Ask About Tobacco Use
				Advise to Quit
				Assess Readiness to Quit
				Assist With Quitting
				Arrange Follow-up Counseling
			Counseling Interventions for Quitting
				Counseling Patients Who Are Not Ready to Quit: Ongoing Assessment
				Counseling Patients Who Are Ready to Quit
				Counseling Patients Who Recently Quit
				Counseling Patients Who Are Former Smokers
			Helping Patients Quit: The Ask-Advise-Refer Approach (Brief Intervention)
		Pharmacologic Therapy
			Nicotine Replacement Therapy
				Nicotine Polacrilex Gum
				Nicotine Polacrilex Lozenge
				Nicotine Transdermal Systems (Nicotine Patch)
			Prescription Medications for Smoking Cessation
				Nicotine Inhaler
				Nicotine Nasal Spray
				Sustained-Release Bupropion
				Varenicline
			Pharmacotherapeutic Comparison
			Product Selection Guidelines
				Special Populations
				Patient Factors
				Patient Preferences
		Complementary Therapies
			Electronic Cigarettes
	Algorithm: Tobacco Cessation
	Assessment of Tobacco Cessation: A Case-Based Approach
	Case 47–1
	Case 47–2
	Patient Counseling for Tobacco Cessation
	Patient Education for Tobacco Cessation
	Evaluation of Patient Outcomes for Tobacco Cessation
	Key Points for Tobacco Cessation
Chapter 48: Home Testing and Monitoring Devices
	Selection Criteria
	Pregnancy Detection Tests
		Physiology of the Female Reproductive Cycle
		Usage Considerations
			Mechanism of Action
			Accuracy Rate
			Interferences
			Usage Guidelines
			Product Selection Guidelines
		Assessment of Pregnancy Test Use
		Patient Counseling for Pregnancy Tests
			Patient Education for Pregnancy Tests
		Evaluation of Patient Outcomes With Pregnancy Tests
	Female Fertility Tests
		Basal Thermometry
			Usage Considerations
				Mechanism of Action
				Accuracy Rate
				Interferences
				Usage Guidelines
				Product Selection Guidelines
			Urinary Hormone Tests
			Usage Considerations
				Mechanism of Action
				Interferences
				Usage Guidelines
				Product Selection Guidelines
		Assessment of Female Fertility Test Use
	Case 48–1
	Patient Counseling for Female Fertility Tests
	Evaluation of Patient Outcomes With Female Fertility Tests
		Patient Education for Ovulation Prediction Tests and Devices
	Male Fertility Tests
		Usage Considerations
			Mechanism of Action
			Accuracy Rate
			Interferences
			Usage Guidelines
			Product Selection Guidelines
		Assessment of Male Fertility Test Use
		Patient Counseling for Male Fertility Tests
		Evaluation of Patient Outcomes With Male Fertility Tests
			Patient Education for Male Fertility Tests
	Fecal Occult Blood Tests
		Usage Considerations
			Accuracy Rate
			Mechanism of Action
			Interferences
				False-Positive Guaiac FOBT
			Usage Guidelines
				Patient Education for Fecal Occult Blood Tests
			Product Selection Guidelines
		Assessment of Fecal Occult Blood Test Use
		Patient Counseling for Fecal Occult Blood Tests
		Evaluation of Patient Outcomes With Fecal Occult Blood Tests
	Cholesterol Tests
		Usage Considerations
			Mechanism of Action
			Accuracy Rate
			Interferences
			Usage Guidelines
				Patient Education for Cholesterol Tests
			Product Selection Guidelines
		Assessment of Cholesterol Test Use
		Patient Counseling for Cholesterol Tests
		Evaluation of Patient Outcomes With Cholesterol Tests
	Urinary Tract Infection Tests
		Usage Considerations
		Mechanism of Action
		Accuracy Rate
		Interferences
		Usage Guidelines
			Patient Education for Urinary Tract Infection Tests
		Product Selection Guidelines
	Assessment of Urinary Tract Infection Tests
	Patient Counseling for Urinary Tract Infection Tests
	Evaluation of Patient Outcomes With Urinary Tract Infection Tests
	Human Immunodeficiency Virus Tests
		Usage Considerations
			Mechanism of Action
			Interferences
			Usage Guidelines
				Patient Education for HIV Tests
			Product Selection Guidelines
		Assessment of HIV Test Use
		Patient Counseling for HIV Tests
		Evaluation of Patient Outcomes With HIV Tests
	Hepatitis C Tests
		Usage Considerations
			Mechanism of Action
			Interferences
			Usage Guidelines
				Patient Education for Hepatitis C Tests
			Product Selection Guidelines
		Assessment of Hepatitis C Test Use: A Case-Based Approach
		Patient Counseling for Hepatitis C Tests
		Evaluation of Patient Outcomes With Hepatitis C Tests
	Case 48–2
	Drug Abuse Tests
		Usage Considerations
			Mechanism of Action
			Usage Guidelines
			Interferences
			Product Selection Guidelines
		Assessment of Drug Abuse Test Use
		Patient Counseling for Drug Abuse Tests
			Patient Education for Drug Abuse Tests
		Evaluation of Patient Outcomes With Drug Abuse Tests
	Blood Pressure Monitors
		Usage Considerations
			Mechanism of Action
			Interferences
			Usage Guidelines
			Product Selection Guidelines
				Aneroid Devices
				Digital Devices
		Assessment of Blood Pressure Self-Monitoring
		Patient Counseling for Blood Pressure Self-Monitoring
		Evaluation of Patient Outcomes for Self-Monitoring of Blood Pressure
			Patient Education for Self-Monitoring of Blood Pressure
	Miscellaneous Home Tests and Technologies
	Key Points for Home Testing and Monitoring Devices
Chapter 49: Adult Urinary Incontinence and Supplies
	Pathophysiology of Urinary Incontinence
	Clinical Presentation of Urinary Incontinence
	Treatment of Adult Urinary Incontinence
		Treatment Goals
		General Treatment Approach
		Nonpharmacologic Therapy
		Pharmacologic Therapy
		Use of Urinary Incontinence Supplies
			Product Selection Guidelines
			Complications From Absorbent Products
		Complementary Therapies
	Algorithm: Adult Urinary Incontinence
	Assessment of Adult Urinary Incontinence and Supplies: A Case-Based Approach
	Case 49–1
	Case 49–2
	Patient Counseling for Adult Urinary Incontinence and Supplies
		Patient Education For Adult Urinary Incontinence and Supplies
	Evaluation of Patient Outcomes for Adult Urinary Incontinence and Supplies
	Key Points for Adult Urinary Incontinence and Supplies
Chapter 50: Introduction to Dietary Supplements
	Use of Dietary Supplements
		Prevalence and Indications for Use
	Legislation and Regulatory Issues
		Dietary Supplement Health and Education Act
		New Dietary Supplement Ingredients
		Current Good Manufacturing Practice
		Labeling
		Dietary Supplement and Nonprescription Drug Consumer Protection Act
	Production Issues
		Plant Species and Parts
		Common Product Formulations
		Method of Preparation
		Standardization
	Common Quality Control Issue: Adulteration
	Quality Assurance Programs
		U. S. Pharmacopeia Dietary Supplement Verification Program
		ConsumerLab.com
		NSF International
	Hazards From Dietary Supplements
		False Advertising and Quackery
		Hazards Introduced by the Consumer
		Product Hazards: Adverse Effects and Drug Interactions
	Communication Issues
		Counseling on Dietary Supplements
		Case 50–1
		Case 50–2
		Considerations for Special Population Groups
			Older Adults
			Children
			Adolescents
			Pregnant and Lactating Women
			Kidney Disease
			Liver Disease
			Surgery
	Reliable Information Resources
		Micromedex, Alternative Medicine
		CARDS, NIH Office of Dietary Supplements
		Cochrane Database of Systematic Reviews
		ConsumerLab.com
		Dietary Supplement Ingredient Database
		Dietary Supplement Label Database
		Lexicomp, Natural Products
		MedlinePlus
		Natural Medicines
		National Center for Complementary and Integrative Health (NCCIH)
		Office of Dietary Supplements, National Institutes of Health
		PubMed Subset for Dietary Supplements
	Key Points for Dietary Supplements
Chapter 51: Natural Products
	Cardiovascular System
		Coenzyme Q10
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Fish Oil
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Garlic
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Red Yeast Rice
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Resveratrol
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
	Central Nervous System
		Butterbur
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Feverfew
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
				A Word About Cannabidiol
		Ginkgo
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Melatonin
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		St. John’s Wort
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Valerian
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
				A Word About Kava
			Safety Considerations
			Summary of Clinical Evidence
	Gastrointestinal System
		Ginger
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Milk Thistle
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Peppermint
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
	Endocrine System
		Alpha-Lipoic Acid
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Cinnamon (Cinnamomum cassia or C. aromaticum)
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
				A Word About Chromium
				A Word About Bitter Melon
	Immune Modulators
		Echinacea
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Elderberry
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Probiotics
	Physical and Mental Performance Enhancers
		Eleuthero (Siberian Ginseng)
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Asian Ginseng (Panax ginseng)
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Green Tea
			Therapeutic Uses
			Physiologic Activity
				A Word About Weight Loss Supplements
			Dosage and Product Considerations
			Safety Considerations
				A Word About Kratom
			Summary of Clinical Evidence
	Kidney, Urinary Tract, and Prostate
		African Plum
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Cranberry
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Dehydroepiandrosterone
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Saw Palmetto
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
	Musculoskeletal System
		Glucosamine and Chondroitin
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Methylsulfonylmethane
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		S-adenosyl-L-Methionine (SAMe)
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Turmeric/Curcumin
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
	Skin Conditions
		Aloe Vera
			Therapeutic Uses
			Physiological Activity
			Dosage and Product Concerns
			Safety Considerations
			Summary of Clinical Evidence
		Tea Tree Oil
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Concerns
			Safety Considerations
			Summary of Clinical Evidence
	Women’s Health
		Black Cohosh
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Chasteberrys
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Evening Primrose Oil
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Fenugreek
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
		Phytoestrogens
			Therapeutic Uses
			Physiologic Activity
			Dosage and Product Considerations
			Safety Considerations
			Summary of Clinical Evidence
				A Word About Piperine
		Assessment of Natural Product Use: A Case-Based Approach
		Case 51–1
		Case 51–2
Chapter 52: Common Complementary and Integrative Medicine Health Systems
	Overview of Common CIM Health Systems
		Major Categories
	Homeopathy
		Practice
		Training
		Theory and Evidence
		Safety
	Naturopathy
		Practice
		Training and Licensure
		Theory and Evidence
		Safety
	Traditional Chinese Medicine
		Technique
		Training
		Theory and Evidence
		Safety
	Chiropractic Care
		Techniques
		Training
		Theory and Evidence
		Safety
	Ayurveda
		Technique
		Training
		Theory and Evidence
		Safety
	Massage
		Technique
		Training
		Theory and Evidence
		Safety
	Conclusion
	Case 52–1
	Case 52–2
	Key Points for CIM Health Systems
Color Plates
	Color Plate-2
	Color Plate-3
	Color Plate-4
	Color Plate-5
	Color Plate-6
	Color Plate-7
	Color Plate-8
	Color Plate-9
	Color Plate-10
	Color Plate-11
	Color Plate-12
Updates
	Content Update for “Preface”