Understanding OTC (Over the Counter) Drugs


Addiction center write-

Over the counter (OTC) drugs are medications available without a prescription at drugstores or supermarkets.

OTC drugs are typically safe if used at recommended doses. Like illegal and prescription drugs, they can also be abused. Although less potent than other substances, OTC drugs still pose a risk for developing an addiction.

Abusing OTC drugs can lead to health problems including memory loss, kidney failure, heart problems and death.

Some commonly abused OTC medications include:

  • Cough medicines (Dextromethorphan, or DXM)
  • Cold medicines (Pseudoephedrine)
  • Motion sickness pills (Dimenhydrinate)
  • Pain relievers (Acetaminophen)

OTC Drug Abuse

OTC drugs have various medical uses and effects, treating mild pain to motion sickness. Some abuse OTC drugs to self-medicate for mental illnesses like anxiety and depression. Abusing these medications can also give users a euphoric “high” or hallucinations. Any use outside of what’s recommended is considered abuse.

Someone abusing OTC drugs might move on to more dangerous or illicit drugs in search of a better high.

Cough medicines (Dextromethorphan, or DXM)

Cough medicines can cause hallucinations and a potent high when abused. Cough medicines are popular among young people, as they’re often readily accessible in medicine cabinets at home or at a friend’s house. High doses can cause vomiting, rapid heart rate, blurred vision, shakiness, and even brain damage.

Cold medicines (Pseudoephedrine)

Pseudoephedrine is a stimulant and the active ingredient in many cold medicines. People may abuse pseudoephedrine for hallucinations or an intense “body high.”

Pseudoephedrine is also used to create illicit drugs like methamphetamine. Abusing pseudoephedrine can cause irregular heartbeat, shortness of breath, high blood pressure, dizziness and seizures.


Motion sickness pills (Dimenhydrinate)

Dimenhydrinate is used to treat motion sickness and vertigo. In high doses, the drug can cause hallucinations, ringing in the ears, nausea, irregular heartbeat, seizures, coma and even death. The drug is often abused for its psychedelic properties.

Pain relievers (Acetaminophen)

Acetaminophen is the active ingredient in pain relievers like Tylenol. High doses and long-term use can lead to serious health problems such as permanent liver damage. Other side effects of acetaminophen abuse include diarrhea, sweating, nausea, and stomach pain. Acetaminophen is generally taken for its pain-relieving properties. Many abuse acetaminophen to treat chronic pain.

OTC Drug Addiction

Recreational OTC drug use can also change the brain’s chemistry over time. Eventually the user builds a tolerance to the drugs, needing more of the substance to get the previous effects. Those addicted to OTC drugs maybe also develop withdrawal symptoms when they stop using.

Common symptoms of OTC drug withdrawal include:

  • Confusion
  • Hostility
  • Anxiety
  • Mood changes

Learning to spot an OTC drug addiction can be difficult. OTC drugs like Tylenol and various cough medicines don’t carry the same dangerous image as illicit drugs like heroin. People don’t always see them as addictive, so many loved ones of people addicted to OTC drugs don’t know to look for signs of a growing problem.

Some of the signs of an OTC drug addiction include continuing to use the drugs despite known consequences and spending an excessive amount of time or money using or getting them. There are 11 key criteria to diagnose an addiction to any drug.

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