Be Aware of Use of Over The Counter Medications

Over-the-counter (OTC) NSAIDs (Motrin, Advil, et.) and acetaminophen (Tylenol) are among the most commonly used medications.  Over-the-counter pain medications are commonly used in both adult and pediatric patients for analgesic effects and in children for fever. Adverse effects of their use include: GI distress, allergic reactions, kidney failure and liver toxicity with prolonged use and overdoses.  Publications regarding side effects are widely available to health care personnel, but this information may not be readily accessible or comprehensible to the public.  Warning labels often advise consumers to consult their physician for additional information. However, finding a doctor is a challenge for those without medical insurance.

Although all Food and Drug Administration (FDA) approved OTC pain medications are appropriately labeled with dosage information, not all brands supply the consumer with detailed information concerning adverse effects and contraindications. Indiscriminate use of OTC medications, such as pain medications,s is a concern to the medical community.   Obtaining OTC pain medications is much cheaper and easier than seeing a doctor and going through the process of obtaining a prescription drug. As a result, there is a high potential for inappropriate use and side effects, especially if people are unaware of the risks.

Most people are aware of GI side effects with NSAIDs.  Associated GI distress includes nausea, stomach upset, and ulcers. There is a low level of knowledge about OTC pain medications' potential adverse effects on the kidney and liver and on asthmatics. There is obviously a great need for patient education about OTC pain medications.  Literature indicates that the elderly are among those at highest risk for renal and GI side effects of NSAIDs.

All consumers of OTC pain reliever medicines should be encouraged to take a more active role in the maintenance of their own health. Consumers of OTC pain medications must be urged to read product ingredient labels since prescription and nonprescription cold medications can contain alcohol, acetaminophen, or NSAIDs.  Do not to exceed the recommended daily dosages, since doing so will not provide more rapid relief, but may increase the chances of adverse side effects.

Many people use OTC pain medications but are ill informed about their use and side effects. Be aware of the potential side effect accompanying the use of over-the-counter medications.