OTC Medication

Over-The-Counter Medications | OTC Medication Abuse, and List Of OTC Drugs

Nonprescription medications, commonly known as over-the-counter (OTC) drugs, serve to address mild ailments or alleviate common symptoms such as mild pain, cold, cough, diarrhea, constipation, acne, and more.
This category encompasses not only OTC drugs but also what are known as “behind-the-counter” drugs. While not strictly prescription-based, these medications are typically handled and dispensed with increased care and security compared to standard OTC drugs. Both types of medications can be easily obtained from pharmacies without the need for approval from a healthcare provider.

OTC Medication Abuse

While OTC products are generally considered to have a lower potential for abuse, dependence, and addiction compared to scheduled or controlled substances, it is crucial to recognize the potential dangers associated with their misuse. Some of these substances can be abused in various ways, leading to unintended effects, particularly when taken in high doses, combined with other substances, or altered in any way.
Misusing OTC medicines can involve:
  • Taking the drug in a manner or dosage different from what is indicated on the packaging or provided health information.
  • Using the drug with the intention of producing effects other than those intended, such as seeking a high.
  • Mixing OTC medicines or supplements together or tampering with them to create new effects.
It is imperative to exercise caution and adhere to recommended guidelines when using OTC products to avoid the potential risks associated with their misuse.

List Of OTC Drugs With Possibility of Abuse

The applications and potential for misuse of some commonly abused over-the-counter medications include:
  • Pseudoephedrine : Pseudoephedrine, treated as a prescription drug in some states, is a decongestant found in cold medicines like Sudafed and the allergy medication Claritin-D. While it can be abused for its stimulant effects, it is also chemically altered to produce methamphetamine/crystal meth. Products containing pseudoephedrine are often kept behind pharmacy counters, with age restrictions and purchase limits.
  • Dextromethorphan (DXM) : DXM, a cough suppressant in some cold medicines, can cause dissociative and hallucinogenic effects at higher doses. Extra-strength DXM products are sometimes abused, leading to dangerous practices known as robo-tripping or skittling. Abuse, especially when combined with other substances, can be hazardous and habit-forming, with potential for severe liver damage if the product contains acetaminophen.
  • Loperamide : Loperamide, an antidiarrheal found in Imodium A-D, acts as an opioid without crossing into the brain, limiting its potential for abuse. However, there have been reports of high-dose use to achieve euphoria or mitigate opioid withdrawal, posing a risk of fatal overdose due to its impact on the central nervous system.
  • Dimenhydrinate : Dimenhydrinate, sold as Dramamine, is an antihistamine used for nausea and motion sickness. Abused in high doses, it can induce euphoria or hallucinations. Misuse, especially when combined with alcohol, carries an increased risk of serious side effects and addiction.
  • Diphenhydramine : Diphenhydramine, in Benadryl, treats allergies and induces drowsiness. In higher doses, it can lead to sedation or intoxication. Abuse poses risks such as blurred vision, increased heart rate, confusion, seizures, or coma.
  • Pain Relievers (NSAIDs/Acetaminophen) : Nonsteroidal anti-inflammatory drugs (NSAIDs) and acetaminophen, used for pain relief, are often abused in higher-than-recommended doses. Prolonged misuse can result in adverse effects such as upset stomach, ulcers, bleeding, and organ damage.
  • Diet Pills/Caffeine : Diet pills, supplements, and caffeine are misused for appetite suppression and weight loss, particularly in those with eating disorders. Due to their stimulant effects, prolonged use can be habit-forming and harmful, potentially leading to misuse for a stimulant high in high doses.
For further information, reach out to the healthcare experts at Anam Cara Recovery Center today.