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    North Edinburgh Drug and Alcohol Centre

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    Complex and Multiple Needs Service

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OTC Medicines

Over-the-counter (OTC) medication addiction refers to the compulsive or problematic use of medications that are available without a prescription, typically for the treatment of common health issues such as pain, cold and flu symptoms, allergies, or sleep disturbances. While these medications are generally considered safe when used as directed, misuse or overuse can lead to dependence, tolerance, and addiction.

Common types of over-the-counter medications that are associated with addiction include:


  1. Pain Relievers: OTC pain relievers such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), and naproxen (Aleve) are commonly used to alleviate minor aches and pains. However, prolonged or excessive use can lead to physical dependence and withdrawal symptoms.
  2. Cough and Cold Medications: Some OTC cough and cold medications contain ingredients such as dextromethorphan (DXM), pseudoephedrine, or codeine, which can have psychoactive effects when taken in high doses. Misuse of these medications can lead to addiction and other health complications.
  3. Sleep Aids: OTC sleep aids such as diphenhydramine (Benadryl) or doxylamine (Unisom) are used to treat insomnia or promote sleep. However, dependence and tolerance can develop with prolonged use, leading to difficulty sleeping without the medication.
  4. Allergy Medications: OTC allergy medications such as antihistamines (e.g., loratadine, cetirizine) are commonly used to relieve symptoms such as sneezing, itching, and nasal congestion. Misuse or overuse of these medications can lead to dependency and withdrawal symptoms.


Signs and symptoms of over-the-counter medication addiction may include:


  • Taking higher doses or more frequent doses than recommended.
  • Using OTC medications for non-medical purposes, such as to achieve a "high" or alleviate emotional distress.
  • Obsessively thinking about or craving the medication.
  • Experiencing withdrawal symptoms when attempting to cut back or stop using the medication.
  • Neglecting responsibilities or engaging in risky behaviors to obtain or use the medication.



Treatment for over-the-counter medication addiction typically involves a combination of therapy, support groups, and medical management. A healthcare professional can provide an assessment and recommend an appropriate treatment plan based on the individual's needs. It's essential for individuals struggling with over-the-counter medication addiction to seek help and support to overcome their dependence and regain control of their health and well-being.


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