Over-the-Counter (OTC) Drug Abuse

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The table below lists some over-the-counter medicines that may be prone to misuse

OTC medicine category

Active ingredient

Example of some brand names containing these active ingredients

Opioid analgesics

Dihydrocodeine, codeine

Solpadeine Max, Nurofen Plus, Syndol, Paramol

Laxatives

Senna, bisacodyl

Dulcolax tablets/suppositories, Senokot

Stimulants

Caffeine

Pro-Plus, Panadol Extra

Antihistamines

Chlorphenamine, diphenhydramine, promethazine

Piriton, Nytol, Sominex

Cough / cold preparations

Dextromethorphan, pholcodine, pseudoephedrine, ephedrine

Sudafed Decongestant, Day Nurse, Benylin Dry Coughs (Original), Do-Do Chesteze

 

Possible warning signs and symptoms of OTC abuse:

  • Requesting large quantities
  • Excessively frequent requests
  • Theft from the pharmacy to prevent suspicion
  • Appears uncomfortable / hostile when answering questions
  • Becoming impatient / angry very quickly
  • Displaying possible signs and symptoms of OTC drug abuse e.g. patient is underweight and requests laxatives

 

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