Seven Common Misconceptions About Tylenol And Other OTC Drugs
Myth 1: OTC Drugs are Safer Than Prescription Drugs
Over-the-counter drugs can have serious side effects and can even result in death if taken incorrectly. Some 56,000 people end up in the emergency room each year from misuse of acetaminophen, the main ingredient in Tylenol, alone. As with prescription drugs, OTC drugs can interact with foods, other medications, and existing medical conditions and cause some major problems.
Myth 2: It Takes a Whole Bottle to Overdose
It’s possible to overdose without even knowing you took too much. For instance, according to government estimates about 100 people die each year after unintentionally taking too much acetaminophen (an overdose of the drug, which includes Tylenol, can poison the liver).
One of the biggest problems is that many OTC medicines sold for different uses have the same active ingredient. So someone who takes a cold remedy along with a headache remedy or prescription pain reliever may be inadvertently receiving three or four times the safe level. You should avoid taking multiple drugs with the same active ingredient at the same time.
Along with acetaminophen, another group of OTC drugs to watch out for are painkillers called NSAIDs (nonsteroidal anti-inflammatory drugs), which include aspirin, ibuprofen, naproxen and ketoprofen. Overdosing on these widely available drugs can cause stomach bleeding and kidney problems.
Myth 3: Any Potential Drug Interactions Will be Listed on the Label
While OTC drug labels will include some of the potentially harmful interactions on the label, you cannot rely on them to cover every one (and many people do not take the time to read the label anyway). Certain foods, drugs, herbs, vitamins and your own existing medical conditions could potentially create a harmful reaction. The best way to find out about these potential interactions would be to talk to a doctor or pharmacist, but since many OTC drugs are sold in grocery stores, convenient stores--even gas stations--there isn’t always a knowledgeable person available to answer your questions.
There are many interactions that can occur and many are unexpected. For instance, if you have high blood pressure you could have an adverse reaction if you take a nasal decongestant.
Myth 4: OTC Drugs are Cheaper Than Prescription Drugs
OTC medications are not always cheap. You may find that what you think is a simple OTC remedy is costing you more than some prescription drugs, and many cost more than the nutritional interventions you could take to address the underlying problems.
Myth 5: OTC Drugs Have Fewer Side Effects Than Prescription Drugs
All drugs carry the risk of side effects. Whether they’re prescribed by a doctor or bought over-the-counter does not make a difference in this risk.
Myth 6: It’s Safe to Use OTC Drugs With Vitamins or Other Nutritional Supplements
This is a major issue, as most don’t realize that vitamins and herbs can interact with medications just as medications can interact with each other. Interactions could cause unexpected side effects, could alter the effectiveness of the drug or vitamin making them more or less powerful, or could even worsen the condition you are trying to treat.
Myth 7: I Only Need to Look at the Active Ingredient on the Label
Inactive ingredients, which are labeled “inactive” by the FDA because they presumably have no effect on the body, can indeed be problematic. Many OTC medications contain additives that may surprise you, such as artificial dyes, caffeine and sweeteners like aspartame. You will want to be sure to read the inactive ingredients on the label along with the active ingredient section to be sure you are aware of exactly what you are consuming.
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