Self-Care: Overthe Counter Medications
Over the counter medicationsare available without a prescription that can be used for symptom relief.
Before using any of these medications, please
refer to one of the following resources available on the internet to determine
if you should be evaluated by a nurse or physician and to learn more about your
condition, how to care for it, and serious signs to look out for:
If you need to see a nurse or physician, please make
an appointment with the health center. *Medications in italics are available in the self-care room at the health center.*
Fever in most cases is beneficial in
fighting an underlying infection and should not be suppressed. The underlying infection itself may require
treatment. Refer to the resources above
to find out. If there is significant
body aches and pains associated with fever, see section on pain below.
Pink eye has a variety of causes. red, itching, irritated eyes without pain, particularly due to allergic conjunctivitis may be relieved with over thecounter eye drops. If there is no eye pain, decreased vision, or continuous pus coming from the eye you may use Visine A or Naphcon A or lubricating eye drops/artificial tears. Never wear contacts when pink eye is present or when using these drops. If the eye is painful, has persistent pus, may have foreign body or chemical in the eye, vision is decreased or symptoms have been prolonged, make an appointment with the health center. If the cause is suspected to beviral, lubricating eye drops are best but Visine A or Naphcon A can be used oncein a while to decrease the redness in order to get through something like an interview. Be sure to consult the resources abovebefore treating pink eye and make an appointment if indicated or any uncertainty.
Debrox ear drops
soften ear wax to make it easier to remove.
If the runny nose is due to
allergies/hay fever, antihistamines such as Claritin (loratadine), Zyrtec or Allegra
or their generic versions may be beneficial.
Another antihistamine, Benadryl (diphenhydramine) may be used at bedtime but
avoid during the daytime especially if driving since it causes significant
drowsiness and will make you much less alert whether you realize it or not. If the runny nose is due to a cold, it is
better to allow the drainage to continue to run to help clear the infection. If using antihistamines such as Benadryl or
other antihistamine containing cold medicines such as Nyquil for runny nose due
to cold, use only if absolutely necessary and as little as possible.
Decongestants such as phenylephrine
(Sudafed) help to reduce
the swelling of the nasal passageway. Afrin
nasal spray can be used for 3-4 days but prolonged use may result in
See section on pain below. Cepacol lozenges are also helpful.
It is best not to suppress a cough. Cough’s help to assure your body is getting
rid of infectious material to prevent worsening infection. If your cough is intolerable to classmates,
roommates or you then you may find Robitussin (guaifenesin) DM somewhat
helpful. Dark chocolate has also
been found to alleviate coughs. Plain Robitussin (guaifenesin) helps somewhat to
thin mucus and loosens coughs but really doesn’t accomplish anything
significantly more than just adequate fluid intake will. Cough drops may also be helpful.
Oragel will help to
alleviate discomfort from canker sores inside the mouth. Abreva will help to alleviate
discomfort and promote the healing of cold sores near or on the lips.
Mylanta tablets and TUMS
may relieve indigestion and heartburn. Zantac,
Pepcid or Prilosec may also be helpful and will be effective for
a longer period of time than Mylanta or TUMS.
Vomiting is a natural response to rid
the body of infection. Nausea and vomiting
should be managed by maintaining good hydration by taking frequent sips of
clear liquids. Ginger beer (which has real natural ginger, not alcohol) and can
be found at various food stores helps to alleviate nausea. A prescription is needed for other
anti-emetics but are only prescribed when vomiting is prolonged (greater than
24-48 hours) and/or has led to signs of dehydration such as significant
lightheadedness or no longer urinating.
Diarrhea is a natural response to rid
the body of infection. If the diarrhea
is interfering with your daily schedule, then Imodium AD (loperamide) can be used to alleviate the symptoms.
Plenty of fluids and fiber in the diet
is the best way to manage constipation.
For short term relief you can use Miralax (polyethylene glycol).
See section on pain below. The cause of burning with urination should
always be determined by a healthcare professional. After the cause has been determined and
treated if necessary, you can use Pyridium (phenazopyridine) to alleviate the
Gyne-Lotrimin (clotrimazole vaginal cream) and other yeast
vaginitis creams will result in resolution of most cases of vaginal yeast
infection. The pill form of treatment
(Diflucan), requires consultation with a health center nurse or physician. You should only treat this condition if your
only symptoms are those typical of a vaginal yeast infection and have not
already failed a trial of medication.
See resources above.
Topical antibiotic ointments such as
Neosporin, bacitracin or triple antibiotic, help to prevent infection and
Topical antibiotic ointments such as
or triple antibiotic, help to prevent infection and promote healing. Aloe Vera gel and topical analgesic sprays
such as Solarcaine can help to alleviate associated pain as well as Tylenol or
Ibuprofen as discussed below in pain section.
Itching can be relieved with hydrocortisone
These are all caused by the same
infection called tinea and can be treated with lotrimin (clotrimazole) cream
although Lamisil cream is more reliable to assure treatment success. You should only treat these symptoms yourself
if your only symptoms are those typical of these conditions. See resources above.
(minor headaches, fever, minor injuries, minor abdominal pain, sore throats,
- Should typically
be tried first as it is generally safer and better tolerated than other pain
- You should not
use Tylenol (acetaminophen) if you have a history of liver problems. It is also important to make sure you do not
take more than the recommended daily limit since it can cause liver failure and
death in excess doses.
- You should keep
in mind that some cold medications and prescription pain medications are
combination products containing some Tylenol (acetaminophen) and should be
considered in your total daily dose.
- Always use the
lowest dose necessary to make the pain tolerable. Don’t use 2 pills when 1 will do.
NSAID’s (Non- steroidal
anti-inflammatory drugs) such as ibuprofen (Advil, Motrin) and naproxen (Aleve):
- In addition to
alleviating pain also reduce inflammation.
- If pain can be
controlled with Tylenol, it is best not to use NSAID’s in the first 48-72 hours
following an injury since inflammation during this time period helps to
- NSAID’s are a
great choice for menstrual cramps because they also have an effect on
prostaglandins which contributes to menstrual cramps.
- NSAID’s can cause
bleeding in the stomach so be sure to stop if you develop abdominal pain or
signs of blood in stool (black tarry stool) or vomiting blood.
- Always take
NSAID’s with food to avoid stomach irritation
- Long term use of
NSAID’s can cause kidney damage. Do not
use NSAID’s if you have a history of kidney disease. (It is ok to use NSAID’s with a history of
- Always use the
lowest dose necessary to make the pain tolerable. Don’t take 2 pills when 1 will do.
Topical menthol pain relievers such as BioFreeze,
Bengay, and Icy Hot may be applied to intact skin to relieve
underlying muscle soreness.