Over-the-Counter (OTC) Medication Request
Providing OTC meds when requested by patient
⚠️ This is NOT prescribing! Patient must ask for medication by name. This is customer service under medical direction.
Key Principles
- Patient MUST ask for medication by name
- Provide single dose only (in most circumstances)
- Give directly to patient who needs it (never "for a friend")
- When in doubt, don't give it out!
Symptoms Covered
- Minor pain (pre-existing/common conditions)
- Nausea or recent vomiting (not active)
- Diarrhea
- Pre-existing acid reflux
- Mild allergy symptoms
Before Providing Medication
- ✓ Patient asks for medication by name
- ✓ Confirm medication allergy status
- ✓ Inquire about pregnancy/lactation (if relevant)
- ✓ Confirm patient has had medication before
- ✓ Confirm time of last dose (avoid double dosing)
- ✓ Inquire about other medications and interactions
Common OTC Medications
| Medication | Use | Dose |
|---|---|---|
| Ibuprofen (Advil) | Mild-moderate pain | 400-800 mg |
| Acetaminophen (Tylenol) | Mild-moderate pain | 650-1000 mg |
| Dimenhydrinate (Gravol) | Mild-moderate nausea | 50 mg |
| Loperamide (Imodium) | Mild-moderate diarrhea | 2-4 mg |
| Diphenhydramine (Benadryl) | Mild allergy symptoms | 25 mg |
| Loratadine (Claritin) | Mild allergy (non-drowsy) | 10 mg |
| Antacids (Tums, Maalox) | Pre-existing heartburn | 2-3 tablets |
Universal Contraindications
- Allergy to the medication
- Has never taken the medication before
If Dispensing "To Go"
Label must include:
- Date
- Patient name
- Medication name & dose
- Number of tablets dispensed
- Instructions
- Name of clinic/company
- Provider name and professional designation
⚠️ Important: Balance available supply, event duration, and patient needs when considering more than single dose
Source: Odyssey Medical Consulting
Version: 2023-06-21