Medication-Assisted Treatment

Low Concern

Fiona Kennedy
Written byFiona Kennedy
Dr Olalekan Otulana
Medically Reviewed by Dr Olalekan Otulana MBChB, MRCGP, FRSPH, MBA Addiction Specialist Physician
Last updated:
17 March 2026

Your Assessment: Your OTC Use Appears Within Normal Bounds

Based on your answers, your use of over-the-counter medication doesn’t currently show strong signs of dependency. That’s reassuring – but it’s worth knowing the risks before they develop.

What your answers suggest

You’re using OTC products occasionally and largely for their intended purpose. You haven’t experienced significant difficulty stopping, and it isn’t affecting your daily life.

Why OTC products still carry risk

Many people assume that if it’s available in a pharmacy without a prescription, it must be safe. That’s true when used as directed – but several common OTC products carry genuine dependency risk with regular use:

Codeine-containing painkillers (co-codamol, Nurofen Plus, Solpadeine): Codeine is an opioid. Tolerance and physical dependence can develop within 3 days of regular use. The paracetamol or ibuprofen in these products also accumulates, risking liver or kidney damage.

Night Nurse / Benylin / sedating antihistamines: Contain promethazine or diphenhydramine. Regular use disrupts natural sleep architecture and creates rebound insomnia – making it harder to sleep without them.

Laxatives: Often overlooked, but laxative dependency is a real clinical problem that can cause serious bowel damage.

 

Protective steps

  • Follow the stated dosage and duration on the packet – these limits exist for a reason.
  • Never use OTC painkillers containing codeine for more than 3 consecutive days.
  • If you find yourself buying the same product every week, that’s a signal worth paying attention to.
  • If you notice you’re reaching for it out of habit rather than genuine need, consider retaking this assessment.

This is informational guidance, not a medical diagnosis.

Everything you’ve shared is completely confidential. Our advice line is free and staffed by trained professionals.

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Hand holding white pills with orange pills and medication bottles in background for addiction treatment|Close-up of a metal spoon filled with dark red liquid, likely cough syrup, highlighting the potential for prescription medication abuse|Young woman with concerned expression during therapy session, sitting on couch with hand on head, facing a counselor in a bright, comfortable room|Young woman holding a bottle of red cough syrup and a dosage cup, highlighting the risks of codeine syrup misuse|Components of Lean drug mixture: bottle of codeine cough syrup, Sprite soda, candy, and a glass for mixing|Various boxes of over-the-counter pain medications including Panadeine Plus, regular Panadeine, and Nurofen Plus, highlighting potential for misuse and addiction|Young man holding a bottle of codeine cough syrup, illustrating the issue of codeine addiction among youth
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