Medication-Assisted Treatment

Low Concern OTC Medication

Fiona Kennedy
Written byFiona Kennedy
Dr Olalekan Otulana
Medically Reviewed by Dr Olalekan Otulana MBChB, MRCGP, FRSPH, MBA Addiction Specialist Physician
Last updated:
28 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.

On this page
Woman reading the label on an orange prescription pill bottle
Anti-craving Medications For Alcohol

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Doctor holding a stethascope with the word disulfiram in white letters against a black background
Antabuse (Disulfiram)

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Image of tub of Librium medication with a person doing counselling on the side and a woman holding her head in her hands from librium detox symptoms
Librium Detox

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more
Moderate Concern OTC Medication

Rehabilitation from alcohol can be one of the most challenging addiction recovery journeys. Let us show you how to succeed.

Read more

Ready to start?
We're here for you