Overuse of OTC pain medication

I had a small amount of input in an article on the effects of over-the-counter (OTC) painkiller overuse in today’s Nashua Telegraph:

Over-the-counter pain killers are killing more than pain: they have been linked with more than 16,000 deaths and 103,000 hospitalizations a year in this country . . .

“They’re not benign, especially now that what was prescription medicine is now over the counter,” said internal medicine physician Kevin Pho. “You have to be wary that over-the-counter medicine can be dangerous, too.”

Pho said he feels comfortable recommending Tylenol to patients at doses of less than 4 grams per day. But he said the toxic effects of the drug begin at 5 grams – “a margin of two extra-strength Tylenol,” he noted in an e-mail response.

“I guess the bottom line is that every over-the-counter medication will have side and potentially dangerous effects,” he wrote. “Every patient should disclose what they are taking, (including OTC meds) to their physician.”

The study is taken from the American College of Emergency Physicians, and makes some good points. With what used to be prescription medication now OTC (i.e. Claritin, Prilosec, possibly a statin in the future), it is imperative that patients are informed with what they are taking, and disclose every medication (including OTC) to their physician.

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