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Over-the-Counter Guides
Expert-curated over-the-counter (OTC) guides providing comprehensive, easy-to-understand information. Access reliable, up-to-date self-care information based on the same guidelines your doctors follow.
January 14, 2025
High Blood Pressure: Best Drug-Free Solutions from the AHA
Regular at-home BP monitoring is preferred over sporadic in-office measurements. Manage hypertension with lifestyle modifications, starting with the DASH diet, which lowers BP by 10–20 mm Hg through reduced sodium and heart-healthy foods. Structured exercise (90–150 min weekly) can further reduce BP by 5 mm Hg, while limiting alcohol intake offers an additional 4 mm Hg reduction.
January 14, 2025
Hemorrhoids: Best Over-the-Counter Initial Treatment Steps
Standard of care for hemorrhoids is a trial of conservative management. Manage with dietary fiber (20–30 g/day) and warm sitz baths, enhanced with Epsom salts for pain relief. For temporary symptom control, use lidocaine gel for pain, phenylephrine cream or suppositories for vasoconstriction, and hydrocortisone 1% cream for inflammation. Short-term laxative therapy, like polyethylene glycol (PEG), can help soften stool and promote healing.
January 14, 2025
POTS: Heart Rhythm Society Treatment Consensus
Manage Postural Tachycardia Syndrome without medications via increased fluid intake (2–3 liters/day), higher salt consumption (3–5 grams/day with medical guidance), and compression stockings (20–30 mmHg). Gradual position changes and recumbent exercises, progressing to upright activities, improve symptoms and fitness. For severe cases, prescription options like fludrocortisone, low-dose beta-blockers, or midodrine may help, often requiring multidisciplinary care from cardiology, neurology, and physical therapy specialists.
January 14, 2025
Chronic Nailbed Infections: At-Home Doctor-Recommended Treatment
Manage nail infections lasting more than 6 weeks by avoiding irritants, prolonged water exposure, and nail trauma. First-line treatments include topical hydrocortisone 1% ointment applied daily for up to 3 weeks, and warm soaks with water, Burow’s Solution, or vinegar. For refractory cases, calcineurin inhibitors like tacrolimus 0.1% are effective, with surgery considered only for persistent cases.
January 13, 2025
Ringworm: Most Effective Over-the-Counter Treatment
Treat ringworm effectively with topical allylamine antifungals like butenafine (1% cream twice daily for 2 weeks) or terbinafine (1% cream once or twice daily for 1–2 weeks). These agents have high cure rates and are also used for athlete’s foot and jock itch. For widespread or resistant cases, consult a doctor for oral antifungal options like terbinafine or itraconazole.
January 13, 2025
Plantar Fasciitis: Proven Strategies to Recovery
Most common cause of heel pain. Managed with supportive footwear, ice therapy (15–20 minutes, 3–4 times daily), and NSAIDs for pain relief. For persistent symptoms, try stretching exercises and night splints, which help alleviate tension on the plantar fascia. Consult a doctor for refractory cases to explore corticosteroid injections, physical therapy, or advanced options like ESWT or surgery. Recovery may take 6–18 months, with most patients improving with at-home therapy.
January 13, 2025
Yeast Infection: Over-the-Counter Treatment
Yeast infection can be treated at home with over-the-counter topical antifungals: miconazole (2% cream or 100 mg suppository daily for 3–7 days) or clotrimazole (1% cream applied daily for 7–14 days). Consult a doctor if symptoms persist, as other infections may require antibiotics. For recurrent or severe cases, prescription options like fluconazole (150 mg single oral dose) or extended antifungal therapy may be necessary.
January 13, 2025
Orthostatic Hypotension: American Heart Association Guidelines
Manage orthostatic hypotension by staying hydrated with water or electrolyte drinks (≥240 mL, peak effect at 30 minutes), wearing compression stockings (20–30 mmHg), and practicing fall prevention techniques like lying down or crossing your legs if feeling faint. For persistent symptoms, pharmacologic options like midodrine or fludrocortisone may help. Consult your doctor about safely increasing fluids and sodium intake if appropriate.
January 13, 2025
Urinary Incontinence: Best Evidence for At-Home Management
Classified as stress, urge, overflow, or functional. Stress incontinence responds well to pelvic floor exercises (Kegels) or vaginal pessaries, with severe cases potentially requiring medications like duloxetine or surgical intervention. For urge incontinence, OTC transdermal anticholinergic patches can reduce bladder overactivity, while prescription options like oral anticholinergics, beta-3 adrenergic agonists, or Botox injections may help in more severe cases. Seek medical attention for red-flag symptoms or new-onset incontinence.
January 13, 2025
Skin Tags: At-Home Removal and Warnings
Skin tags are benign growths that can be removed for cosmetic reasons. At-home removal using cryotherapy (e.g., Dr. Scholl’s Freeze Away) is effective but should be avoided in people with diabetes or bleeding disorders. For large or facial skin tags, professional treatments like surgical excision, liquid nitrogen cryotherapy, or electrosurgery are recommended to minimize scarring and complications.