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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 9, 2025
Nasal Allergies: ARIA International Guidelines
We tell you the over-the-lines guidelines your doctors read. Intranasal corticosteroids like fluticasone are the first-line option for controlling symptoms based on ARIA guidelines, while antihistamines (intranasal azelastine or oral loratadine) are recommended for additional relief. Find the best evidence-based recommendations for lasting symptom control.
January 9, 2025
Bloating and Gas
Guideline-recommended OTC strategies to manage bloating and gas, including first-line treatments like simethicone (80–160 mg after meals) and dietary modifications such as avoiding triggers and following a low-FODMAP diet. Track symptom patterns with a food journal and consider probiotics to improve gut health. For IBS-related bloating, prescription options like rifaximin may provide additional relief.
January 9, 2025
Constipation Treatment
OTC guide to constipation. Start with a high-fiber diet (20–35 g/day) or fiber supplements like psyllium, and maintain hydration and regular exercise. Osmotic laxatives such as polyethylene glycol (PEG) are first-line pharmacologic options for softening stools and improving motility. For persistent symptoms, stimulant laxatives like senna or bisacodyl may be used, with enemas reserved for severe cases.
January 9, 2025
Acute Bronchitis: Best OTC Treatments
Over-the-counter guide to acute viral bronchitis with supportive care, including hydration, rest, and pain relievers like acetaminophen or ibuprofen for discomfort. For cough relief, consider dextromethorphan (30 mg) or guaifenesin (600–1200 mg every 12 hours). In children, honey can reduce cough severity and improve sleep but should not be given to infants under one year. Antibiotics are rarely needed unless bacterial superinfection is confirmed.
January 9, 2025
Hives (Urticaria) Treatment
Medical guideline-based management of hives begins with scheduled antihistamines like loratadine (10 mg daily), cetirizine (5–10 mg daily), or fexofenadine (180 mg daily) to block histamine activity and reduce inflammation. Avoid triggers, including stress and NSAIDs, while monitoring symptoms. For severe or persistent cases, prescription options like glucocorticoids or biologic immunomodulatory drugs may be considered.
January 9, 2025
Skin Warts: At-Home Removal
The same guidelines your doctors use. Treat cutaneous warts effectively with over-the-counter options like salicylic acid (17–40%), applied daily after soaking the wart, or cryotherapy products for freezing small warts at home. For larger or persistent warts, professional treatments like photodynamic therapy, laser therapy, or surgical removal may be recommended.
January 8, 2025
Bug and Insect Bites: Treat and Prevent
Treat and prevent bug or insect bites with effective OTC at-home remedies and prevention strategies. Soothe itching and swelling with options like hydrocortisone 1% cream, diphenhydramine with zinc acetate, or calamine lotion. Clean bites with antiseptic solutions to prevent infection, and avoid future bites using DEET-based repellents or permethrin-treated clothing. For severe allergic reactions or secondary infections, explore prescription options like oral antihistamines, antibiotics, or epinephrine.
January 8, 2025
Birth Control Without a Prescription
In July 2023, the U.S. Food and Drug Administration approved norgestrel (Opill) as the first over-the-counter oral contraceptive pill available in the United States. Norgestrel is indicated specifically for the prevention of pregnancy, contains only progesterone, and is indicated for daily oral use.
January 8, 2025
Carpal Tunnel Syndrome: Get Better With At-Home Conservative Treatment
Guideline-recommended OTC carpal tunnel management with first-line treatments like activity modification and neutral-position wrist splints, particularly at night, to reduce nerve compression. Avoid ineffective therapies such as oral medications or magnet therapy. For persistent symptoms, professional interventions like corticosteroid injections, physical therapy, or, in severe cases, carpal tunnel release surgery may be necessary.
January 8, 2025
Chronic Cough: The Approach Doctors Follow
OTC evidence-based strategies for chronic cough, starting with a trial of first-generation antihistamine-decongestant therapy for suspected Upper Airway Cough Syndrome (UACS). If symptoms persist, consider intranasal steroids or antihistamines to address nasal inflammation. For unresolved cases, consult your doctor for asthma or GERD testing and tailored treatment. Seek medical care immediately for systemic symptoms, wet or bloody cough, or immunosuppression.