Reducing risk of drowsiness with over the counter medications

December 2023 – Many of us turn to our local pharmacy for over the counter (OTC) products to help with sleep, allergies, the common cold or flu, or pain, which can be daunting. Older adults are particularly vulnerable to the side effects of medications including falls. While OTC medications may seem harmless because they don’t require a prescription, there are some things to consider when shopping.

1. Avoid combination products: When taking a combination product, there is a risk of doubling up on a similar drug without knowing it. For example, combining cough/cold medications which often include diphenhydramine with a sleep aid, such as Benadryl (the brand of diphenhydramine) would double your dose. These types of medications cause drowsiness which may increase your risk of falls. Consulting with a pharmacist can reduce overlap.

2. Use one pharmacy: When you use one pharmacy for medications, your pharmacist can better help you choose OTC medications that work well with your prescription medications to avoid the danger of falling due to drowsiness.

3. Start low and go slow: If you must use multiple OTC medications, add one at a time at the lowest suggested dose. Allow yourself time to understand how it makes you feel and only add other medications or increase the dose if it is truly needed.

Never hesitate to talk to your pharmacist when choosing an OTC medication. They’re close by, free to you, and have a great deal to share.