Drugs that are safe and effective for use by everyone without a prescription are defined as over-the-counter (OTC) medications. These drugs tend to be located on shelves in pharmacies with easy access by patients, but may also be located in non-pharmacy outlets, such as food markets, convenience marts and huge discount retailers. In the U.S., there are more than 80 classes of OTC drugs, which range from allergy medicines to discomfort relievers to weight loss products.

A overnight delivery online restricted course of OTC medications exists in the U.S. This restricted course prescription discount card includes medications such as for example pseudoephedrine, emergency contraception, plus some Schedule V controlled substances. The products, while regarded as OTC, are held behind the pharmacy counter and should be dispensed by a pharmacist pursuant to correct identification, age group verification, and patient education. In March 2012, the FDA considered expanding the definition of nonprescription medicines to add cholesterol, blood pressure, birth and asthma control medications. This new Rx-to-OTC switch ruling is under review and commenting currently.

The U.S. Food and Medication Administration's (FDA) Division of Drug Information (CDER) evaluates and reviews OTC substances and labels. An OTC medication monograph is established for every class of product. The monograph contains suitable ingredients, doses, formulations, and labeling. New products that conform to an existing OTC drug monograph could cheapest be marketed er prices without insurance further FDA review. Those OTC items that do not conform to an OTC monograph must undergo approval through the brand new Drug Approval System.

OTC medications may carry risk. There is the possibility of side effects, drug or food interactions, or harm due to excessive doses. Individuals should read the 'Drug Facts' label that's found on all OTC items. All consumers, including older patients, women that are pregnant, and parents of small children should always consult with their pharmacist or various other health care provider if they have additional questions concerning OTC drug make use of.