Pharmacists Reveal Their Go-To OTC Medications

When you’re faced with endless shelves of over-the-counter (OTC) products at the pharmacy, choosing the right one can feel overwhelming. With so many options promising fast relief for everything from headaches to heartburn, how do you know what really works?

Fortunately, pharmacists—trained experts in medication—navigate these choices every day. Even more reassuring, they often use the very same trusted OTC medications for their own families.

We spoke with licensed pharmacists across the U.S. to find out which products they keep in their home medicine cabinets. Their insights can help you make informed, safe, and effective decisions for your family.

Reliable Pain Relief: Acetaminophen and Ibuprofen

For pain management, acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) remain the top choices among pharmacists.

“These are my go-to medications for everything from headaches to fevers,” says Dr. Alicia Mendel, PharmD, a clinical pharmacist in Denver, Colorado.

– Acetaminophen is excellent for reducing fever and alleviating mild to moderate pain without irritating the stomach.
– Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is more effective for pain involving inflammation, such as sprains or sinus pressure.

For children, many pharmacists recommend alternating between acetaminophen and ibuprofen under a pediatrician’s guidance, especially for stubborn fevers.

According to the American Academy of Pediatrics, about 70% of parents use both medications to manage childhood fever—but always consult a healthcare provider before doing so.

Best for Heartburn and Indigestion: Famotidine (Pepcid)

When heartburn or acid reflux strikes, many pharmacists reach for famotidine (Pepcid), an H2 blocker known for lasting relief and minimal side effects.

“Famotidine is more effective and safer compared to older medications like ranitidine, which was removed from the market due to contamination concerns,” explains James Lee, RPh, from Seattle.

Unlike proton pump inhibitors (PPIs) such as omeprazole—often intended for long-term use—famotidine provides quicker relief and doesn’t interfere with nutrient absorption when taken occasionally.

If you find yourself needing antacids more than twice a week, talk to your healthcare provider to assess the cause.

Cough and Cold Relief: Keep It Simple

When cold and flu symptoms strike, pharmacists avoid complex multi-symptom formulas and favor simple, effective ingredients.

“I recommend plain dextromethorphan for dry cough and guaifenesin (Mucinex) for chest congestion,” says Megan Rowe, PharmD, a clinical pharmacist in Orlando, Florida. “These single-ingredient medications work well without the extra additives such as sedatives or stimulants.”

Pharmacists also recommend the following home remedies alongside medications:

– Saline nasal sprays for congestion
– Warm tea with honey to soothe a sore throat
– Plenty of rest and hydration

According to the Centers for Disease Control and Prevention (CDC), most viral colds resolve within 7 to 10 days. Medications aim to relieve symptoms, not cure the illness.

First Aid Necessities: Infection and Itch Relief

For treating minor cuts, scrapes, and skin irritations, pharmacists rely on a set of basic but effective tools:

– Triple antibiotic ointment (like Neosporin) to help prevent infections
– 1% hydrocortisone cream to reduce itching, swelling, and inflammation

“These two are essential in my home,” shares Jessica Alvarez, PharmD, a hospital pharmacist. “They cover most minor injuries and skin reactions.”

Other first aid staples include adhesive bandages, alcohol wipes, and tweezers. Use hydrocortisone cream for insect bites or allergic rashes, but avoid applying it to open wounds.

Children’s Medicine Must-Haves: Liquid Tylenol and Motrin

When it comes to children’s medications, pharmacists favor easy-to-measure, palatable liquid forms of acetaminophen and ibuprofen.

“Accurate dosing is critical,” explains Dr. Darnell Price, PharmD, a pediatric pharmacy specialist. “Name brands like Tylenol and Motrin provide measuring syringes that reduce the risk of dosing errors—and kids are more likely to tolerate the flavors.”

According to Safe Kids Worldwide, over 50,000 children under age five visit emergency rooms each year due to accidental medication overdoses. Always store medications out of children’s reach and use the included measuring tools.

Everyday Allergy Relief: Cetirizine and Loratadine

For daily, non-drowsy allergy relief, most pharmacists use cetirizine (Zyrtec) or loratadine (Claritin).

“Zyrtec typically works faster and is better for moderate to severe allergy symptoms,” says Lisa Chan, a pharmacy technician supervisor. “Claritin is a great option for mild symptoms and almost never causes drowsiness.”

Both options are available in child-friendly formats such as flavored syrups and chewable tablets.

Tip: For kids with hay fever or seasonal allergies, a morning dose of cetirizine can provide relief all day long.

Digestive Support: Miralax and Fiber for Regularity

When managing constipation, pharmacists often recommend polyethylene glycol (Miralax) for short-term relief.

“It’s gentle, tasteless, and non-cramping. A great option for both adults and children,” notes Tom Hwang, PharmD, of Los Angeles.

For long-term digestive support, soluble fiber supplements such as psyllium (found in Metamucil) are preferred to maintain regularity and overall gut health.

One easy tip: Add a scoop of Metamucil to your morning smoothie to help with daily fiber intake and support heart and gut health.

Straightforward Advice from the Experts

Pharmacists consistently choose products that are backed by science and proven results, avoiding fads and flashy marketing claims.

“OTC medications are helpful tools, not solutions to every problem,” says Dr. Alicia Mendel. “If symptoms persist, you should always consult a healthcare provider.”

In summary, when it comes to managing minor health issues at home, keep your choices simple, effective, and guided by expert recommendation. And when in doubt, don’t hesitate to ask your pharmacist—they’re likely using the same trusted brands at home.

Stay Informed and Share the Knowledge

Looking to make more informed decisions the next time you’re in the pharmacy aisle? Bookmark this guide and share it with family and friends. A smart tip today could make all the difference tomorrow.

For more expert-approved OTC guidance, visit: edrugstore.com/otc-guides

Disclaimer

This article is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with your healthcare provider before taking any medications, including over-the-counter products.

References

1. U.S. Food and Drug Administration (2021). FDA Requests Removal of All Ranitidine Products (Zantac) from the Market. https://www.fda.gov/news-events/press-announcements

2. American Academy of Pediatrics (2021). Fever and Pain Medicine: Dosing for Infants and Children. https://www.healthychildren.org

3. Centers for Disease Control and Prevention (CDC). Common Colds: Protect Yourself and Others. https://www.cdc.gov/features/rhinoviruses/index.html

4. Safe Kids Worldwide. Medicine Safety for Children. https://www.safekids.org/medsafety

5. Mayo Clinic. Over-the-Counter Medication Safety Tips. https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/over-the-counter-drugs/art-20045438

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