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OTC Medicines: Adverse Effects<br />

Commonly reported adverse effects that do not require laboratory tests to detect<br />

are listed below. These tables are not ALL INCLUSIVE and do not list medicines<br />

or supplements know to cause renal or hepatic impairment or blood dyscrasias.<br />

OTC Medicines: Adverse Effects<br />

Adverse effect<br />

Anorexia<br />

Anxiety<br />

Asthma<br />

(exacerbation of)<br />

Black stools<br />

Constipation<br />

Dependence<br />

Diarrhoea<br />

Dizziness<br />

Dry eyes<br />

Dry mouth<br />

Fever<br />

Flushing<br />

Gastric Irritation<br />

Caused by<br />

Diptheria/ tetanus/ pertussis (Tdap)<br />

Possibly phenylephrine<br />

Aspirin and salicylates<br />

Benzoates, Sulphites (preservatives)<br />

NSAIDs<br />

Propolis, Royal jelly<br />

Tartrazine (colouring agent)<br />

Iron<br />

Aluminium hydroxide (in antacids)<br />

Antihistamines (sedating only)<br />

Bulk-forming laxatives (if taken with too little fluid, or in<br />

people with dehydration)<br />

Calcium (supplements or in antacids)<br />

Codeine (decreases gut motility)<br />

Iron salts<br />

Laxatives (overuse, abuse)<br />

Omeprazole, lansoprazole<br />

Codeine<br />

Nicotine nasal spray, nicotine gum<br />

Oxymetazoline, xylometazoline (overuse of nasal products)<br />

Stimulant laxatives (eg, prolonged use of sennosides)<br />

Aloes<br />

Cascara<br />

Fluconazole<br />

H2 antagonists<br />

Iron salts<br />

Isphaghula<br />

Laxatives (overuse or abuse)<br />

Magnesium (supplements or in antacids)<br />

NSAIDs<br />

Omeprazole<br />

Orlistat<br />

Psyllium husk (bulk-forming laxative)<br />

Senna<br />

Oseltamivir<br />

Sumatriptan<br />

Antihistamines (sedating only)<br />

Prochlorperazine<br />

Scopolamine<br />

Antihistamines (sedating)<br />

Hyoscine<br />

Prochlorperazine<br />

Phenylephrine<br />

Diptheria/ tetanus/ pertussis (Tdap)<br />

Influenza vaccine<br />

Meningococcal vaccine<br />

Sildenafil<br />

Sumatriptan<br />

Aspirin<br />

Bromhexine<br />

Bulk-forming laxatives (flatulence, bloating)<br />

OTC Medicines: Adverse Effects<br />

Adverse effect<br />

Gastric irritation<br />

Cont…<br />

Headache<br />

Increased bleeding<br />

Caused by<br />

Caffeine<br />

Calcium (flatulence)<br />

Diptheria/ tetanus/ pertussis (Tdap)<br />

Dukoral (GI upset and rarely cramping)<br />

Eucalyptus<br />

Fish oils<br />

Fluconazole (abdominal pain, flatulence, nausea, vomiting)<br />

Garlic<br />

Iodine (oral)<br />

Iron salts<br />

Lactulose (cramps, flatulence)<br />

Levonorgestrel (nausea)<br />

Loperamide<br />

Magnesium, Potassium, Zinc salts<br />

Mebendazole<br />

Meningococcal vaccine<br />

NSAIDs<br />

Omeprazole<br />

Orlistat (flatulence, faecal urgency, fatty stools, discharge)<br />

Oseltamivir (nausea, vomiting, abdominal pain)<br />

Parsley<br />

Pyrantel<br />

Sildenafil<br />

Sodium bicarbonate (stomach cramps)<br />

Squill<br />

Stimulant laxatives (colic, cramps)<br />

Sumatriptan (nausea, vomiting)<br />

Turmeric<br />

Antihistamines (sedating)<br />

Analgesics (overuse)<br />

Black cohosh<br />

Diptheria/ tetanus/ pertussis (Tdap)<br />

Fluconazole<br />

Influenza vaccine<br />

Levocabastine eye drops and nose spray<br />

Meningococcal vaccine<br />

Nicotine replacement<br />

NSAIDs (including overuse)<br />

Omeprazole<br />

Oseltamivir<br />

Sildenafil<br />

Aspirin<br />

Bilberry<br />

Bromelain<br />

Clove<br />

Coleus<br />

Docosahexaenoic acid (DHA)<br />

Dong quai<br />

Feverfew<br />

Fish oils<br />

Garlic<br />

Ginger<br />

Ginkgo<br />

Page 195

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