A guide to over the counter medicines in General Practice.

NHS England guidance advises that medicines available over the counter are generally not prescribed. Encouraging self-care helps make the best use of NHS resources. This guide outlines common over the counter (OTC) medicines and their use in primary care.

Find medicines by condition

Eye conditions

Common minor eye conditions such as dryness, irritation, and uncomplicated conjunctivitis.
Hay Fever and Allergic Rhinitis

Seasonal allergy symptoms such as sneezing, nasal congestion, and itchy eyes.
Indigestion and heartburn

Upper digestive symptoms including acid reflux, heartburn, and simple dyspepsia.
Lower GI conditions

Short-term bowel symptoms such as constipation, diarrhoea, and haemorrhoids.
Mild pain, discomfort, fever

Common short-term symptoms such as aches, sprains, headache, back pain, and period pain.
Scalp conditions

Mild scalp problems like dandruff and cradle cap treated with medicated shampoos.
Skin conditions

Mild skin conditions such as dry skin, dermatitis, acne, fungal infections, and sunburn.
Vitamins and minerals

Routine supplementation, for diagnosed deficiency or specific clinical need.

Find medicines by patient

Patients may be prescribed a medicine even if it is available over the counter, for example if:

They need treatment for a long-term condition.
They require treatment for more complex minor illnesses, or if shop-bought medicines have not been effective.
They need medication to manage side effects of a prescription medicine or symptoms of another illness.

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