Introduction
Every family should keep essential medicines at home to safely and effectively handle everyday health problems. A well-stocked medicine kit can be invaluable during sudden illnesses or minor injuries. Whether reducing a fever in the middle of the night, easing a painful headache, or treating a small cut, having the right medicines available enables quick action and helps prevent unnecessary panic. Medicines are classified into two main categories in India and worldwide: Over-the-Counter (OTC) medicines and Prescription medicines. With so many options, it can be challenging to determine which medicines are truly essential and how to store them properly.
This guide will assist you in choosing the right OTC and prescription medicines, knowing when to use them, and Recognizing when it’s necessary to consult a doctor.
What are the OTC Medicines ?
- OTC medicines are those which we can go and buy without a doctor’s prescription, like for fever, pain, cold, allergy, etc.
- Regulatory authorities, the Central Drugs Standard Control Organization (CDSCO) in India or the Food and Drug Administration (FDA) in the United States, decide whether a medicine can be sold over the counter based on its safety and effectiveness.
OTC vs Prescription Medicine – How Do They Differ?

- As the name indicates, a doctor must prescribe “prescription medicines,” while you can buy OTC medicines without a prescription.
- People often use OTC medicines safely for short-term relief from mild symptoms, such as taking paracetamol to reduce fever.
- In contrast, patients with specific illnesses, long-term diseases, or serious health issues generally use prescription medicines. For example, doctors prescribe antibiotics to patients with infections. Patients must carefully follow the prescribed dosage and duration to avoid side effects or complications.
Which are the Essential Medicines to be kept at home?

1. Paracetamol
- Paracetamol is very commonly used to treat fever and mild to moderate pain.
- Popular brands:
- Crocin / Calpol 500/650 : Contains Paracetamol 500/650 mg
- Dolo-650: Contains Paracetamol 650 mg
Paracetamol Safety Checklist
- Adults
- Can take two 500mg tablets four times in 24 hours. You must wait at least four hours between doses.
- The maximum is eight 500mg tablets in 24 hours.
- If you’re taking 1g tablets, do not take more than four in 24 hours.
- Children
- Dose depends on weight/age; always consult with your doctor before starting.
- People with liver disease ,regular alcohol use use or abuse of alcohol should use paracetamol only under medical supervision.
- Avoid taking Multiple Products Containing Paracetamol.
- Many cold and flu medicines already contain paracetamol, and adding another painkiller can unknowingly cause an overdose.
- Always check the label before combining medications.

2. Ibuprofen
- Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID).
- It is commonly used for pain relief, Body Aches, and Fever.
- Popular brands:
- Brufen, and Ibugesic 200 /400/600 tablets : Contains ibuprofen 200/400/600 mg
- Combiflam tablets: a Combination of ibuprofen 400 mg + Paracetamol 325 mg
Safe Use of Ibuprofen at Home
- Stick to the lowest effective dose for the shortest duration.
- take it with food or milk.
- Patients with a history of allergic reactions—such as asthma, skin rashes, or other issues—to ibuprofen or other painkillers like aspirin should avoid taking it.
- Avoid use if you’ve had stomach ulcers, bleeding, or repeated heartburn/acidity.
- Do not take ibuprofen if you have recently had a heart attack without consulting your healthcare provider.
3. Antacids
- Antacids are drugs that helps to balance stomach acid levels.
- People commonly use them to relieve heartburn, indigestion, and stomach discomfort.
- Popular Brands:
- Digene – Composition : Magnesium Hydroxide + Simethicone + Sodium Carboxymethylcellulose + Aluminium Hydroxide).
- ENO – Composition : Svarjiksara (Shudh) + Nimbukamlam (Shushkam).
- Gelusil – Composition : Dimethicone + Magnesium Hydroxide + Aluminium Hydroxide Activated Dimethicone + Sorbitol Solution.
- Pudin Hara– Composition : Pudina Satva, Tulsi, Coriander, Alpinia Galanga, Achyranthes Aspera.
Ranitidine a Popular Antacid in India : Safety Alert
Ranitidine (popular brands include Rantac, Aciloc, Zinetac) is widely available both over-the-counter and by prescription in India. However, due to concerns about a potentially carcinogenic impurity called N-nitrosodimethylamine (NDMA), global drug regulators, including those in the US and Europe, recalled it and withdrew it from several markets. Although it is not banned in India, the Central Drugs Standard Control Organisation has directed the state drug controller to monitor NDMA in the active pharmaceutical ingredient of Ranitidine.
4. Antihistamines
- Antihistamines are a group of medicines used to treat allergic symptoms, also known as antiallergic drugs.
- They are commonly used for runny nose, sneezing, sore throat, skin rash, and itchy watery eyes.
- Popular Brands
- Zyrtec 5/10 Tablets : Contains Cetirizine 5/10 mg
- Allegra 120/180 tablets : Contains Fexofenadine 120/180 mg
- Xyzal 5 /10 tablet : Contains Levocetirizine 5 /10 mg
Antihistamines – DO’s and Don’ts
- Take the dose as directed by the doctor.
- Do not take two different antihistamines at the same time unless your doctor advises it.
- don’t drive or Do Anything requiring Alertness.
- Avoid taking alcohol with these medicines as it can make you more dizzy.
- use antihistamines with special precautions in Patients with :
- asthma
- Diabetes
- Enlarged prostate in males
- Epilepsy (fits)
- High blood pressure
- Increased eye pressure (glaucoma)
- Thyroid disease
5. Cough Medicines
- Cough medication helps to reduce cough symptoms, which can be caused by various factors including colds, allergies, or respiratory infections.
- There are different types of cough medicines:
- Cough suppressants – for non productive or dry coughs Like Dextromethorphan syrup.
- Expectorants – for Productive or wet coughs Like Guaifenesin syrup.
- Some cough medicines also combine ingredients to target multiple symptoms, like congestion or sore throat.
- Popular Brands
- Benadryl, Ascoril D, Ascoril LS.
- Soothing lozenges, like Strepsil, Vicks, to reduce throat irritation, are also available.
Safe Use of the Cough Medicines at Home
- Always remember to check the label for age limits and how much medication to take.
- It’s best to avoid using codeine-based cough syrups without a doctor’s approval, as they can lead to dependence and side effects.
- Be careful not to mix different cough syrups to avoid taking too much at once.
- See your doctor
- If your cough lasts longer than two weeks.
- if you notice blood in your sputum or saliva.
- if you have a high fever
- If you have wheezing (whistling sound during breathing) , or trouble breathing
6. Oral Rehydration Solution (ORS)

- ORS is a mixture of water, sugar, and electrolytes (sodium and potassium).
- It helps to prevent dehydration or assist the body in regaining lost fluids and minerals.
- People can use ORS during diarrhoea (loose motion), vomiting, fever, and heat-related illnesses.
ORS Usage Tips
- Use only WHO-Recommended Formula.
- Few brands in India that have been formulated according to WHO recommendations include Electral, Prolyte, Walyte, and Electrokind.
- Prefer boiled and cooled or packaged drinking water for preparing ORS.
- Dissolve the full contents of one ORS packet in the exact amount of clean water (usually 1 litre or 200 ml) as per the Instructions given on the pack.
- Prepare a new solution each day. Discard leftover solution after 24 hours.
7. Antidiarrheal
- Antidiarrheal drugs are Used for treating loose motions or diarrhea.
- They slow down the movement of the intestines, reduce fluid loss, and help to solidify the stool.
- Popular Brands
- Imodium, ROKO, Lopamide Capsules – contains Loperamide 2mg
Tips for the Safe Use of the Antidiarrheal Medicines
- Always use it with ORS because hydration is vital.
- Do not exceed the recommended dose.
- Do not use in children < 2 years .
- Avoid in people with bloody diarrhea, high fever, or liver disease without medical advice.
- Consult a doctor if
- Diarrhea lasts more than 2 days
- Fever
- Blood or mucus in stools
- Severe abdomen pain
8. Antiseptic Cream
- An antiseptic cream is an essential part of every home first-aid kit.
- It helps prevent infections and speeds up healing.
- Situations where it proves useful:
- Minor cuts and scratches – keep germs out of the wound.
- Burns and scalds – soothe the skin and lower infection risk.
- Insect bites and stings – relieves itching and safeguards against infection.
- Skin irritations – soothes redness or minor rashes.
- Popular Brands
- Betadine, Soframycin, Neosporin, Cipladine.
Antiseptic Cream: Quick Application Tips
- Gently clean the wound with water before applying.
- Use a clean cotton bud or a thoroughly washed finger to apply the cream.
- Cover with a sterile bandage if necessary.
- Do not apply to deep or serious wounds—seek medical advice instead.
How to store medicine safely at home?
- Keep out of reach of children – Store in secured cabinets or high shelves.
- Store in original containers – Labels provide vital information and expiry dates.
- Avoid bathroom and kitchen storage – Heat and humidity can harm medicines.
- Use airtight storage if needed – For moisture-sensitive tablets or capsules.
- Keep away from sunlight and heat – Some medicines lose Their effect when exposed.
- Refrigerate only if instructed – Not all medicines should go in the fridge.
- Check expiry dates regularly – Safely discard expired or unused medicines.
- Dispose properly – Never throw into open rubbish; follow local disposal guidelines.
Besides medicines, what other essentials should be kept in the medical kit?
- Band-aids (Different sizes) – For minor cuts and scrapes.
- Sterile cotton and gauze – For cleaning and dressing wounds.
- Crepe bandage – For sprains and support.
- Antiseptic solution (Dettol, Savlon, etc.) – To clean or disinfect the wounds or injury.
- Burn cream (e.g., Burnol) – For minor burns and scalds.
- Nasal saline spray – For nose dryness, Irritation or nasal congestion.
- Adhesive tape – To secure dressings or bandages.
- Scissors – For cutting tape, gauze pieces etc.
- Tweezers – For removing splinters, bee stings etc.
- Ice pack / hot water bag – For swelling, pain, or muscle pain relief.
- Digital thermometer – To measure fever.
- Digital BP Monitor- To measure blood pressure.
- Blood sugar monitor and stripes – If recommended by a doctor to check blood sugar levels.
Question to Ask your Doctor
Before beginning a new medication, your doctor can provide you with important information and address any questions you may have. Here are some helpful questions to consider about your medication:
- What’s the name of the medication?
- What’s it for?
- Is there a more affordable option?
- What condition does it treat?
- How long before it starts working?
- How will I know if it’s working?
- Are there any side effects to watch out for?
- What should I do if I experience severe side effects?
- Will it interact with other medicines, supplements, or over-the-counter drugs?
- What if I want to stop taking it?
- Is it okay to stop suddenly?
Conclusion
A well-stocked medicine box guarantees you are ready for common health problems at home. Remember, safe use is just as important as having the right medicines. Always read labels, avoid self-medicating for serious conditions, and consult your doctor if symptoms persist or worsen.
✅ Stay safe. Be prepared. And ensure your medicine box is updated regularly.
Further Reading
- https://www.nhs.uk/medicines/paracetamol-for-adults/how-and-when-to-take-paracetamol-for-adults
- https://medlineplus.gov/druginfo/meds/a682159.html#:~:text=Ibuprofen%20may%20be%20taken%20with,part%20you%20do%20not%20understand.
- https://www.nhs.uk/medicines/antacids
- https://timesofindia.indiatimes.com/india/monitor-ndma-levels-in-antacid-ranitidine-drugs-body-cdsco/articleshow/122961902.cms
- https://www.cdc.gov/medication-safety/about/index.html.
- https://www.nia.nih.gov/health/medicines-and-medication-management/taking-medicines-safely-you-age

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