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Over the counter (OTC) medicines

Over the counter (OTC) medicines are sold without a doctor’s prescription and have undergone a full TGA pre-market evaluation of their safety, quality, and efficacy before being supplied in the marketplace. 

About over the counter medicines

Over the counter (OTC) medicines have an ‘AUST R’ identification number that must be displayed on the label and packaging.

OTC medicines are most similar to prescription medicines as they contain higher-risk ingredients and make higher-risk indications than registered complementary medicines. Unlike prescription medicines, OTC medicines do not require a prescription to purchase them.

Over the counter (OTC) medicines are used mostly for mild health problems. These include:

  • headaches
  • aches and pains
  • sore throat
  • nose congestion
  • fever
  • fungal infection
  • upset stomach

Most OTC medicines are registered in the Australian Register of Therapeutic Goods (ARTG), while some are listed.

Where to buy an OTC medicine

Some OTC medicines can be bought off the shelf from supermarkets and pharmacies while others can be bought after consultation with a pharmacist.

  • general sales medicines like paracetamol tablets/capsules in small pack sizes
  • pharmacy medicines like esomeprazole tablets/capsules for heartburn and acid reflux
  • pharmacist-only medicines like the emergency contraceptive pill.

Supplying an OTC medicine on the Australian market

If you want to supply an OTC medicine on the Australian market, see Supply a non-prescription medicine.

How we ensure OTC medicines are safe

OTC medicines are individually evaluated by the TGA for quality, safety and efficacy before they are supplied in the marketplace.

This means the TGA fully evaluates the medicine (including its ingredients and the indications displayed on the label and other advertising) before it is available to buy on the market.

Reporting a problem with an OTC medicine

If you experience a problem or side effect from an OTC medicine, you should seek advice from a health professional and then report a problem or side effect to the TGA.

Suspicion that a product is fake, dangerous, illegal or misleading

If you think a product might be fake, illegal or the contents on its label, packaging or other advertising (e.g. website, social media or radio) is incorrect or misleading, you can report a breach to the TGA.

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  • Comply with paracetamol pack size changes

    If you are a non-pharmacy retailer such as a supermarket, petrol station or convenience store, you will only be able to sell packs of paracetamol containing 16 tablets or capsules from 1 February 2025.

    If you currently have paracetamol packs containing 20 tablets or capsules, you need to run down your stocks before 1 February 2025, or return them to the wholesaler. It will be illegal to sell packs of 20 from this date.
  • Buy and use paracetamol safely

    We know that paracetamol is safe and effective for most people when taken at the recommended dose. Making small changes to how you buy, use and store paracetamol medicines will help to reduce the risk of any accidental or intentional harm.

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