FDA wants to make more drugs available over the counter, but experts have raised safety concerns

image via New Scientist

February 20, 2026, 10:00 PM

• •The FDA is reviewing the possibility of more prescription drugs becoming available over-the-counter.
• •Experts have concerns about safety, misuse, and the added responsibility for patients.
• •Drugs with tight therapeutic windows or potential for abuse may not be suitable for OTC.
• •The Rx-to-OTC switch process involves rigorous scientific review.

The FDA is considering expanding the types of prescription drugs available over-the-counter (OTC), a move that could increase medication accessibility. However, pharmacy experts raise concerns about potential safety risks, drug misuse, and the increased responsibility placed on individuals. The review involves assessing which drugs can be safely taken without clinical supervision, with some experts suggesting that drugs like birth control pills and allergy medications could be potential candidates. The potential impact on patient monitoring, drug interactions, and the cost of medications are key considerations in this evolving debate.

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