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The way over-the-counter drugs are regulated is a mess — and Congress is ready to step in

Lawmakers are moving to overhaul the way over-the-counter drugs are treated — and to ensure the FDA can move more nimbly.
Source: Scott Olson/Getty Images

WASHINGTON — The Food and Drug Administration has, for years, limited the amount of acetaminophen in any prescription painkiller to 325 milligrams a dose. Yet walk into your local CVS and you’ll still find dozens of non-prescription painkillers containing 500, even 650, milligrams of the ingredient.

The FDA also requires prescription codeine products to include a warning that they are unsafe for kids under 12. If your local drugstore carries it, you may find non-prescription codeine cough syrups that still list dosing information specifically for children.

If those inconsistencies boggle the mind, there’s little wonder: By nearly all accounts, the way in which over-the-counter drugs are regulated is a mess.

The FDA can move relatively nimbly to update dosing and label information for prescription drugs if new safety or scientific information emerges. The same simply isn’t true for over-the-counter products — a reality

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