If you’re like us, you tend to ponder the same things over and over when you go into the drugstore: Are generics just as good as the name brand? Is it really fine to get my flu shot here? How about my running socks? And so we posed the following 20 questions to experts — pediatricians, podiatrists, fashion people, a hangover specialist — to get some official answers. The takeaways include good news about off-brand Band-Aids and pregnancy tests, quick fixes for blisters and pant rips, and a set of guidelines for what to look for in your vitamin labels. Should you also happen to be curious about the most popular CVS purchases among New Yorkers (they include melatonin, of course), read on for a list of those, too.
1) Is there a circumstance where I should be buying name brand over-the-counter medication instead of a generic drugstore brand?
According to Dr. Judy Tung, internal medicine specialist at Weill Cornell Medicine and New York-Presbyterian, the FDA pretty strictly regulates the amount and quality of the active ingredient in both varieties of medication. So there aren’t obvious or known situations where brand is superior over generic here. But, Tung does note that it can sometimes be easier to shop for generics, simply because they’re labeled more clearly (e.g., you’ll see a bottle of “Acetaminophen” and know just what you’re getting — the analgesic/fever reducer — as opposed to having to look more closely at a brand-name bottle in order to decode what’s in it). Whether the medication is name brand or generic, Tung notes that the taste, color, and texture can impact your overall experience with it, which is why she personally buys those in transparent containers, to make sure the tablets are coated, and not too big: “’I know coarse, large pills are harder to swallow,” she says, “and pills without coating will taste bitter.”
2) What’s the deal with expiration dates? Can I take Advil or similar pain relievers after they’ve expired?
Most medications are stamped as good for one year, and that merely means that the company attests to the quality of their product — to the fact that the active ingredients won’t degrade (and therefore give you less relief) — for that amount of time. But just because the company is no longer liable after that point doesn’t necessarily mean the product has gone bad or become ineffective. Tung’s general advice is that you’re probably safe within a year after the expiration date. “Beyond that, it’s probably best just to replace it with a new bottle,” she says.
3) Why do Q-Tip-brand swabs feel so much more comfortable against my skin than the generic kind?
Dr. Mindy Gallagher of Tribeca Pediatrics thinks it has to do with the amount of cotton on the tip, as well as how tightly the cotton is spun (“It doesn’t unravel as much”). Dr. Amna Husain of Pure Direct Pediatric attributes the difference to slightly higher quality cotton. We couldn’t get much in the way of specifics out of Unilever, the Q-Tip parent company, but a representative did stress that “Q-tips® cotton swab sticks are made with paper sourced from sustainable forests and have never been made with plastic.” (Either way, of course, don’t stick those swabs inside your or your child’s ears.)
4) How many pregnancy tests do I actually need to buy for an accurate result? It seems like women will typically go and buy four or five different brands.
Buying more than one is likely a huge waste of money, according to Dr. Jennifer Ashton, OB-GYN and author of “The Self-Care Solution.” She explains that most tests will detect HCG (the pregnancy hormone) levels even under 50, which is a pretty high level of detection for a urine test. “Many women just buy them too soon, when that level of hormone isn’t yet detectable in urine,” she says, noting the usual recommendation is not to take a test until at least one day after a missed period. As for what brands she recommends, Ashton says that if she were buying one today, she’d choose a generic. “They’re all the same,” she says.
5) What are the best drugstore vitamin brands?
First, some rules of thumb: “When you’re at the drugstore, look for vitamins that are free of fillers (starch, silicon dioxide, corn maltodextrin) and dyes, which inhibit absorption,” says naturopathic doctor Maura Henninger. She advises customers to steer clear of ingredients like magnesium stearate, artificial colors and flavors, and hydrogenated fats, too. Dr. Griffin McMath, a naturopathic physician who works for the Institute for Natural Medicine, also looks for things like “no gluten” or “no soy” on the bottle. Henninger says to scan the labels for third party certification labels like the NSF stamp — although, taking out some of the guesswork going forward, CVS announced in May that it will only sell vitamins and supplements that have been third-party-tested for safety and label accuracy.
As for specific brands that meet these doctors’ standards: Nature’s Bounty, recommended by Henninger; Nordic Naturals, Enzymatic Therapy, and Gaia Herbs, all recommended by Dr. Jaquel Patterson, a licensed naturopathic physician; and Rainbow Light and New Chapter, recommended by Nicole Egenberger, a naturopathic doctor and clinical director. McMath is a little more choosy in this realm and believes that if you’re in a pinch, even if you’re using the brands above as a guide, the only vitamins she’d suggest buying from the drugstore as opposed to a more specialized retailer are vitamin C (for immune support), melatonin (for a better night’s sleep), and certain forms of magnesium (for tense or tired muscles).
6) I have a massive hangover, can the drugstore bring me relief?
Aside from the classics — an anti-inflammatory like Advil, plus a beverage with sodium, like Pedialyte or possibly Gatorade (just watch the sugar content, as sugar can make you even more nauseous) — there are supplements for this, according to Dr. Jason Burke, a physician dedicated to the study and treatment of the hangover. He does actually give credence to certain hangover cures you might see targeting you on Instagram these days, given that they often contain multiple helpful antioxidants and anti-inflammatories all in one capsule. Of course, these one-stop products typically aren’t available at the drugstore. But Burke says you can cobble together your own treatment using a combination of the following list: Alpha Lipoic acid (a powerful antioxidant that restores levels of vitamin E and C; go for the 200-400mg range), Curcumin (a natural anti-inflammatory; take a 500mg capsule), Milk Thistle (an herbal remedy and antioxidant for liver protection that typically comes in 250mg capsules), and a high quality multivitamin (the B vitamins in there, in particular, will help the body to process alcohol byproduct). According to Burke, this combo is akin to a pre-workout supplement, in that it gives your system the tools and supplies to deal with stress on the body. And he adds that, because it will help bring down inflammation, you’ll probably notice less hangover-puffy-pace, too. Advanced tip: If you’re able to plan ahead, Burke highly recommends taking these supplements 20 minutes before you start drinking–or, as the next-best option, before you go to bed after partying. Same goes for the old advice Advil before bed, too, because “it short-circuits the inflammation that’s going to set up overnight.”
7) Back to the subject of generics: Are CVS band-aids (60 for $3.19) as good as the Band-Aid (20 for $5.79) brand? Do they stick as well?
Not only are they as good, but they might even be better. “They both stay on very well, and I think the CVS brand band-aids are a little easier to take off, which is advantageous when it comes to kids,” says Dr. Gallagher of Tribeca Pediatrics. Dr. Husain of Pure Direct Pediatric agrees, noting that while every band-aid brand varies slightly, they all stick pretty well. Husain adds that those with sensitive skin might have a reaction to the adhesive in band-aids, but that she hasn’t noticed generic brands causing necessarily any more sensitivity. No matter the brand, as a general bonus tip, Dr. Husain suggests looking for band-aids with thicker padding, as thinner ones tend to come off more easily if water gets under them when you’re washing your hands or showering.
8) Is there any reason not to get a flu-shot at the drugstore?
Nope, none at all. “Drugstores purchase the same serum that we purchase in the hospital and all of the pharmacists are now credential certified to administer vaccines,” says Tung. Gallagher agrees, but does point out that adults with young children tend to feel more comfortable with someone they know administering the shot, rather than a stranger. There are different types of flu shots, Tung notes, such as a senior flu shot that’s recommended for folks over the age of 65 as well as a trivalent or quadrivalent form (the former meaning they throw three flu strains in that serum and the latter indicating that there are four). A doctor will make this distinction for you in the office, which could be an advantage over the drugstore route if you don’t know which to choose. “The fourth strain usually is an extra Influenza B strain, which is almost always a lesser play in flu season,” Tung says, though this year, we’re seeing a little bit more of Influenza B than we historically have. So if you’re still shopping for your flu shot and have the option, the quadrivalent form might be a superior choice.
9) Are any of the CBD products sold at the drugstore legit?
Even though CBD is still not exactly common at the drugstore, it’s only a matter of time, with Walgreens and CVS both announcing last spring that they would begin to sell CBD products in select states. The CBD industry remains unregulated, keep in mind, so buying these products can always be a gamble. That said, an early available-at-drugstores brand of CBD that seems promising to Mike France, CEO of cannabis-product-testing company Proper, is Social CBD (which recently rebranded from the name Select CBD, as you might still see