Otc

Definition
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Acronym for "Over The Counter" preparations that cannot be prescribed on prescription.

Preparations
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Exemptions for non-prescription drugs for dermatology which are available only from pharmacies:

Nystatin: Only for the treatment of mycoses in immunocompromised patients.
Salicylic acid and urea containing external agents (urea ≥ 5%): In dermatotherapy as part of the treatment of hyperkeratotic diseases.
Basic therapeutics: As part of interval therapy only for treatment of atopic eczema, psoriasis and after radiotherapy.
Iodine compounds: Only for the treatment of ulcers and decubital ulcers.
Antihistamines:

Only in emergencies for treatment of allergies to bee, wasp, hornet venom.
Only for the treatment of severe recurrent urticaria.
Only for severe, persistent pruritus.

When prescribing these preparations, the therapeutic benefit for the treatment of the serious disease must be in accordance with the general state of medical knowledge.

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Note(s)
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The changes in the supply of pharmaceuticals as of January 1, 2004 did not only affect co-payments for prescription drugs. Non-prescription preparations and life-style drugs have had to be paid for in full by patients since then. Children up to the age of 12 and adolescents with developmental disorders up to the age of 18 are exempt from this regulation. There are also exceptions in the treatment of serious illnesses if the OTC preparations are considered standard therapeutic agents, such as ASA or iodide. The so-called lifestyle drugs, such as hair restorers, appetite suppressants, potency-enhancing drugs and drugs to quit smoking, must also be paid for by the patient.
In addition to co-payments for drugs, patients also pay 10% of the costs for bandages and aids. Only those whose expenses exceed the burden limit of 2% of gross income are exempt. For chronically ill people, the burden limit is 1% of annual gross income.

Literature
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Communication (2004) In: The German Dermatologist 2: 86-88
Verordnungstipp (2004) Hit list of non-prescription drugs. Business magazine for the dermatologist 8: 10

Tables
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Alfason (base cream only)	Delagil	Myko Cordes Cream
Anaesthesulf-Lotio	Duofilm	Nail Batrafen
Antifungal cream etc. (except Antifungol 6)	Elacutane	Nizoral
Basodexan	Ell-Cranell alpha	Nubral
Benzacnen	Epi-Pevaryl cream etc.	Nystaderm cream etc. (except Nystaderm comp.)
Betaisodona ointment etc.	Fenistil/-retard	Optiderm/-F
Bifon	Fungicide-ratiopharm cream etc. (except 1% vaginal cream and except vaginal tablets 100, pack of 6 vag.tbl.)	PanOxyl
CetiLich	Guttaplast	Pantostatin
cetirizine stada	Labine N/plus	Parfenac
Cetirizine-Ratiopharm	Linola/-fat (except linola H/H fat)	Polysept solution/ointment
Cloderm	Loraderm	Sanoxite/MT
Clotrigals	Loragals	Tannolact
Clotrimazole AL cream etc. (except vaginal tablets 100, pack of 6 vaginal tablets)	Lora-Lich	Tannosynt
Collomack	Lorano	Tavegil
Cordes BPO	Lora traces	Verrucid
Cromohexal Nasal Spray	Loratadine ratiopharm	Zetir
		Zyrtec

Indication	Active substance	Preparations (all potencies)
Erectile dysfunction	Alprostadil	Caverject, Viridal
	Papaverine
	Sildenafil	Viagra
	Apomorphine	Ixense, Uprima
	Tadalafil	Cialis
	Vardenafil	Levitra

Improvement of the hair growth	Minoxidil	Regaine
	Finasteride	Propecia
	Fluprednide acetate/estradiol	Criniohermal fem
	Prednisolone/salicylic acid	Alpicort
	prednisolone/salicylic acid/estradiol benzoate	Alpicort F
	Alfatradiol *	Ell Cranell alpha, Pantostin