The ideal home pharmacy: a checklist with active ingredients

Fever on the weekend, diarrhoea while travelling, a cut while cooking: a well-sorted home pharmacy helps to react quickly with everyday complaints and small injuries. Yet in many households it is rather a collection of old remnants than a thought-out supply. This guide delivers a concrete checklist, ordered by use case, and deliberately relies on active ingredients instead of brand names. This way you know exactly what you have in the cupboard, avoid expensive double purchases and can ask specifically in the pharmacy. In addition we explain how you store medicines correctly, how long they are usable and how you keep the home pharmacy ready for use. Important beforehand: this guide does not replace medical or pharmacy advice and deliberately contains no dosage details. Its aim is to give a practical, permanently valid orientation with which you build up your home pharmacy sensibly once and afterwards keep it up to date with little effort.

At a glance

  • The checklist is ordered by use case and names active ingredients instead of brand names.
  • Basic equipment: agents against pain, fever, diarrhoea, nausea and a cold plus dressing material.
  • Medicines belong cool, dry and dark, not in the bathroom or the kitchen.
  • The expiry date applies only unopened, after opening a shorter period often counts.
  • Check once or twice a year, sort out expired items, add what is missing.

The checklist by use case

Instead of orienting oneself by brand names, it is worth thinking of the home pharmacy by use case and active ingredient. This way a clear structure arises that can be easily supplemented and with which it quickly stands out when a whole area is missing. This order by use case also makes it moreover easier to plan the home pharmacy together with the pharmacy. The first block is formed by agents against pain and fever. Here active ingredients such as paracetamol, ibuprofen or acetylsalicylic acid are usual, whereby ibuprofen additionally works anti-inflammatory. Which active ingredient fits best in the individual case depends on the type of complaints and on possible pre-existing conditions, which is why a short advice in the pharmacy is worthwhile here too. For the gastrointestinal area, an agent against acute diarrhoea with the active ingredient loperamide as well as an electrolyte solution to balance the fluid loss belong in the basic equipment, supplemented by something against nausea and travel sickness such as dimenhydrinate. Precisely the electrolyte solution is often forgotten but is especially important with strong diarrhoea or vomiting, because the body then loses a lot of fluid and minerals.

The second block concerns cold and allergy. Against a cold a decongestant nasal spray with an active ingredient such as xylometazoline helps, against cough depending on the type a cough-loosening agent, and against allergic complaints an antihistamine. Decongestant nasal sprays should, however, only be used short-term, since with longer use they can lead to a habituation effect. The third block is formed by external applications: a pain gel with an active ingredient such as diclofenac for bruises and strains, a wound and healing ointment for example with panthenol as well as a disinfectant for small wounds. An antihistamine as a gel can additionally do good with insect bites and light sunburn. This way the home pharmacy covers the typical small injuries and skin irritations of everyday life. Which of these agents are sensible for you depends on your household and can be well discussed in the pharmacy. A single household needs a different equipment than a family with small children or a household with older or chronically ill people, for whom additionally the personal long-term medicines play an important role.

Why active ingredient instead of brand name?

Behind many well-known brand names is the same active ingredient, often at a clearly and noticeably higher price. Anyone who buys by active ingredient recognises more easily what really lies in the cupboard and avoids taking the same active ingredient twice under different names, which can be a real safety risk. In the pharmacy you can specifically ask for the active ingredient and have a fitting, often cheaper preparation recommended. This checklist therefore deliberately names active ingredients and no brands. Always read the package leaflet and ask in the pharmacy in case of doubt. A practical side effect: anyone who knows the active ingredient can recognise it also abroad or with another manufacturer, which is helpful precisely when travelling.

Dressing material and aids

Besides the medicines, the dressing material forms the second pillar of every home pharmacy. As a rule of thumb it applies that it should be at least as well stocked as the first-aid kit in the car. With it, small cut, abrasion and laceration wounds can be treated that happen quickly in everyday life, for example when cooking, doing DIY or sport. To this belong sterile compresses in various sizes, gauze bandages and elastic bandages for joints, adhesive plasters and plaster strips in several sizes, ideally also waterproof, as well as a triangular cloth. Important is to pay attention to the sterility, because expired dressing material loses this and should be replaced. In addition, aids belong to it that make the difference in an emergency: a digital fever thermometer, sharp tweezers for removing splinters, a tick tweezer, dressing scissors with a rounded tip, disposable gloves and cooling compresses for bruises and insect bites, which best lie in the fridge. A list with important emergency numbers too does good service in an emergency.

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Storage and shelf life

Even the best equipment is of little use if the agents are stored wrongly. Medicines belong cool, dry and dark, as a rule at about 15 to 25 degrees. Light, warmth and humidity are the biggest enemies of medicines, because they can break down or change active ingredients without one seeing that on the preparation from outside. Exactly for this reason the bathroom and the kitchen, where many suspect their home pharmacy, are quite unsuitable: high humidity and temperature fluctuations can change the effect, suppositories melt and syrups spoil. The car or the windowsill too are ruled out as a storage place, since high temperatures are quickly reached there in summer. Better is a cupboard in the bedroom or in the hallway. A few agents must go into the fridge, which is noted on the packaging. Decisive is moreover that the home pharmacy is child-safe, that is lockable or placed high up. Anyone who additionally sorts the agents by use case in labelled compartments or boxes finds the right thing faster in an emergency and keeps the overview more easily.

On the topic of shelf life an important rule of thumb applies: the printed expiry date applies only to unopened packages. As soon as a product is opened, a shorter use-by period often counts, especially with eye drops, nasal sprays, syrups and mixed ointments. This use-by period is mostly in the package leaflet and can, depending on the product, range from a few days to several months. Therefore it is worth writing the opening date with a pen directly on the packaging. Keep medicines if possible in the original packaging with the package leaflet, so that application, dosage and expiry date remain traceable at any time. Loose tablets without packaging can hardly be identified later and should in case of doubt be disposed of, since confusions can be dangerous. Prescription and personal long-term medicines belong kept separate, in order to exclude confusion. Remnants of prescription medicines from earlier treatments have no place in the general home pharmacy, since they are easily applied wrongly and after the end of a treatment are as a rule no longer needed.

Use case Active ingredient or material (examples)
Pain and fever paracetamol, ibuprofen, acetylsalicylic acid
Diarrhoea and fluid loss loperamide, electrolyte solution
Nausea and travel sickness dimenhydrinate
Cold and allergy xylometazoline (nasal spray), antihistamine
Bruises and small wounds diclofenac gel, wound and healing ointment, disinfectant
Dressing material plasters, sterile compresses, bandages, thermometer, tweezers

When the home pharmacy is not enough

The home pharmacy is intended for light, temporary complaints and small injuries, not as a replacement for medical help. It helps to bridge the time until the medical clarification or to treat very small complaints oneself but does not replace a diagnosis. With strong, persistent or unclear complaints, with high fever, with shortness of breath, strong abdominal pain, absent improvement or worsening, the clarification belongs in the medical practice. Over-the-counter agents are not harmless: they too have side effects and interactions, which is why the package leaflet and the advice in the pharmacy are important. Anyone who regularly takes other medicines should clarify possible interactions before using a new agent, since some active ingredients can strengthen or weaken each other. With signs of an emergency, for example strong shortness of breath, unconsciousness or suspicion of a heart attack or stroke, call the emergency number 112 immediately.

Care, control and travel pharmacy

A home pharmacy is not a one-time project but needs some care. Anyone who has built it up sensibly once only needs to refresh it occasionally afterwards, which means clearly less effort than the first build. Recommendable is to go through it once or twice a year: check expiry dates, sort out expired and opened items and add what is missing. This way you avoid standing in an emergency in front of a cupboard full of expired or incomplete agents. A checklist or an app with a reminder function makes this easier and ensures that in an emergency everything is really there and effective. A good point in time for the control is for example the change of the season or the start of the cold season, because such fixed occasions are easier to remember than an arbitrary date. Expired medicines can in Germany mostly be disposed of via the residual waste, best in an opaque, knotted bag, or you hand them in at the pharmacy. It is worth, when sorting out, also creating right away a shopping list for missing or almost used-up agents, so that the home pharmacy can be supplemented uncomplicatedly at the next pharmacy visit. They do not belong in the toilet. Active ingredients can otherwise get into the waste water and burden the environment. With uncertainty about the right disposal or about regional regulations, the pharmacy is the right point of contact, because the rules can differ depending on the municipality.

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For when out and about, the travel pharmacy builds on the home pharmacy, adapted to destination, duration and fellow travellers. Frequently sensible are an agent like loperamide against diarrhoea together with an electrolyte solution, something against nausea, a sun protection and an agent against insect bites. Depending on the destination, an agent against heartburn, something against constipation or a hand disinfectant can also be sensible, since diet and daily rhythm often change when travelling. As a pain and fever agent an active ingredient such as ibuprofen is proven. Important medicines belong in the hand luggage. More details you find in our guide on the travel pharmacy. With long-distance journeys it is worth clarifying early which vaccinations or special agents are sensible and whether certain medicines are hard to get at the destination. This way the home pharmacy is at home and on the road a reliable companion that helps in the right moment without replacing the visit to the practice. With some planning during the build and a short control once or twice a year, it stays permanently ready for use and gives you the reassuring feeling of being well prepared for the most frequent small emergencies.

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Frequently asked questions about the home pharmacy

A good home pharmacy covers the most frequent everyday complaints: agents against pain and fever such as paracetamol or ibuprofen, something against diarrhoea such as loperamide with electrolyte solution, a decongestant nasal spray, an agent against nausea as well as external applications such as pain gel, wound ointment and disinfectant. Added to this is dressing material with plasters, compresses, bandages, thermometer and tweezers. What exactly is sensible depends on the household.
Behind many brand names is the same active ingredient, often more expensive. Anyone who buys by active ingredient, for example ibuprofen instead of a brand product, recognises more easily what they have and avoids taking the same active ingredient twice. This lowers costs and increases safety. In the pharmacy you can ask for the active ingredient and be advised. Always read the package leaflet.
Medicines belong cool, dry and dark, at about 15 to 25 degrees. Bathroom and kitchen are unsuitable because of humidity and temperature fluctuations, better is a cupboard in the bedroom or hallway. Important is that the home pharmacy is unreachable for children, ideally lockable. A few agents must go into the fridge, which is on the packaging. Keep prescription items separate.
The expiry date applies only to unopened packages. After opening a shorter use-by period often applies, above all with eye drops, nasal sprays, syrups and mixed ointments. Note therefore the opening date on the packaging. Do not use expired agents anymore. A control twice a year helps to sort out expired items. Keep medicines in the original packaging with the package leaflet.
It is recommended to go through the home pharmacy once or twice a year: check expiry dates, sort out expired and opened items, add what is missing. Also after a phase of illness a look is worthwhile. A checklist or app with a reminder makes it easier. This way the home pharmacy stays ready for use. With uncertainty a short advice in the pharmacy helps.
In Germany most medicines can be disposed of via the residual waste, since this is incinerated. Close them in an opaque bag, so that they are not accessible, especially for children. They do not belong in the toilet or drain. Many pharmacies take back old medicines. Regional regulations can deviate, in case of doubt ask in the pharmacy.
The travel pharmacy builds on the home pharmacy, adapted to destination, duration and fellow travellers. Often sensible are a diarrhoea agent with electrolyte solution, something against nausea, sun protection, an agent against insect bites and personal long-term medicines. With long-distance journeys or with children an advice is worthwhile. Check the shelf life and take important agents in the hand luggage.
For children other rules apply, because not every agent is suitable and the dosage is based on the weight. Child-appropriate preparations should be kept separate and labelled. Which agents fit, you discuss with the paediatric practice or pharmacy. With infants and small children caution is advised. Keep all agents safely and out of the reach of children.
The typical agents against pain, fever, diarrhoea or a cold are as a rule available over the counter, partly in limited pack sizes. Over the counter does not mean ineffective, however: they too have side effects and interactions, which is why package leaflet and pharmacy advice are important. Prescription long-term medicines belong kept separately. With strong or persistent complaints the home pharmacy does not replace the medical practice.

Sources

  • BARMER: recommended active ingredients by complaint (paracetamol, ibuprofen, ASA, xylometazoline), use-by periods, first-aid kit
  • gesundheit.gv.at (Austrian Chamber of Pharmacists): general equipment, storage not in bathroom or kitchen, child safety
  • IhreApotheken.de: checklist by use case, diclofenac gel, antihistamines, dressing material
  • BBK (Federal Office for Civil Protection): personal need, cool and dry storage, regular control, disposal
  • Deutsche Familienversicherung and pharmacy checklists: storage at 15 to 25 degrees, half-yearly control, electrolyte solutions
  • Travel pharmacy checklists: adaptation to destination, shelf life unopened, agents requiring cooling, hand luggage

This guide serves general, neutral information and does not replace medical or pharmacy advice, diagnosis or treatment. The mentioned active ingredients are examples for orientation and represent no recommendation for a particular preparation and no dosage instruction. Over-the-counter agents too have side effects and interactions, so observe the package leaflet and have yourself advised in the pharmacy. Prescription and personal long-term medicines belong kept separate and child-safe. With strong, persistent or unclear complaints, turn to your medical practice. In an acute emergency, for example with strong shortness of breath, unconsciousness or suspicion of a heart attack or stroke, call the emergency number 112.