Hugs Not Drugs

Let's talk about one thing that is noticeably different in Germany the moment your plane lands and you hit the airport newsstand looking for travel packs of Tylenol for your crazy jet lag. You WON'T find them. Or any "drugs" for that matter. Desperate for your fix, you drive to the grocery store, but nope -- not there either. Then you hit the local "drug store" thinking that a store devoted to selling cosmetics, diapers, maxi pads, condoms, shampoo and hand soap MUST sell drugs. No again. Next, you try to locate a department store that is somewhat like a Target because you reason, "Hey, Target has aisles devoted to every pain killer imaginable under the sun, so Germany must have a store like this too".

NO again. No drugs in the German department stores. What's a girl to do? Try locating an Apotheke -- you can find them simply by looking for a red letter A on a storefront -- it will look like this below...

BUT.... there is a catch. You still won't be able to walk in and walk out with a bottle of Tylenol.

From aspirin to things like Tums/Rolaids an Apotheke stocks it BUT you still can't just walk in and grab a bottle of aspirin and check out. You must ask the clerk -- even for "tums" (they are not called that here though), you need to see a clerk as this is considered "over the counter" medicine.

In fact anything containing Ibuprofen is not available freely AT ALL - that is considered hard core stuff - you need a prescription from your doctor to receive only a limited quantity. So you can forget Tylenol or anything else that you'd find in abundance in America. While equivalent forms are available here in lower dosages, they can only be purchased if you have a prescription and most doctors are not going to give you one for migraines and headaches and all of the minor aches and pains that we Americans pop pills for constantly.

When I showed a relative my big bottle of Tylenol that I brought over with me, she immediately read the ingredients and shook her head in shame, "You take this for a bad headache?". She couldn't believe how free we Americans are with popping potentially harmful drugs. I told her you can purchase these in grocery stores and gas stations which made her even more uncomfortable. Here in Germany, you can only obtain such things (including aspirin) at an Apotheke.

Another point to consider if you're moving to Germany or visiting: Vitamins, herbs, pills of any kind (aspirin, etc.) are not sold loosely in bottles. You cannot buy a 500 tablet mega jar of aspirin or Vitamin B6 in some mega super sized bottle as you can at GNC back home. Instead, you buy them in boxes and inside the box you will usually find 2 or 3 flat silver or white packages of pills that you pop out. I'm not sure if this is the case for prescription medication but for over-the-counter I see a difference in size vs. when shopping for similar over-the-counter medicines in the states.

This photo below is the ASS that I told you I asked a clerk for once in a previous blog post, ASS is the name of the aspirin brand I assume, but it is pronounced Ah - Ess - Ess and I just asked for ASS pronounced the English way and the clerk was understandably confused. :) But this is how "drugs" are presented (and vitamins too) in Germany... in humble, small boxes versions mega jars (see photo below).

TIP: If you are moving over soon from America, or perhaps flying over on business, pack a bottle of whatever it is that is legal that you cannot live without. Once you live here though, you can't ask your relatives to ship them over -- so enjoy your little bottle while it lasts. Oh and don't think you can be clever and pack multiples in your luggage, carry-in luggage, boxes... because if found you can be fined and of course, customs will take it from you.

But you know, I've lived here for 7 months already and ASS-C (aspirin with vitamin C) works great for me and when I have a cold, I usually buy herbal cough medicine that tastes like licorice and my cold is gone within 5 days or so. I know Americans think this approach is very old-fashioned but my health has improved so much since moving here that I think the German way is much, much better. Even my doctors visits are so much more thorough. I can't say enough positive things about the German health care system.

So that is my random post about stuff in Germany that's a bit different than back home, namely, drugs. Next post I will give you a short lists of some of my favorite brands here that you may find helpful the next time you're in Germany looking for basic things like toothpaste, shampoo and q-tips. :)

(images: wikipedia.com)

Comments

Everytime we go back to USA to visit or if anyone comes here we load up on medicine and vitamins! My daughter had Ibprofren with her at school because she gets headaches alot. Some of the kids over heard her offering some to classmate with headache...holy cow they acted like she was passing out herion or something. It's amazing how they live without certain things I can not.
Juliette said…
yeah, we keep a stash of American ibuprofen and it freaks out people, lol! I take 2 maybe once every 4 months, but still.
however, if you get it at the Apotheke (meaning a Dr. prescribed it) you only get HUGE amnts. They don't seem to make little mg amts like our US pills, only massive sizes, that even in the US you'd need a prescription for.

anywho - also, check around a DM drug store if you're looking for a good multivitamin. Vitamins there are soooo much cheaper than Apotheke ones! (have a friend who works in an Apotheke who told me, ha ha)

also - cough syrup here sucks. even prescription stuff! pray you never get a bad cough!
Anonymous said…
Hi Holly,

NyQuil is called "Wick MediNait" and DayQuil is called "Wick DayMed" and you can get it in every Apotheke :)

But my pharmacist always gives me a disapproving look when I buy it.

Stay well
Anonymous said…
That is really interesting. I had no idea ibuprofen was a controlled substance in Germany. I agree with you that German cold remedies probably lead to a faster recovery than the American method - I find that any kind of anti-histamine prolongs my colds. Great post!
haus maus said…
Lisa thanks for letting me know, that wasn't available a few years ago here and I haven't checked since so they must have added it. I have to go see what it looks like.
Hi Holly,

Sound like Germany is the same as here in Ireland, if you buy pandol for a headache you only get about 6-12 tablets in a blister pack. You have to ask at the counter too as I suppose this helps in some way prevent people from getting addicted to them or overdose on drugs. I lived with a young guy from America before and he was always taking protein stuff to get bigger muscles/ bodybuilding, I laughed at this stuff! I rarely ever take tablets, I have never got the flu, never been to hospital and rarely ever at the doctors. So I'm lucky that way. Natural remedies are always good though.

All things nice...
Anonymous said…
Most people in Germany (at least the ones I know) don't take any medicine when they have a cold because it doesn't really help you get better faster, it just masks the symptoms and they usually come back with a vengeance. We have a saying - "If you treat a cold with medicine, it will last 7 days. If you don't treat it, it will last a week." ;-) I treat my colds with lots of sleep, warmth and lots of water. But I rarely get sick anyway.
Amie McCracken said…
I had my mom send us a bottle of ibuprofen when we found out that we couldn't get it here. Guess they weren't looking especially close at the package when it went through customs. Hee hee.

But I'm used to not taking anything for a cold, so I haven't had a problem there. Just lots of tea, and they do have that.
Jane said…
I've have traveled throughout Europe and the drug stores seem to be pretty much the same. To be honest, I resent having to ask a chemist for aspirin or whatever remedy. As a Canadian I'm used to walking up and down the asiles and filling my cart with tylenol, tampons and whatever else I need without a second thought. It's funny, in North America when people are pain in we seem to like to "step it up" if you're in pain people wil say "maybe you need something stronger. Maybe you should see about getting a perscription!"
chris said…
actually, ibuprofene is freely available in germany over the counter. you can buy namebrand (it is called dolormain) or just generic. i usually buy the 800mg version (dolormin extra) without a prescription from a doctor.
chris said…
also, the equivalent of tylenol would be paracetamol in germany, which you can also get without any prescription at the pharmacy.
Lisa said…
Great tip Holly! I remember a similar thing happening when we were living in France. It took us forever to get a perscription for cold meds- horrible. We will make sure to put "American Meds" on our packing list for our move! Does anyone know if you can buy Zinc lounges in Germany? I use those a lot in the US and find they help my cold quite well...
Bella said…
I lived in Berlin and I don't speak a word in German. Imagine how hard it was to rent something. Craigslist saved me! You should give it a try :D About the deposit, some people will take a bondsman instead.
It worked for me! :)
Yvonne said…
Hahaha, this post made me laugh as I'm always in shock when I hit the medication isle in an American supermarket. I can't never really believe my eyes that Americans sell medication next to jam or meat and do not legalize real drugs like marijuana. It's quite a struggle here in Europe to get your hands on medication (not drugs) and I have to say that I just swallow it when I have a headache, period pains or whatever kind of silly pain as we are raised that way. I think I use about one strip of paracetamol a year and that knocks me out already. I think it's one of the biggest culture differences and I really love your view on this subject.
Anonymous said…
I'll second what Chris said, both ibuprofen and aceteminophen/Tylenol (called paracetemol in Germany) are available *without* a prescription at any pharmacy. You can get 30 400mg ibuprofen tablets or 20 500mg paracetemol tablets just by asking for them. I do it all the time. You can also buy multiple packages from online pharmacies. The Ratiopharm (no-name) brand is usually the cheapest.
Beth said…
Wow...that is a little scary to hear that you can't find Tylenol or it's equivalent easily or at all, but it's interesting to hear that you are feeling better overall as a result of not taking these medications. What happens when you have a really bad headache or cramps? Do you just have to suffer it out? Or, do you think your pain tolerance increases? Very interesting post!
Beth
julie said…
I'm currently suffering from a cold and my husband from an ear infection (we think), he has terrible vertigo - so we have been a good pair this weekend! Australia is much the same in that paracetemol and ibuprofen come in small blister packs (but you can buy them in the supermarket etc). Drugs with codeine or psuedoephedrine (I'm sure I spelt that wrong, ha!) have to be purchased over the counter, once again in small packs. Vitamins usually come in bottles though and can be bought anywhere. The differences with drug practices in different cultures is interesting. If you take anything with codeine in it such as cold and flu medication into Greece for instance, you would be arrested! I prefer not taking any medication if I can avoid it so I think the German way is a good way of living :)
Brigitte said…
I'm not proud of this but...
I.would.die.
I think I have the flu, and I've taken both advil and tylenol at my mother's urging (she's an ER nurse).
Desiree said…
Wow, that's kind of a neat concept actually. As a family that doesn't generally reach for western meds anyhow, I think we'd be alright. Though I do like to have the gel advil migraine stuff on hand for the couple times a year I'm hit with an intense migraine.
hoopty doopty said…
I think as you stated it's the amount that is probably completely foreign to Germans when they see a 500 tablet bottle of Tylenol it looks wrong. In the end, acetaminophen or paracetamol are the drugs commonly found in tablets but it's the dosage regulation that is different.
It's relatively the same here in Australia. Difference: you can buy basic tablet packs, foil packets just like the ones you have, in grocery shops and a couple of other shops. When you need a script filled or any other medicinal remedy you go to a chemist. Everything is handled by the pharmacist, even hemorrhoid cream and eye drops. They go over with you the usage and ask questions, etc to make sure you are aware.
I think the tighter regulations do help against becoming dependent on a tablet for every single malady one experiences. It's important to remember that drug companies are big business in the States and the regulations are obviously quite different.
In saying that, I am American and I have never been one to take a tablet to remedy everything, even if they were readily available. It's called exercising restraint and there are so many natural and alternative ways available in the States as well. It's like cigarettes and alcohol. Available but you don't have to buy them and consume them.
I found the health care in Germany wonderful as well. I also found my doctor to be very thorough.
I'm sure all the walking you do has contributed to your overall health. Don't underestimate it's power on your health.
When you have a baby in Germany be prepared to stay in hospital for a week, unless it's changed. They coddle you there. No rushing you out the day after delivery there. :)
Malinda Lloyd said…
oh yes -it's similiar in Japan. I had to take a stock pile with me last trip and STILL had to email friends who'd lived there before because we ran out of something!
Anonymous said…
Yeah that sounds really like Germany. Makes me miss it even more (I'm currently as au pair in the states).
The blistes for the pills are for safety reasons I think:D
Anonymous said…
Hi Holly,
You forgot to mention that the people working at the Apotheke/pharmacy in Germany/Europe are (highly trained) pharmacists who are there to advise and help you. You tell them what your problem is and they will suggest a suitable product. I have tried to ask about things in American stores and have not been very lucky/happy about the experience.
Then obviously the pharmaceutical industry is out to make money and I read somewhere (sorry forget the source) that they make way more money in America than any other place. Europe seems to have more restrictions and as health care is public, the governments are not willing to pay as much for drugs as American insurance companies and so push down the prices. (Again, I read this somewhere a while back and forget the source.) Also, Americans are trained to take pills from when they are young. I am not sure that that is good.
It is funny that you bring this subject up today. I ordered the book "The Hundred-Year Lie: How Food and Medicine Are Destroying Your Health
Randall Fitzgerald" just yesterday and am curious about what it has to say.
Lea
Panadol (aka tylenol) and nurofen (aka ibuprofen) are sold here in Australia in blister packs like those pictured. The only place I've seen a bottle of loose pain killers is in America. I think the largest pack you can get of over the counter pain medication is a 24 pack. Other than that, I would say Australia is probably pretty similar to America in terms of drug usage. Although, I still have no idea what Nyquil is...!

I was in New Zealand recently and bought a pack of paracetamol with caffeine. It just sounded so wrong I couldn't not buy it.
Jeannette said…
I always bring back the mega packs of Aspirin etc when I'm in the US, never had problems with customs.
Even my brother in law (he's a pharmacist) wants me to bring him the stuff, as it is much cheaper in the US than here in Germany.
My colleagues know that I always have some US wonderpills in my desk and come to me when they need sth against their headaches.
In general I don't mind going to the pharmacy for drugs, as they can give you good advice there (the staff is well-trained).
Karine Ardault said…
I am always amazed when I am in the US, in a drugstore or a supermarket and see all the medecine sold without supervision and advice from a qualified person. I really appreciate the advice by my pharmacist to get appropriate medecine. But indeed, packaging is a ot smaller in Europe than in the US... I would not imaging buying jars of vitamins... guess it is just something I am not used to.
sabrina small said…
The most amazing thing for headaches and muscle soreness is Kyta-Balsam. I went back to the states and took a tube back with me because I can't live without it for migraines. Just a dab at the temples and a bit on the neck and shoulders will totally alleviate my throbbing pain. It has caffeine in it, like excederin migraine, but it's not as damaging to your liver, obviously, because you don't ingest it.

I should write a post about this stuff myself, come to think of it.

cheers from Berlin!
foodandfootage.com
Monica said…
Yes, there is nothing like that disparaging look from the Apotheker in Germany. In Germany you buy cough medicine and it makes the cough more productive. In the states you buy it and it suppose to make it stop. I think the difference in attitude comes from the fact that here you have time to be sick. Meaning here you can generally call out of work for three days and if you need longer you go to a doctor and he/she writes you a Krankmeldung. There are no allotted or earned sick days (I think I had three in NY) like in the US. Can't really say that our health coverage in Germany is better than what we had in the states. The big difference over here is that everyone has it.
Gabi said…
Well, when I first came to germany I couldn't believe i needed a prescription for anti baby pills (or whatever how you call this in english).. I take the same since I am 19 and now I have to go to the doctor every time I need an extra pack???
so whenever I go home i buy loads of it and bring it with me. I get my doctor to give me a prescription and never had a problem at the airport..

Have you ever tried to buy medicine online? My father in law usually buy big packs of aspirin online and I am almost sure he doesnt need any prescription for it. He also buys grandmas medicine online 8 for that I think he needs prescription though) and it is much cheaper than on the apotheke.

About vitamins, i also got a tip from a friend that you can buy them even in Aldi, and they are much chepaer than in the apotheke. I take biotin for my hair ( didnt you see any difference in your hair since you moved here?) and i paid last time 13 euros in the apotheke. I bought a much bigger pack in Aldi for 3 euros..

Such a nive thing to change these experiences..
vanessa said…
I have found that the thymian (thyme)syrup you can get at German Apotheke is AMAZING for sore throats and oncoming colds.
Or you can get Erkältungskapseln at DM, which are made with thyme. I think the syrup is more potent, though. Good stuff.
Natalie said…
This post really made me laugh. Although you can get Ibuprofen, Paracetamol & most of the vitamins I need in Germany (except for Feverfew that I take for migraines), it is such a palaver talking to the pharmacist that I just take them over with me from the UK. We've recently started stocking Ibuprofen by the 100 tub here in the UK and it certainly makes life easier (and much cheaper) to carry them over and keep them in my cupboard in Berlin. I try not to use them too often - and certainly prefer the German attitude to more natural remedies but if I have a bad headache Ibuprofen is the only thing that offers any relief.
Katja said…
Hi,
Thank you for that post Holly. I am German and I have always stared with an open mouth at every drug sold openly in aisles and aisles and aisles at drugstores in the US thinking that it can't be healthy to sell medicine like that.
And to Lea - the German healthcare system is not public - it is mandatory. If you have a job you pay a lot for your insurance at the moment 14,5% of your income. If you are unemployed the state pays for you. And there are some other exceptions - but healthcare in Germany is not paid by the state.
I also once thought about the cough medicine issue mentioned by Monica - you want to get rid of the cough so you have to cough a lot ;)
Thanks for this post, Holly.
Kind regards from Hamburg
Patricia said…
I haven't seen tylenol, but I know that Advil (ibuprofen) has been available in France for about 10 years now. The funny thing is that they have two kinds: Advil and "Anadvil". When I asked the pharmacist what the difference is she told me Advil is over-the-counter and Anadvil is exactly the same but you need a prescription and it's more expensive! And it's also sold in the blister packages, not in a bottle!
Frau Haselmayer said…
Have you tried ordering your medicine online? I always use www.sanicare.de. They have no shipping costs if you order for 20 € or more and almost every product is cheaper than at the local Apotheke. I'm a little surprised that they didn't want to sell you some Ibuprofen as it is sold freely. Just search at sanicare.de for 'Ibuprufen' and you will find plenty of products which are all available without prescription.
Hausfrau said…
I like the thyme syrup tip from Vanessa-- I will try that.

I think the German way makes so much sense! My husband had an MRI that would have prompted many American doctors to call for back surgery--that's what his German doctor said. The German doctor prescribed physical therapy instead. Yes!
Unknown said…
In the Netherlands, paracetomol, ibuprofen etc are no longer behind the counter. You can take them in isle of Kruidvat or Etos and pay for them at the register. They do ask you if you have any questions (because they have to by law).

Maybe a tip for the next time you visit us.
Anke Weckmann said…
ha, it's so true! I've gotten used to being able to buy paracetamol in supermarkets in england and when i go back to germany i find it very complicated.

(i would never take ibuprofen since my flatmate got irreparable holes in her stomach lining from it. so it's probably good that they do it that way in germany)
Anonymous said…
I did a study abroad in Austria several years ago. Luckily, I brough a huge bottle of excedrin (can't live without), but I also brought a few bottles of saline solution for my contacts. The saline solution was just about to run out and I still had a month left. I searched all over the place for contact solution. Finally, I ended up at the apothecary and got a glass bottle with no spout. (I still have the bottle because it was so pretty.)
Julia said…
I thought that Germany and the Netherlands would be more or less them same regarding this! Apparently not.

Here (NL) you can buy pain killers in the supermarket or if you go to a drugstore. Germany seems to be a bit more like Sweden (which is where I'm from) as there you also have to go to the pharmacy... I like the convenience of this better though, especially as the pharmacies close early most of the time.
LauraK said…
ibuprofen and paracetamol are available without prescription in germany. but sometimes the medicament is sold with a different name.
but many people (me included) still go to a docotr first to get a prescription, because then we can send the prescription (with a stamp from the pharmacist) and the receipt to the health insurance and get the money (or at least a part of it) we paid for the medicament back.
having a prescription simply makes the medicaments cheaper for you.
i always try to have some pain killers at home in case of an emergency. so when i go to my doctor i just tell him that i need a prescription for a pain-medicament and he always gives me one.
iva yaneva said…
Again, it is so interesting to read about the differences between the USA and Europe. We also have our drugs in small boxes, just like the one you showed. The only things you can get here without a recipe are aspirin, vitamins (not all of them though) and some peppermint drops if you have a sore throat. We use a lot of herbs and drink lots of herbal tea once we get sick (especially with homemade honey - yum!)
Kristy said…
That's really interesting. It's similar in Brasil, as far as the blister packs and low quantities and asking the pharmacist go. Some meds, like Tylenol, are available on the shelves, but they don't have big bottles like we do in the States. In my experience, it's rare that they ask you for a prescription for anything, even if the box says "by prescription only."
Anke Weckmann said…
ASS is short for "Acetylsalicylsäure"
(acetylsalicylic acid) which is in Aspirin. It's not the brand :)
chiaroscuro said…
Intersting post, I always thought that our health care system and "where to buy" works the same as in the us but of course not ... I usually take homeopathic medication only and ask the "Apotheker" to suggest me something, and it has worked perfectly well. But I also have been healthy for most of my adult life.
The German health system is brilliant. It's te one thing I truly miss living in the UK.
Sugar said…
As a person who gets migraines frequently, I would DIE without Advil. Seriously. I've tried some prescription stuff, but it's too much- so I am very happy that I live in the States. I'll happily bring along my very American Big Bottle next time I travel.
jja said…
"I told her you can purchase these in grocery stores and gas stations which made her even more uncomfortable."

I would feel the same way. ;-)Why would somebody want to buy mega pack of aspirin?

You can buy bottle of vitamines in Germany, maybe not 500 but 200-300 of them, very good price at http://www.kraeuterhaus.de/
all in a bottle.
For flu (if I feel very bad) I would use wick daymed or night version. I use this for years.
But the best way is to eat, shower, sleep before we take some pain killer.
When we are in pain our body is telling us something. It is better to listen (on the long run) then to dope. There are some really good natural alternatives to drugs.
jja said…
Oh I forgot, I recommand for those reading german great book wrote from a doctor: Die Krankheitserfinder. Wie wir zu Patienten gemacht werden.: Amazon.de: Jörg Blech: Bücher.
And anti baby pills are hormons, who would like to take them without doctor and monitoring?
Megan said…
I risk it every trip: aspirin, tylenol, sudafed, midol... I stock up. I respect the German reluctance to over-medicate but I haven't completely bought into the drug-free thing.

Finding a dentist is always fun too - most think it's a good thing when they say they can avoid using any kind of painkiller. That's when I walk out the door.
LINDSAY said…
I don't know how I feel about regulating meds, but I can say I believe most people over use them. It sounds like this system would perhaps make people think twice before popping a pill. My family and I only see a holistic doctor, and I can say we are generally in better health than most of our friends and family. Not that we don't ever get sick, but most things can be taken care of at home. I haven't had any meds, overthecounter or prescription in 6 years, except for a wisdom tooth extraction. My girls are 6 & 3, and they've never had an anitbiotic or tylenol or cough syrup. Nothing. Just their vitamins and healthy meals. I'm sure your health will be the better for cutting back.
Candace D said…
In Norway we carry this stuff in our dagligvarer butikker, but it has to be asked for in the register and you MUST be 18 to buy it like any apotek varer. You're allowed to buy one pack of ibuprofen and paracetamol but not two ibuprofen packs at the same time. The only other place you kind find these tablets is at a pharmacy (Apotek) or a shop that has a licence to carry pharmacy medisin. I have to say though, I'm completely guilty of stocking up on bottles of tylenol when I go home to Canada. I don't take them very often but I often find that when I have a horrible headache just one tylenol works faster than taking a regular Ibux. (ibuprofen)
Cate Lawrence said…
Really helpful to know, I get migraines and have neck problems and we're moving to Germany in January!
no need to stress. just across the board, in the netherlands, and you'll buy all that stuff in the grossery store!
sonia
Laura said…
I'm often 'importing' 'drugs' on flights home from the US. Most often, various cold medicines, also for my kids, and shhh... melatonin.
Teleri said…
I got Ibuprofen without a Rezept a few years ago, but maybe they changed the laws in the meantime. I don't care because I didn't like it anyway ;)
Sometimes the whole over-the-counter-thing and going to a doctor before annoys me a bit. Sure, it is a good thing because there are still people who think "much helps much" and take a whole package of, I don't know, Paracetamol and end up in hospital. But when you _know_ what your problem is and you _know_ the name of the medicine you took for the last 4 years, and you know that you will have to wait 4 weeks to get an appointment with your doctor (because everybody else needs a Rezept, too), I sometimes just stay at home and wait for it to pass.
Toby said…
You can get Ibuprofen without prescription at the Apotheke... but only the low dose rate I think 400 mg... then take two pills... ;-) and you have 800 mg.
Tylenol is a "Paracetamol"-product... you can also get it in a low dosage without prescription... so also take two pills ;-)
Kalessin said…
"My girls are 6 & 3, and they've never had an anitbiotic or tylenol or cough syrup. Nothing. Just their vitamins and healthy meals."

This made me laugh. Maybe I'm too german that way, but if you eat healthy and live healthy - why the hell would you want to take vitamins?
Or did I misunderstand and you don't mean pills?

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