
What do you do if you forget to take a dose of your medication? Is it harmful to take acetaminophen and ibuprofen at the same time? Can you flush medications that have expired? ASEBP’s pharmacist answers some of your commonly asked questions.
Every medication has risks and potential side effects. Always read the label carefully to ensure you take the right dosage at the recommended time. If you have questions, talk to your community pharmacist.
Acetaminophen (Tylenol) and ibuprofen (Advil) are over-the-counter medications used to relieve fever and pain. Acetaminophen is an analgesic (pain reliever) and antipyretic (fever reliever), whereas ibuprofen is a non-steroid, anti-inflammatory drug. While they relieve similar symptoms, how they work is different.
Generally, adults can alternate the use of ibuprofen and acetaminophen together (e.g., taking one, then taking the other four-to-six hours later), if you stay within the recommended dose for a 24-hour period. If you are pregnant or nursing, check with your health care provider or community pharmacist before starting any new medication, even over-the-counter products.
Generally, take your medication as soon as you remember. If you usually take a daily pill in the evening, and it’s already late afternoon, you do not want to take two doses too close together to avoid having an unsafe amount of medication in your body.
Some medications can also make you drowsy, so if you take a daily pill in the evening to help manage these side effects, it may not be a good idea to take it in the morning. If in doubt, talk to your community pharmacist.
Contrary to popular belief, your bathroom is not the best place to store medications because of excess humidity. Aim to store medications in a cool, dark place that is out of reach of children and youth. In some cases, you may want to consider a locked storage box, especially if you are taking medication to manage chronic pain that has the potential for misuse.
Health Canada sets a single standard for quality and purity of drugs, and both brand name and generic drug manufacturers must adhere to the same requirements. Generic drugs provide equal concentrations of active ingredients to their brand name counterparts. You may prefer one product to another, but the active ingredient is the same. Read more about generic medications, including what to do if you are allergic to a generic drug’s non-medicinal ingredients.
Take your unused and expired medication to your community pharmacy for disposal. Flushing expired medication is not recommended as many wastewater treatment facilities are not equipped to remove all pharmaceutical residues.
You can use your Wellness Spending Account (if you have one) to cover the cost of over-the-counter medications, including ibuprofen, acetaminophen, or cold and sinus medication. Please refer to receipt requirements before submitting your reimbursement claim.
The information provided in this article is for personal use, reference, and education only. ASEBP does not provide medical advice. Before starting any medication or product, you should always consult with your pharmacist, health care provider, or call Alberta Health Link at 811.

With more than 30 years of experience across retail, hospital, industry, and primary care, ASEBP’s lead pharmacist, Ollie, has helped people manage their health in many different ways. He holds a Bachelor of Science in Pharmacy and Additional Prescribing Authorization (APA) from the Alberta College of Pharmacists, and is a Board Certified Geriatric Pharmacist (BCGP), Certified Tobacco Educator (CTE), and Certified Diabetes Educator (CDE). He specializes in chronic conditions, geriatrics, and the safe, evidence-based use of medications. Ollie has supported both patients and physicians through education and guidance, and he brings a compassionate, practical approach to helping covered members feel informed and supported. Whether your question is about medications, benefits, or a general health concern, Ollie will review your submission and provide a clear, helpful response.
For more information, email benefits@asebp.ca or call 1-877-431-4786
You can also schedule a phone or video meeting with a benefit specialist at asebp.ca/contact-us