Actiflow is totally different from different over-the-counter medications and "different" medicines that only mask symptoms and don't address the basis cause. Actiflow stands out. It contains no additives, toxicants, or other non-organic substances. This means that it is not habit-forming.Actiflow is manufactured within the USA at our FDA-registered, GMP-certified facility. We have a tendency to use state-of-the-art machinery and cling to the most stringent sterilizing standards.