The effects of over-the-counter drug (OTC) use on college students' health has been debated in the field of psychology with researchers arguing that poor sleep quality among college students is the result of polysubstance use. However, this explanation is not a foregone conclusion. These researchers have not adequately addressed the issue poor sleep quality among college students and its relationship to polysubstance use. This is an important issue because prolonged unsupervised OTC drug use and poor sleep quality can impact long-term health and lessen students' likelihood of being successful in college. This paper addresses the issue of OTC drug use with special attention to sleep quality. Pittsburgh Sleep Quality Index Scores were collected to assess subjective sleep quality and its relationship to OTC drug use. Several other risk factors including binge drinking, marijuana use, and illicit drug use were also accounted for in this model. This study argues that, although the current literature suggests that poor sleep quality is the effect of drug use rather than the cause; the relationships between these factors are still unclear. This study aims to fill a gap in the college drug use literature by establishing a relationship between poor sleep quality and OTC drug use in a college sample.