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Pseudoephedrine

Brand: Sudafed

Decongestant (scheduled listed chemical)Used for: Nasal and sinus congestionRespiratory & Allergy

No boxed warning on the current FDA label.

Caution
Raises blood pressure and heart rate: caution with hypertension, heart disease, and prostate enlargement; contraindicated with MAO inhibitors.
Pregnancy
Avoid in the first trimester: small increase in abdominal wall defects (gastroschisis) reported.

Common side effects

  • Insomnia
  • Nervousness
  • Raised blood pressure
  • Fast heartbeat

Key interactions

  • Contraindicated with MAO inhibitors: hypertensive crisis
  • Opposes blood-pressure medicines
  • Additive stimulation with caffeine

Counseling points

  • Sold behind the counter: photo ID and a logbook signature are required
  • Limits are 3.6 g per day and 9 g per 30 days, expressed as base
  • Avoid late-day doses: it can keep you awake
  • Caution with high blood pressure or heart disease
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