Join the Meeting Place for Moms!
Talk to other moms, share advice, and have fun!

(minimum 6 characters)

What do you think about pseudoephedrine behind the pharmacy counter?

Posted by on Feb. 25, 2007 at 4:49 PM
  • 0 Replies
  • 137 Total Views
  Limited choices for those who use pseudoephedrine
Judy Foreman -- Medical Matters
Originally published October 27, 2006

Now that it's harder to get decongestants containing pseudoephedrine, will cold and allergy sufferers have to make do with weaker over-the-counter drugs?

That depends. As of Sept. 30, the effective date of an amendment to the U.S. Patriot Act, nasal products containing pseudoephedrine must be sold "behind the counter," which means the purchaser has to show a photo ID and sign a log book to get them.

The idea is to make it harder for illegal drug suppliers to make methamphetamine from pseudoephedrine, though whether the new law will do so is an open question.

For those of us who want pseudoephedrine-type drugs, there are now two choices. Go through the hassle of signing the log book to get pseudoephedrine or switch to decongestants such as Sudafed-PE containing a similar, but less powerful ingredient, phenylephrine.

Dr. Leslie Hendeles, a professor of pharmacy and pediatrics at the University of Florida who co-authored a recent, peer-reviewed letter in the Journal of Allergy and Clinical Immunology, says that phenylephrine at the approved 10 milligram dose is "unlikely to be effective in relieving a stuffy nose because it is inactivated by [digestive] enzymes" before it enters the bloodstream.

You could take a higher dose -- 2 1/2 phenylephrine tablets, to get 25 milligrams, which some studies show to be safe and effective, but this dose has not been approved by the Food and Drug Administration.

There are other alternatives.

"For those with allergic symptoms, antihistamines alone suffice. They are, however, not very effective for colds," said Dr. Frank Twarog, an allergy specialist and clinical professor at Harvard Medical School.

There are also good steroid nasal sprays such as Flonase, Nasonex and Rhinocort, all available by prescription. Nonsteroid nasal sprays such as Afrin can also help, but they tend to cause rebound congestion if used for more than a few days.,0,6742282.story 
by on Feb. 25, 2007 at 4:49 PM
Add your quick reply below:
You must be a member to reply to this post.
There are no replies to this post.
Join the Meeting Place for Moms!
Talk to other moms, share advice, and have fun!

(minimum 6 characters)