Please explain the difference between pseudoephedrine and phenylephrine, in particular why one works better than the other at different times.
Pseudoephedrine vs. Phenylephrine?
- Posted:
- 13 Jan 2010 by GKDdrugs
- Topics:
- phenylephrine, pseudoephedrine
Answers (3)
13 Jan 2010
Pharmacists Leslie Hendeles and Randy Hatton of the University of Florida suggested in 2006 that oral phenylephrine is ineffective as a decongestant at the 10-mg dose used, arguing that the studies used for the regulatory approval of the drug in the United States in 1976 were inadequate to prove effectiveness at the 10-mg dose and safety at higher doses. Other pharmacists have expressed concerns over phenylephrine's effectiveness as a nasal decongestant, and other clinicians have indicated concern for regulatory actions that reduced the availability of pseudoephedrine.
4 Feb 2012
Pseudoephedrine works, phenylephrine is no better than placebo. Found that out with a web search after suffering through a sleepless night with a badly congested head & vastly exceeding recommended dose for phenylephrine.
FDA is willfully incompetent as usual in maintaining the charade oral phenylephrine does anything at all. It's inactivated my MAO inhibitors in the stomach & does nothing. If you want relief of your congestion, bite the bullet, cough up your drivers license & get the pseudoephedrine from behind the counter.
Signed an MD.
9 Feb 2012
When you try taking one and then the other you can usually feel a difference right away. My favourite cold formula contains pseudoephedrine and it brings a huge relief (you can really feel it starting to work) to my runny nose + watery, itchy eyes. It does make my mouth dry a bit too much, but I can go to work without sneezing all over my colleagues and customers.
I was tempted to try phenylephrine of course, but then one capsule didn't do anything. I tried to pair it with an antihistamine - again, it only stopped the sneezing and I had hard time at work. Pseudoephedrine wins and it's sad to see it disappear.
Maevian, I am not a medical professional, but it seems to me you are describing the effects of an ANTIHISTAMINE, rather then the effects of the DECONGESTANTS phenylephrine and pseudoephedrine. Antihistamines relieve sneezing and itchy, watery eyes. Decongestants help relieve congestion in the nasal passages and make breathing easier. I suspect you are using combination products which contain different ingredients besides that of the decongestant.
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