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Decongestant
Aka: Decongestant, Systemic Decongestant, Pseudoephedrine, Sudafed
- Indications
- Sinusitis
- Upper Respiratory Infection
- Contraindications
- Hypertension
- Coronary Artery Disease
- Benign Prostatic Hyperplasia
- Adverse Effects
- Headache
- Nausea, Vomiting
- Loss of appetite
- Cardiac effects
- Hypertension
- Dysrhythmias (Tachycardia)
- CNS stimulation
- Seizures
- Insomnia
- Psychosis
- Agitation
- Other effects
- Cerebral hemorrhage
- Cerebrovascular Accident
- Preparations: Systemic Decongestants
- Pseudophedrine
- Available as prescription and over-the-counter in U.S.
- U.S. pharmacies keep this behind counter due to Methamphetamine production-related use
- Phenylephrine
- Available in U.S. OTC products at 10 mg
- No more effective as Placebo for congestion at this dose
- Hatton (2007) Ann Pharmacother 41(3):381-90
- Preparation: Alternative agents (Topical)
- Nasal Saline
- Limited use of Topical Decongestant (3 days only)
- Dosing: Pseudoephedrine (Sudafed)
- Adults: 60 mg PO q6h
- Child (30 mg/5ml elixir)
- Ages 6-12 years: 30 mg (5 ml) per dose
- Ages 2-5 years: 15 mg (2.5 ml) per dose