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Allergy OTC Medicines–Speak With Your Pharmacis

an important limitation is that they should not be used for more than three days.

“Otherwise, there could be a response called ‘rebound congestion’ when the effect of a dose wears off, the congestion comes back, and it comes back sooner after each dose.” Plus, a dependency could develop.

Pseudoephedrine is a commonly used decongestant that is administered orally. While some companies have changed their formulations to replace pseudoephedrine with phenylephrine, Hussar feels that pseudoephedrine formulations are more effective and are also better because they can be administered as infrequently as once per day. Phenylephrine, has to be administered every four to six hours.

Can’t find pseudoephedrine on the shelf? Recent laws have moved the products, still available without a prescription, to behind the counter. Pseudoephedrine can be converted into methamphetamine by drug users.

Something else to consider are drug interactions.

“Since many antihistamines have a sedative side effect, other medications that also have sedative effects such as anti-anxiety medications, narcotic pain killers, or sleep medications, plus, consumption of alcoholic beverages, can play a role in drug interactions,” Hussar said. “Diphenhydramine or Benadryl is used for the treatment of allergy but is also the active ingredient in many nonprescription sleep products. Conceivably, you could have a situation in which a sleep medicine, like Sominex, has not worn off before the individual takes their allergy medicine. It’s a drug interaction of products containing the same active ingredient.

“With products containing pseudoephedrine or other decongestants, there is a general caution on the packaging that advises a health professional be consulted if the individual has high blood pressure, diabetes, enlarged prostate, or certain other conditions. The pharmacist is in a position to give advice based on patient information.”
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