What are the primary uses of Sudafed. How does pseudoephedrine work in the body. What are the common side effects of Sudafed. Who should exercise caution when taking this medication. How can Sudafed interact with other drugs or substances.

Understanding Sudafed: A Powerful Decongestant

Sudafed, containing the active ingredient pseudoephedrine, is a widely used over-the-counter medication for temporary relief of nasal and sinus congestion. This sympathomimetic decongestant works by narrowing blood vessels in the nasal passages, effectively reducing swelling and congestion.

Primary Uses of Sudafed

Sudafed is primarily used for:

• Relieving stuffy nose
• Alleviating sinus pain and pressure
• Addressing congestion caused by the common cold, flu, allergies, and other respiratory conditions

Is Sudafed effective for all types of congestion. While it can provide relief for many causes of nasal congestion, it’s important to note that Sudafed does not cure the underlying condition causing the symptoms. It merely provides temporary relief by addressing the congestion itself.

The Science Behind Pseudoephedrine’s Effectiveness

Pseudoephedrine’s mechanism of action involves stimulating alpha-adrenergic receptors in the blood vessels of the nasal passages. This stimulation causes vasoconstriction, or narrowing of the blood vessels, which in turn reduces the amount of fluid leaking into the tissue. The result is a decrease in swelling and congestion, allowing for easier breathing.

Does pseudoephedrine work immediately. While some users may experience relief relatively quickly, the full effects of pseudoephedrine typically take about 30 minutes to an hour to manifest. The duration of action can last for several hours, which is why dosing is usually recommended every 4 to 6 hours.

Proper Usage and Dosage Guidelines

Correct usage of Sudafed is crucial for both effectiveness and safety. Here are some key points to remember:

1. Always read the package instructions carefully before use
2. Take the medication orally, with or without food
3. Dosage is typically every 4 to 6 hours, not exceeding 4 doses in 24 hours
4. Dosage varies based on age, medical condition, and response to treatment
5. Do not exceed the recommended dose or frequency

Can Sudafed be used in children. Sudafed is not recommended for children under 6 years old without a doctor’s specific direction. For children between 6 and 12 years, consult a healthcare professional before use. Long-acting formulations are not advised for children under 12.

Potential Side Effects and Precautions

While Sudafed can be effective, it’s not without potential side effects. Common side effects may include:

• Nausea and vomiting
• Insomnia or sleep disturbances
• Dizziness
• Headache
• Nervousness or anxiety

Are there any serious side effects to be aware of. Yes, in some cases, more severe side effects can occur. These may include rapid or irregular heartbeat, significant mood changes, tremors, and difficulty urinating. If you experience any of these, discontinue use and seek medical attention immediately.

Precautions and Contraindications

Certain individuals should exercise caution or avoid using Sudafed altogether. These include people with:

• High blood pressure
• Heart disease
• Diabetes
• Thyroid disorders
• Glaucoma
• Prostate enlargement

Always consult with a healthcare provider before using Sudafed if you have any pre-existing medical conditions or are taking other medications.

Interactions with Other Substances and Medications

Sudafed can interact with various substances and medications, potentially altering its effectiveness or increasing the risk of side effects. Some notable interactions include:

1. Caffeine: Can increase side effects
2. MAO inhibitors: Can cause dangerous spikes in blood pressure
3. Other decongestants: May lead to overuse and increased side effects
4. Beta-blockers: Can reduce the effectiveness of both medications
5. Stimulant medications: May increase the risk of cardiovascular side effects

How long should one wait after stopping MAO inhibitors before taking Sudafed. It’s generally recommended to wait at least 14 days after discontinuing MAO inhibitors before using pseudoephedrine-containing products like Sudafed. Always consult your healthcare provider for personalized advice.

Special Considerations for Pregnant and Breastfeeding Women

Pregnant and breastfeeding women should exercise caution when considering the use of Sudafed. While pseudoephedrine is generally considered low-risk during pregnancy, it’s always best to consult with a healthcare provider before use.

Can Sudafed affect milk production in breastfeeding mothers. Some studies suggest that pseudoephedrine may reduce milk production in lactating women. If you’re breastfeeding, it’s advisable to discuss alternative congestion relief methods with your healthcare provider.

Alternatives for Pregnant and Breastfeeding Women

For those who are pregnant or breastfeeding, some safer alternatives to Sudafed may include:

• Saline nasal sprays
• Steam inhalation
• Nasal strips
• Increased fluid intake
• Elevating the head while sleeping

Long-term Use and Potential Risks

While Sudafed can be effective for short-term congestion relief, long-term or frequent use can lead to potential issues. These may include:

1. Rebound congestion: Worsening of symptoms when the medication wears off
2. Tolerance: Needing higher doses to achieve the same effect
3. Increased blood pressure: Particularly in those with hypertension
4. Sleep disturbances: Chronic insomnia or disrupted sleep patterns
5. Dependency: While not physically addictive, psychological dependence can occur

How long can Sudafed be safely used. Sudafed is generally recommended for short-term use, typically no longer than 7-10 days. If symptoms persist beyond this period, it’s crucial to consult a healthcare provider to rule out more serious underlying conditions.

Proper Storage and Disposal of Sudafed

Proper storage and disposal of Sudafed are important for maintaining its effectiveness and preventing misuse. Here are some guidelines:

• Store at room temperature, away from moisture and heat
• Keep out of reach of children and pets
• Do not use after the expiration date
• Dispose of unused medication properly, following local guidelines

Why is Sudafed often kept behind the pharmacy counter. Due to its potential use in the illegal production of methamphetamine, many jurisdictions require Sudafed and other pseudoephedrine-containing products to be sold from behind the pharmacy counter, with purchase limits and ID requirements.

Safe Disposal Methods

When disposing of unused or expired Sudafed, consider these safe methods:

1. Mix with undesirable substance (e.g., used coffee grounds)
2. Place in a sealed plastic bag
3. Throw in household trash
4. Use community drug take-back programs if available

Always remove or obscure personal information on the packaging before disposal.

Natural Alternatives to Sudafed

For those seeking natural alternatives to Sudafed, several options may provide relief from nasal congestion:

• Neti pot or saline nasal irrigation
• Essential oils (e.g., eucalyptus, peppermint)
• Herbal teas (e.g., ginger, chamomile)
• Spicy foods
• Hot showers or steam inhalation

Are natural alternatives as effective as Sudafed. While natural remedies can provide relief for some individuals, they may not be as potent or fast-acting as pseudoephedrine. Effectiveness can vary greatly among individuals, and some natural remedies lack scientific evidence to support their use.

Lifestyle Changes to Reduce Congestion

In addition to medication or natural remedies, certain lifestyle changes can help manage nasal congestion:

1. Stay hydrated
2. Use a humidifier
3. Avoid known allergens
4. Practice good hygiene to prevent infections
5. Elevate your head while sleeping

These lifestyle modifications can complement the use of Sudafed or serve as alternatives for those who cannot use the medication.

The Future of Decongestant Medications

As research in pharmacology continues to advance, new developments in decongestant medications are on the horizon. Some areas of focus include:

• More targeted decongestants with fewer side effects
• Combination therapies for multiple symptom relief
• Extended-release formulations for longer-lasting effects
• Novel delivery methods for improved efficacy

Will future decongestants be more effective than Sudafed. While it’s difficult to predict, ongoing research aims to develop medications that provide more effective relief with fewer side effects. However, pseudoephedrine remains a highly effective decongestant, and any new medications will need to demonstrate superior efficacy and safety profiles to replace it.

Emerging Research on Nasal Congestion

Current research is also exploring the underlying mechanisms of nasal congestion and potential new targets for treatment. Areas of interest include:

1. The role of inflammation in chronic congestion
2. Genetic factors influencing congestion susceptibility
3. The impact of the microbiome on nasal health
4. Novel immunotherapies for allergic rhinitis

These areas of research may lead to innovative approaches to treating nasal congestion in the future, potentially offering alternatives or complementary therapies to traditional decongestants like Sudafed.

Sudafed Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Uses

Pseudoephedrine is used for the temporary relief of stuffy nose and sinus pain/pressure caused by infection (such as the common cold, flu) or other breathing illnesses (such as hay fever, allergies, bronchitis). Pseudoephedrine is a decongestant (sympathomimetic). It works by narrowing the blood vessels to decrease swelling and congestion.If you are self-treating with this medication, it is important to read the manufacturer’s package instructions carefully so you know when to consult your doctor or pharmacist. (See also Precautions section.)Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Do not use this product in children younger than 6 years unless specifically directed by the doctor. Long-acting tablets/capsules are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely. These products do not cure or shorten the length of the common cold and may cause serious side effects. To decrease the risk for serious side effects, carefully follow all dosage directions. Do not use this product to make a child sleepy. Do not give other cough-and-cold medication that might contain the same or similar decongestants (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray).

How to use Sudafed

If you are taking the over-the-counter product to self-treat, read all directions on the product package before taking this medication. If you have any questions, ask your doctor or pharmacist. If your doctor has prescribed this medication, take it as directed.

Take this medication by mouth with or without food, usually every 4 to 6 hours, as directed by the product package or by your doctor. Do not take more than 4 doses in a day. Dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or take this drug more often than directed. Do not take more of this medication than recommended for your age.

If you are using the chewable tablets, chew each tablet well and swallow. If you are using the liquid form of this medication, measure the dose carefully using a special measuring device/cup. Do not use a household spoon because you may not get the correct dose.

There are many brands and forms of pseudoephedrine available. Some tablets should be swallowed with plenty of water. Check your product package for specific directions. Read the dosing instructions carefully for each product because the amount of pseudoephedrine may be different between products. Do not take more pseudoephedrine than recommended.

Caffeine can increase the side effects of this medication. Avoid drinking large amounts of beverages containing caffeine (coffee, tea, colas), eating large amounts of chocolate, or taking nonprescription products that contain caffeine.

If your symptoms do not improve after 7 days, if they worsen or return, if you develop a headache that doesn’t go away, fever, or rash, or if you think you may have a serious medical problem, get medical help right away.

Side Effects

Nausea, vomiting, trouble sleeping, dizziness, headache, or nervousness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Stop taking this medication and tell your doctor promptly if you have dizziness, nervousness, or trouble sleeping.

If your doctor has directed you to use this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Stop taking this medication and tell your doctor right away if you have any serious side effects, including: fast/irregular/pounding heartbeat, mental/mood changes (such as anxiety, confusion, restlessness), shaking (tremor), difficulty urinating.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking pseudoephedrine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Also tell your doctor if you have had negative reactions to other sympathomimetics (such as ephedrine, phenylephrine). This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

If you have any of the following health problems, consult your doctor or pharmacist before using this product: diabetes, a certain eye condition (glaucoma), heart problems (such as heart attack, chest pain, heart failure), fast/irregular heart beat, high blood pressure, kidney disease, overactive thyroid (hyperthyroidism), difficulty urinating (such as due to enlarged prostate).

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Liquid products, chewable tablets, or dissolving tablets/strips may contain sugar and/or aspartame. Liquid products may also contain alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially fast/irregular heartbeat, dizziness, problems urinating, trouble sleeping, or confusion.

Children may be more sensitive to the effects of this medication, especially restlessness.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

Pseudoephedrine passes into breast milk. Discuss the risks and benefits with your doctor before breast-feeding.

Interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: stimulants (such as caffeine, dextroamphetamine, methamphetamine, herbal products like ephedra/ma huang), terbutaline.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

Pseudoephedrine may decrease the effectiveness of blood pressure medications (such as beta blockers, calcium channel blockers, guanethidine, methyldopa).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain similar ingredients (decongestants such as phenylephrine). Ask your pharmacist about using those products safely.

Does Sudafed interact with other drugs you are taking?

Enter your medication into the WebMD interaction checker

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: slow/shallow breathing, hallucinations, seizures.

This medication is for temporary use only. Do not use for more than 7 days without first consulting your doctor.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Different brands of this medication have different storage needs. Check the product package for instructions on how to store your brand, or ask your pharmacist. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

Sudafed 30 mg tablet

Color: redShape: roundImprint: SU

This medicine is a red, round, film-coated, tablet imprinted with “SU”.

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Sudafed Congestion Interactions – Drugs.com

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There are 156 drugs known to interact with
Sudafed Congestion (pseudoephedrine), along with
6 disease interactions.

Of the total drug interactions,
14 are major, 137 are moderate, and 5 are minor.

Does Sudafed Congestion interact with my other drugs?

Enter other medications to view a detailed report.

• View all 156 medications that may interact with Sudafed Congestion
• View Sudafed Congestion disease interactions (6)

Most frequently checked interactions

View interaction reports for Sudafed Congestion (pseudoephedrine) and the medicines listed below.

• Major
• Moderate
• Minor
• Unknown

• acetaminophen
• albuterol
• Allegra (fexofenadine)
• aspirin
• atorvastatin
• Benadryl (diphenhydramine)
• Claritin (loratadine)
• cyclobenzaprine
• Cymbalta (duloxetine)
• doxycycline
• Fish Oil (omega-3 polyunsaturated fatty acids)
• Flonase (fluticasone nasal)
• gabapentin
• ibuprofen
• levothyroxine
• lisinopril
• melatonin
• metformin
• Mucinex (guaifenesin)
• omeprazole
• prednisone
• Singulair (montelukast)
• tramadol
• trazodone
• Tylenol (acetaminophen)
• Vitamin B12 (cyanocobalamin)
• Vitamin C (ascorbic acid)
• Vitamin D3 (cholecalciferol)
• Xanax (alprazolam)
• Zyrtec (cetirizine)

Sudafed Congestion disease interactions

There are 6 disease interactions with Sudafed Congestion (pseudoephedrine) which include:

• cardiovascular disease
• GI narrowing
• PKU
• BPH
• diabetes
• glaucoma

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More about Sudafed Congestion (pseudoephedrine)

• Sudafed Congestion consumer information
• Compare alternatives
• Reviews (13)
• Drug images
• Side effects
• Dosage information
• During pregnancy
• Drug class: decongestants
• Breastfeeding

Related treatment guides

• Nasal Congestion

Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.

Major	Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate	Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor	Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown	No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Pseudoephedrine and Codeine: Pediatric Medication

Pediatric Medicine

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Provided by Lexicomp ^® , this document contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

US brand marks

Codar ^® D [DSC]

Warning

• This drug contains an opioid. The use of opioids concomitantly with benzodiazepines or other drugs that can cause drowsiness or slow physical activity has resulted in very severe side effects. Observed side effects have included slowing or difficulty in breathing, as well as death. Benzodiazepines include drugs such as alprazolam, diazepam, and lorazepam. Benzodiazepines are used to treat many health conditions such as anxiety, sleep disturbances, or seizures. Consult your doctor.
• Many other drugs interact with this drug. These drugs can increase your risk of side effects and very bad and sometimes deadly breathing problems. Check with your doctor and pharmacist to make sure it is safe for your child to take this drug with all other drugs.
• Alcohol can interact with this drug. Make sure your child does not drink alcohol.
• Do not give your child other drugs or natural products that may slow down the action.
• Seek immediate medical attention if your child does not respond, does not respond, or does not react in the usual way, feels very drowsy or dizzy, passes out, or if he sleeps and does not wake up.
• Get medical help right away if your child has slow breathing, shallow breathing, or difficulty breathing.
• Do not give to children under 12 years of age. This drug should not be taken by children 12 to 18 years of age who are very overweight or have certain other health problems, including sleep apnea or other lung or breathing problems. If your child has received this drug, ask your doctor about the benefits and risks.
• In some children, the use of codeine after surgery to remove the tonsils or adenoids has led to very bad, sometimes deadly breathing problems. Do not give this drug to a child under 18 years of age who has had surgery to remove their tonsils or adenoids. Check with your child’s doctor.

What is this medicine used for?

• Used to relieve cough.
• The drug is used to treat blockage of the nasal valve.

What do I need to tell the doctor BEFORE my child takes this drug?

• If your child has an allergy to this drug or any other part of this drug.
• If your child is allergic to similar drugs or any other drugs, foods, or other substances. Tell the doctor if your child has allergies and symptoms, such as rash, hives, itching, shortness of breath, wheezing, cough, swelling of the face, lips, tongue or throat, or any other symptoms.
• If your child has any of the following health problems: Lung or breathing problems such as asthma, shortness of breath or sleep apnea; high levels of carbon dioxide in the blood, gastrointestinal obstruction or narrowing.
• If the child has any of the following health conditions: cough with a lot of phlegm, prolonged cough caused by the child’s smoking, someone else smoking in close proximity to the child, or lung problems such as asthma.
• If your child has taken certain drugs in the past 14 days, either to treat depressed mood (depression), such as isocarboxazid, phenelzine, or tranylcypromine, or to treat certain other health problems. Taking this drug less than 14 days after you last took any of the above drugs can cause high blood pressure.
• If the child is receiving any of the following drugs: linezolid or methylene blue.
• If the child is receiving any of the following drugs: buprenorphine, butorphanol, nalbuphine, or pentazocine.

If your daughter is breastfeeding:

• Make sure your daughter is not breastfeeding while taking this drug.

This list of drugs and conditions that may interact with this drug is not exhaustive.

Talk to your doctor or pharmacist about all medicines your child is taking (prescription and over-the-counter, natural, and vitamins) and any health problems. You need to make sure that this drug is safe to take for your child’s illnesses and with other drugs your child is already taking. Do not start, stop taking, or change the dosage of any drug your child is taking without the doctor’s approval.

What do I need to know or do while my child is taking this drug?

• Tell all health care providers who care for your child that your child is taking this drug. These are your child’s doctors, nurses, pharmacists and dentists.
• Do not give your child more than the prescribed amount of this drug. Taking more than the prescribed amount of this drug may increase your risk of very serious side effects.
• Do not use on a child for longer than prescribed by your child’s doctor.
• Have your child avoid tasks or activities that require attention until you see how this drug works for your child. This includes cycling, playing sports, or using items such as scissors, lawn mowers, electric scooters, toy cars, or motorized vehicles.
• To reduce the risk of dizziness or fainting, have your child get up slowly from a sitting or lying position. Make sure your child goes up and down the stairs carefully.
• This drug may be habit-forming with long-term use.
• Do not give this drug with other strong pain medicines or if you are using a pain patch without talking to your child’s doctor first.
• This drug may affect the results of some lab tests. Tell all health care workers and laboratory workers who provide your child’s health care that your child is taking this drug.
• Children may have a higher risk of very serious side effects. This risk may be more likely in children with respiratory failure. Some children have experienced life-threatening respiratory problems when using codeine. Consult your doctor.

If your daughter is pregnant:

• If your daughter takes this medicine during pregnancy, it could harm the fetus. If your daughter is pregnant or becomes pregnant while taking this drug, call your doctor right away.
• Long-term use of this drug during pregnancy may cause withdrawal symptoms in the newborn. This can be life threatening. Consult your doctor.

What side effects should I report to my child’s doctor right away?

WARNING/CAUTION: Although rare, some people may have very serious and sometimes deadly side effects of this drug. Call your child’s doctor right away or get medical help if your child has any of the following signs or symptoms that could be associated with a very bad side effect:

• Signs of an allergic reaction such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly in combination with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
• Severe dizziness or fainting.
• Pain or pressure in the chest or a fast heartbeat.
• Difficulty, slow or shallow breathing.
• Noisy breathing.
• Strong drowsiness.
• Confusion of consciousness.
• Feeling of abnormal heartbeat.
• Hallucinations (a person sees or hears something that is not in reality).
• Mood changes.
• Seizures.
• Severe pain in the abdomen.
• Obstruction of the urinary tract.
• Shiver.
• Vision change.
• Severe nausea or vomiting.
• Strong headache.
• Severe constipation.
• Feeling extremely tired or weak.

What are some side effects of this drug?

Any drug can cause side effects. However, for many people, side effects are either minor or non-existent. Contact your child’s doctor or seek medical attention if any of these or other side effects bother your child or if they persist:

• Dizziness.
• Nervous tension and agitation.
• Nausea or vomiting.
• Constipation.
• Insomnia.
• Drowsiness.
• Excessive sweating.
• Feeling tired or weak.

This list of possible side effects is not exhaustive. If you have any questions about side effects, ask your child’s doctor. Talk to your child’s doctor about side effects.

You can report side effects to the National Health Board.

What is the best way to take this medicine?

Give this drug to your child as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

• Give this drug with or without food. If the drug causes stomach upset, give it with food.
• Liquid doses should be measured with caution. Use the dispenser that comes with the medicine. If the dispenser is not provided in the package, ask the pharmacist for a dosing agent for this drug.

What should I do if my child misses a dose?

• If the child takes the drug regularly, give him the missed dose as soon as you remember about it.
• If it is time for your child to take the next dose, do not take the missed dose and then go back to your child’s normal schedule.
• Do not give a double dose at the same time or additional doses.
• In most cases, this drug is used as needed. Do not give your child the drug more often than prescribed by the doctor.

How do I store and/or dispose of this medicine?

• Store at room temperature.
• Store in a dry place. Do not store in the bathroom.
• Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

General approval

• If your child’s symptoms or health problems do not improve, or worsen, contact your child’s doctor.
• Do not share your child’s medicine with others and do not give anyone else’s medicine to your child.
• Always carry a list of all your child’s medications (prescription, natural remedies, vitamins, and over-the-counter medications) with you at all times. This list must be shown to the child’s doctor.
• Check with your child’s doctor before giving your child any new drug, including prescription and over-the-counter drugs, natural products, or vitamins.
• Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your child’s doctor, nurse, pharmacist, or other health care professional.
• If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Use of consumer information and disclaimer

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are appropriate for a particular patient. This information is not a guarantee that the drug is safe, effective or approved for the treatment of any disease or specific patients. Here are only brief general information about this drug. It does NOT provide all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, unwanted effects and risks that may be associated with this drug. This information should not be considered as a treatment guide and does not replace information provided to you by your healthcare provider. For full information about the possible risks and benefits of taking this drug, contact your doctor.

Copyright

© Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors, 2019. All rights reserved.

Date last updated

Saturday, April 20, 2019

Pseudoephedrine and Ibuprofen: Pediatric Medication

Pediatric Medicine

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Provided by Lexicomp ^® , this document contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

Trade names: USA

Advil Cold & Sinus [OTC]

Trade names: Canada

Advil Cold & Sinus; Advil Cold & Sinus Daytime; Children’s Advil Cold; Sudafed Sinus Advance

What is this drug used for?

• It is used to relieve pain and reduce high fever.
• The drug is used to treat blockage of the nasal valve.

What do I need to tell the doctor BEFORE my child takes this drug?

• If your child has an allergy to this drug, any of its ingredients, other drugs, foods, or substances. Tell the doctor about the allergy and how it manifested itself in the child.
• If your child has taken medications for depression or certain other illnesses in the last 14 days. These include isocarboxazid, phenelzine, and tranylcypromine. An episode of very high blood pressure may occur.
• If the child is receiving any of the following drugs: linezolid or methylene blue.
• If your child is taking any other NSAIDs.

If your daughter is pregnant:

• If your daughter is pregnant, planning to become pregnant, or becomes pregnant while taking this drug, talk with your doctor. If you take this drug after 20 weeks of pregnancy, it may harm the fetus. If your daughter is 20 to 30 weeks pregnant, give this drug only as directed by your doctor. Do not give this drug to your daughter if she is more than 30 weeks pregnant.

This list of drugs and conditions that may interact with this drug is not exhaustive.

Talk to your doctor or pharmacist about all medicines your child is taking (prescription and over-the-counter, natural, and vitamins) and any health problems. You need to make sure that this drug is safe to use for your child’s illnesses and in combination with other drugs he or she is already taking. Do not start, stop taking, or change the dosage of any drug your child is taking without the doctor’s approval.

What do I need to know or do while my child is taking this drug?

• Tell all health care providers who care for your child that your child is taking this drug. These are your child’s doctors, nurses, pharmacists and dentists.
• Do not give your child more than the amount of this drug prescribed by the doctor. Taking more than what is prescribed for this drug may increase the risk of serious side effects.
• Do not use on a child for longer than prescribed by your child’s doctor.
• Alcohol can interact with this drug. Make sure your child does not drink alcohol.
• If your child smokes, check with your doctor.
• If your child has asthma, check with your doctor. The child may be hypersensitive to this drug.
• This drug may increase the risk of heart and blood vessel side effects such as heart attack and stroke. These side effects can be deadly if they occur. The risk of these side effects may be increased if your child has or is at risk of developing heart disease. However, the risk may also be higher for people who do not have heart disease or are not at risk of developing heart disease. The risk of these health problems may begin immediately during the first weeks of using this drug and may increase with higher doses or long-term use of the drug. This drug should not be given to a child immediately before or after coronary bypass surgery.
• This drug may increase the chance of developing severe and sometimes deadly stomach or intestinal problems, such as ulcers or bleeding. The risk is increased in the elderly and in people who have previously had ulcers or bleeding in the stomach or intestines. Such disturbances can occur suddenly.
• Your child may become more prone to bleeding. Make sure your child is careful to avoid injury. Make sure your child uses a soft toothbrush.
• The risk of developing heart failure increases with the use of drugs of this kind. People with heart failure have an increased risk of myocardial infarction, hospitalization for heart failure, and death. Consult your doctor.
• People who have had a heart attack and are taking this type of drug are at increased risk of having another heart attack and dying from a heart problem. People who took drugs of this kind after their first myocardial infarction were also more likely to die one year after myocardial infarction than those who did not take such drugs. Consult your doctor.
• Talk to your doctor if your child is taking aspirin to prevent myocardial infarction.
• Doses of this drug indicated for use in children may vary by brand. Talk to your doctor before giving this drug to a child.

If your daughter is breastfeeding:

• Tell your doctor if your daughter is breastfeeding. You will need to be counseled about the possible risks to the child.

What side effects should I report to my child’s doctor right away?

WARNING/CAUTION: Although rare, some people may have very serious and sometimes deadly side effects of this drug. Call your child’s doctor right away or get medical help if your child has any of the following signs or symptoms that could be associated with a very bad side effect:

• Signs of an allergic reaction such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly in combination with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat.
• Weakness on 1 side of the body, difficulty speaking or thinking, problems with balance, sagging on one side of the face, or blurred vision.
• Shortness of breath, sudden weight gain, or swelling of the arms or legs.
• Pain or pressure in the chest.
• Severe dizziness or fainting.
• Any unexplained bruising or bleeding.
• Black, tarry or bloody stools.
• Vomiting blood or coffee grounds.

What are some other side effects of this drug?

Any drug can cause side effects. However, for many people, side effects are either minor or non-existent. Contact your child’s doctor or seek medical attention if any of these or other side effects bother your child or if they persist:

• Dizziness.
• Nervous tension and agitation.
• Sleep disorders.
• Abdominal pain or heartburn.
• Nausea or vomiting.

This list of possible side effects is not exhaustive. If you have any questions about side effects, ask your child’s doctor. Talk to your child’s doctor about side effects.

You can report side effects to the National Health Board.

What is the best way to give this drug?

Give this drug to your child as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

All forms:

• Give this drug with or without food. If the drug causes stomach upset, give it with food.

Liquid (suspension):

• Shake well before use.
• Liquid doses should be measured with caution. Use the dispenser that comes with the medicine. If the dispenser is not provided in the package, ask the pharmacist for a dosing agent for this drug.

What if my child misses a dose of medication?

• If the child takes the drug regularly, give him the missed dose as soon as you remember about it.
• If it is time for your child to take the next dose, do not take the missed dose and then go back to your child’s normal schedule.
• Do not give a double dose at the same time or additional doses.
• In most cases, this drug is used as needed. Do not give your child the drug more often than prescribed by the doctor.

How do I store and/or discard this drug?

• Store at room temperature in a dry place. Do not store in the bathroom.
• Keep out of the heat.
• Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

General information about medicines

• If your child’s symptoms or health problems do not improve, or worsen, contact your child’s doctor.
• Do not share your child’s medicine with others and do not give anyone else’s medicine to your child.
• Some medicines may come with other patient information leaflets. If you have questions about this drug, talk with your child’s doctor, nurse, pharmacist, or other health care professional.
• If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a particular patient. It should not be considered medical advice or a substitute for medical advice, diagnosis or treatment provided by a physician based on a medical examination and assessment of the patient’s specific and unique circumstances.