User:Mr. Ibrahem/Pseudoephedrine

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Mr. Ibrahem/Pseudoephedrine
Clinical data
Pronunciation/ˌsd.ɪˈfɛdrɪn, -ˈɛfɪdrn/
Trade namesAfrinol, Sudafed, Sinutab, others
AHFS/Drugs.comMonograph
MedlinePlusa682619
License data
Pregnancy
category
  • AU: B2
Routes of
administration
By mouth
Drug classSympathomimetic (alpha and beta adrenergic agonist)[1][2]
Legal status
Legal status
  • AU: S3 (Pharmacist only)
  • CA: OTC; NDS Schedule II (BTC) for single-drug products, NDS Schedule III (OTC) when part of a combination product
  • UK: P (Pharmacy medicines)
  • US: Behind the counter (BTC); Rx-only in Oregon and Mississippi
Pharmacokinetic data
Bioavailability~100%[3]
Metabolism10–30% liver
Elimination half-life4.3–8 hours[3]
Excretion43–96% kidney[3]
Identifiers
  • (S,S)-2-methylamino-1-phenylpropan-1-ol
Chemical and physical data
FormulaC10H15NO
Molar mass165.23 g·mol−1
3D model (JSmol)
  • O[C@@H](c1ccccc1)[C@@H](NC)C
  • InChI=1S/C10H15NO/c1-8(11-2)10(12)9-6-4-3-5-7-9/h3-8,10-12H,1-2H3/t8-,10+/m0/s1 checkY
  • Key:KWGRBVOPPLSCSI-WCBMZHEXSA-N checkY
  (verify)

Pseudoephedrine (PSE) is a medication used for congestion of the nose such as may occur from hay fever or the common cold.[1] It may also be used to prevent pressure related ear problems due to eustachian tube obstruction.[1] It has not been found to be useful for sinusitis.[1] Use is not recommended in children less than six.[2] It is sold both by itself and over-the-counter in combination with other active ingredients such as antihistamines, guaifenesin, dextromethorphan, paracetamol (acetaminophen), or NSAIDs.[1][2] It is taken by mouth.[1]

Common side effects include trouble sleeping, palpitations, headache, and dizziness.[1] Other concerns include abuse.[1] Use in early pregnancy is associated with harm to the baby well use during the early part of breastfeeding may reduce milk output.[2] It is a sympathomimetic and alpha and beta adrenergic agonist.[1][2]

Pseudoephedrine was isolated in 1889, by the German chemists Ladenburg and Oelschlägel, from Ephedra vulgaris at the Merck pharmaceutical company.[4][5] Plants that contain the medication; however, have been used in Chinese medicine for 5,000 years.[5] At higher doses it is used as a wakefulness-promoting agent and to enhance athletic performance.[6] Such use, has at various times, not been permitted by the International Olympic Committee.[6] Pseudoephedrine has also been used to illegally manufacture methamphetamines.[1] In the United Kingdom 24 tabs of 60 mg costs the NHS about 2 pounds.[2]

References[edit]

  1. ^ a b c d e f g h i j k l "Pseudoephedrine Monograph for Professionals". Drugs.com. Archived from the original on 9 March 2021. Retrieved 5 October 2020.
  2. ^ a b c d e f BNF 79. London: Pharmaceutical Press. March 2020. p. 1239. ISBN 978-0857113658.
  3. ^ a b c Laurence L Brunton, ed. (2006). Goodman & Gilman's The Pharmacological Basis of Therapeutics (11th ed.). New York: McGraw-Hill Medical Publishing Division. ISBN 0-07-142280-3.
  4. ^ Ladenburg, A.; Oelschlägel, C. (1889). "Ueber das "Pseudo-Ephedrin"" [On pseudo-ephedrine]. Berichte der Deutschen Chemischen Gesellschaft (in German). 22 (2): 1823–1827. doi:10.1002/cber.18890220225. Archived from the original on 2021-03-08. Retrieved 2019-05-19.
  5. ^ a b Farmer, Steven (2017). Strange Chemistry: The Stories Your Chemistry Teacher Wouldn't Tell You. John Wiley & Sons. p. 294. ISBN 978-1-119-26529-0. Archived from the original on 29 August 2021. Retrieved 6 October 2020.
  6. ^ a b Trinh, KV; Kim, J; Ritsma, A (15 November 2015). "Effect of Pseudoephedrine in Sport: a Systemic Review". BMJ Open Sport & Exercise Medicine. 1 (1): e000066. doi:10.1136/bmjsem-2015-000066. PMC 5117033. PMID 27900142.