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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Pseudoephedrine Pharmacology

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5716 Ratings

🗓️ 13 December 2018

⏱️ 14 minutes

🧾️ Download transcript

Summary

Pseudoephedrine is commonly used to help relieve nasal congestion.



There are some adverse effects you need to be aware of with pseudoephedrine. Insomnia, increase in blood pressure, and urinary retention are all possible.



When I assess a patient using pseudoephedrine, I like to investigate blood pressure, history of urinary problems and insomnia history.



Pseudoephedrine can cause the prescribing cascade.  I lay out examples in the podcast.



Pseudoephedrine should not be utilized with MAOI's if possible - I discuss the reason for this in the podcast.



Enjoy the show and don't for get your FREE 31 page resource!

Transcript

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0:00.0

Hey all, Eric Christensen back here again with the Real Life Pharmacology podcast.

0:05.5

I can't thank you all enough. It's truly humbling the number of individuals that have

0:13.1

taken time out of their day, who care about pharmacology, who are working hard to pass exams and become a pharmacist or a nurse or a physician,

0:24.9

you know, nurse practitioner, whatever you're working on.

0:27.8

And you need some help with pharmacology.

0:29.9

I really enjoy what I do.

0:32.9

And I hope you feel that through the podcast.

0:37.5

It's definitely been an honor and a privilege to do this podcast

0:42.6

and to have so many people actually listening

0:45.6

and trying to hone their craft and become better ultimately for their patience

0:53.6

as I try to do each and every day.

0:56.0

So with that, touchy-feely note there, I'm going to cover pseudophedrine pharmacology

1:05.1

or I guess we'll call it maybe decongestants, that type of pharmacology.

1:11.4

The two big ones are pseudofedrine and phenylephyran.

1:15.7

These drugs also go by the name of, probably the most common brand name I see, is pseudafed.

1:24.4

Sudifed, if somebody typically just says that, they're going to be referring to pseudoephedrine.

1:32.3

If somebody says pseudafed p.e, they're likely referring to the phenylephyran.

1:39.1

So there's some subtle differences within those drugs.

1:44.5

Sudafed or pseudoephedrine, became more highly controlled because, remember, it's part of the process of creating methamphetamine.

1:56.1

So obviously that became kind of a drug of abuse in that people would steal or buy tons of pseudophedrine

2:04.8

and use it to help as one of the byproducts make methamphetamine from it.

2:12.2

Obviously, you need other things as well.

...

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