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PBS News Hour - Segments

Why the FDA wants to pull this common cold medicine ingredient from shelves

PBS News Hour - Segments

PBS NewsHour

News, Daily News

4.11K Ratings

🗓️ 28 November 2024

⏱️ 6 minutes

🧾️ Download transcript

Summary

With winter setting in around much of the country, many people are also gearing up for cough and cold season. But the Food and Drug Administration now says that phenylephrine, a long-used ingredient in many over-the-counter medicines, is ineffective and should be removed. Stephanie Sy speaks with Randy Hatton, a professor at the University of Florida College of Pharmacy, to learn more. PBS News is supported by - https://www.pbs.org/newshour/about/funders

Transcript

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0:00.0

With winter setting in around much of the country, we are also gearing up for cold and cough season,

0:06.0

when people frequently reach for over-the-counter medicines.

0:09.0

But the FDA now says that a common, long-used ingredient in many of those medicines is ineffective and it should be removed.

0:17.0

As Stephanie Syr tells us, this proposed ruling could go into effect as soon as next year.

0:24.1

Phenolephrin is an ingredient in versions of popular cold medicines, including NyQuil, Benadryl, and Sudafed.

0:31.3

The FDA is proposing taking it off shelves not because it's unsafe, but because it doesn't work.

0:37.0

At least not when it's taken

0:38.5

as a pill or syrup. It can be effective when administered in a nasal spray. To help us understand

0:44.7

why the FDA is making this move, we're joined by Dr. Randy Hatton. He's a professor at the

0:49.8

University of Florida's College of Pharmacy who has been raising awareness about this issue for two

0:55.9

decades. Dr. Hatton, thanks so much for joining the NewsHour. I know you and a co-researcher have been

1:01.8

looking at this issue for years. I have to ask, why has phenolephrine become so commonplace in

1:08.5

cold and flu medicines if it doesn't work? and why have we all bought it for so long?

1:14.0

Yeah, you're right. Dr. Leslie Hedlis and I have been working at this for 20 years.

1:18.5

When we became aware of problems with oral phenylaphrine, after pseudoophedrine was moved behind the counter,

1:26.3

because of concerns where it could be used to make

1:29.4

methamphetamine in clandestine laboratory. So when pseudoephedrine was moved behind the counter,

1:35.2

phenylephrine was substituted for pseudoephedrine and became widely used. And that's when

1:40.1

patients started complaining about its lack of effectiveness. The FDA has ruled this ingredient safe. So why do you think it's important to get it off the shelves?

1:50.3

Yeah, it is safe because essentially it is not absorbed. It is absorbed at less than 1% of the dose that

1:58.6

is given. And that's why it doesn't work. So why should it be removed?

2:02.5

Because it doesn't work. Drugs on the market in the United States, whether they're over the

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