Summary

The FDA has proposed removing oral phenylephrine, a common ingredient in over-the-counter cold medicines like NyQuil and Sudafed, due to evidence that it is ineffective as a nasal decongestant.

The proposal follows a unanimous vote by FDA advisers last year, and recent studies showing less than 1% of the drug is absorbed into the bloodstream when taken orally.

The public comment period ends on May 7, after which the FDA may finalize the ban.

  • originalucifer@moist.catsweat.com
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    6 days ago

    funny considering they caused the use of this garbage because we cant have real ephedrine cuz tweakers.

    was anyone under the delusion this shit worked?

    • Hideakikarate@sh.itjust.works
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      6 days ago

      Who says you can’t? I can walk up to the pharmacy counter and get some with ID. It’s usually a helluva lot cheaper than the phenylephrine stuff, too.

      • originalucifer@moist.catsweat.com
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        6 days ago

        duude i totally forgot they hid it behind the counter.

        i grew up being able to buy full bottles of almost pure ephedrine billed as a ‘stay awake’ thing for truckers and the like. like no-doze

      • iopq@lemmy.world
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        6 days ago

        Yeah, you have to know about it to ask for it. Most people would buy the useless shit

    • Stalinwolf@lemmy.ca
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      6 days ago

      My former boss (Canada) kept a bag of ephedrine bottles in our produce cooler. Dude was twitchy as fuck. Very bird/dinosaur-like.

      He would take several per day and chase them with coffee and energy shots. Then he would complain intermittently about vomiting blood due to his ulcers.

  • NotMyOldRedditName@lemmy.world
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    5 days ago

    I like in the article how it says they’ll get some time to reformulate, but if it doesn’t work, they could just turn off the widget inserting it and bobs your uncle!

  • bitchkat@lemmy.world
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    5 days ago

    Is this the shit they started using when they started using the original stuff to make meth?

    • Verat@sh.itjust.works
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      5 days ago

      By my understanding yes, pseudoephedrine was being used for meth so they put it behind the counter and the name brand “Sudafed” made a PE line that was this, phenylephrine, to stay over the counter.

    • atzanteol@sh.itjust.works
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      5 days ago

      It won’t even take that - you can sell products that don’t work (airborn, homeopathy, etc.), you just can’t claim that it does. So they’ll slap the standard “this product is not intended to treat, cure, or prevent any disease” disclaimer on it and people will continue to buy it.

  • Not_mikey@slrpnk.net
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    5 days ago

    and Sudafed

    Isn’t Sudafed supposed to be short for pseudoephedrine , the stuff that actually works but they have to keep behind the counter?

    • RandomGen1@lemm.ee
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      5 days ago

      There’s also Sudsfed PE which is Phenylephrine instead of pseudoephedrine. Presumably only the PE sub-brand would be banned under this rule

  • ℍ𝕂-𝟞𝟝@sopuli.xyz
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    5 days ago

    Sooo I see the thread is full of US people here and it’s so strange. I don’t have drug brand preferences. I go to my doctor, my doctor tells me what to take, I go to the pharmacy, they give it to me, and I take it as instructed.

    Am I missing out on anything?

    • GreyEyedGhost@lemmy.ca
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      5 days ago

      You’re missing out on a lot of ads telling you how much you need to ask your doctor for certain drugs. That’s about it.

    • WolfLink@sh.itjust.works
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      5 days ago

      These are over-the counter cough suppressants that you buy from the store without ever needing to see a doctor.

      • ℍ𝕂-𝟞𝟝@sopuli.xyz
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        5 days ago

        I still usually call my doctor for OTC stuff, and if my doctor says I need it, insurance gets to pay for it. Going to the doctor usually saves me money. And if I schedule it during a workday, it’s not my time going either but my employer’s, if it even needs more than a phone consult.

        • M0oP0o@mander.xyz
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          5 days ago

          Well look at fancy pants over here with a Doctor.

          (Really here in Canada I have been without a Dr for about 9 years now, it sucks)

  • Mercuri@lemmy.world
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    5 days ago

    Good. Now do something about homeopathy. I’m so sick of having to explain to people that homeopathy is not medicine in any shape or form. It’s not even a home remedy. And it sits right next to actual medicine so people might accidentally buy it unwittingly.

    • ✺roguetrick✺@lemmy.world
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      5 days ago

      The problem is, unlike homeopathy, this drug was ineffective for what it was approved for while actually causing side effects. At least the water doesn’t do anything.

    • M0oP0o@mander.xyz
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      5 days ago

      Ummm they did? That is what this banned, an advertised effective treatment that does nothing.

      • Mercuri@lemmy.world
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        5 days ago

        Tell me you didn’t read the article without telling me you didn’t read the article.

        Seriously dude, you just had to read the first sentence. They only banned one particular ingredient.

        • M0oP0o@mander.xyz
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          5 days ago

          That is included in most over the counter decongestants as the active ingredient.

          Please tell me this is not the first you have heard of the switch to combat meth production to a worse then placibo replacement?

          • Mercuri@lemmy.world
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            5 days ago

            Dude, what are you even talking about?

            I said it was good they banned the ineffective ingredient so now they should do something about banning homeopathy. You said, “Ummm they did? That is what this banned, an advertised effective treatment that does nothing” but they did NOT ban homeopathy, just that one specific ingredient which had nothing to do with homeopathy. Now you’re talking as if the first comment you said was something completely different.

            So please, tell me what argument you’re actually trying to make.

            • M0oP0o@mander.xyz
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              5 days ago

              It was a dig at things like nyquill being homeopathy, since they both are treatments that don’t work being sold as if they do.

    • ipkpjersi@lemmy.ml
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      4 days ago

      I’m sure the Trump Administration will get right on banning homeopathy, or even just labelling it properly. lol

      • Mercuri@lemmy.world
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        4 days ago

        Most certainly! They surely won’t completely dismantle the FDA and then allow big-pharma to dictate everything. /s

    • CmdrShepard42@lemm.ee
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      5 days ago

      This was so infuriating during covid as it was hard to find children’s cold medicine already and half the time you’d see a couple bottles of “Children’s cold and flu” on the shelf, buy it, and get home before you notice “homeopathic” written in 3pt font along the bottom of the bottle. Shit’s completely useless.

      • Mercuri@lemmy.world
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        5 days ago

        I’ve gotten into the habit of checking active ingredients after almost accidentally buying something homeopathic that was immediately adjacent the thing I actually meant to grab.

    • Verat@sh.itjust.works
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      5 days ago

      Right? You can’t even get ear drops that work anymore because all of the ones they stock over the counter are homeopathic where I live.

  • TʜᴇʀᴀᴘʏGⒶʀʏ@lemmy.blahaj.zone
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    5 days ago

    Interesting. I use phenylephrine pills (no other active ingredients) for nasal congestion every time I’m sick, and it has always worked very well for me

    I do tend to be extra sensitive to most drugs though, so maybe that has something to do with it

    • Cethin@lemmy.zip
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      5 days ago

      Maybe for you it does, although you’d need to test with placebo to really know. It’s amazing how much our minds can effect things if we expect things to change.

      It could also be that your pills are a significantly higher dose. If 1% is absorbed orally, maybe that pill has 100x the dose required otherwise.

  • Corkyskog@sh.itjust.works
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    5 days ago

    I have been railing about how this shit doesn’t work for what feels like forever.

    The entire cold/cough aisle is essentially a scam. Pick up some generic diphenhydramine, APAP, ibuP, and some Pseduophedrine. It will cheap as dirt and do all the things that overpriced shit will do. Anything else that actually helps with a cold/cough is prescription only.

    • chiliedogg@lemmy.world
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      5 days ago

      Pseudoephedrine can’t legally be sold in the aisles, and requires you to get out from the pharmacist’s counter and provide an ID.

      That’s why they push the aid that doesn’t work. It can be sold at a gas station and after hours.

  • atzanteol@sh.itjust.works
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    5 days ago

    It won’t be pulled from the shelves - it’ll just be getting some new fine-print.

    These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.