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Cough and cold

Pseudoephedrine

Also sold as: Sudafed

Prescription neededCough and cold
Comes as:TabletSyrup

Usual adult dose

Usual adult dose: 60 mg every 4 to 6 hours for a blocked nose. Do not take more than 240 mg in 24 hours or for more than 7 days. Not for children under 12 years unless a doctor advises.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • trouble sleeping
  • nervousness
  • fast heartbeat
  • dry mouth
  • headache

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • very high blood pressure (severe headache)
  • chest pain or irregular heartbeat
  • difficulty passing urine
  • fits

Do not take it, or take care, if

  • High blood pressure or heart disease
  • Overactive thyroid, diabetes or glaucoma (use with caution)
  • Enlarged prostate or difficulty passing urine
  • Pregnancy, especially the first 3 months, and breastfeeding

Interactions

Medicines that can react with this one.

Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Amitriptyline

    The combination can raise blood pressure and heart rate.

  • Atenolol

    Pseudoephedrine can raise blood pressure and reduce the effect of blood pressure medicines.

  • Methyldopa

    Pseudoephedrine can raise blood pressure and reduce the effect of methyldopa.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • XylometazolineNo prescription needed
  • Sodium chloride nasal dropsNo prescription needed
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.