FDA: ‘Active’ Ingredient in Cold Medicine Doesn’t Work

An FDA panel’s decision that phenylephrine is not an effective decongestant applies only to oral medications. The drug is still considered effective in nasal sprays.

AP/Jonathan Poet
FDA authorities have decided to remove phenylephrine from popular over-the-counter cold medicines like Sudafed, saying the oral version of the drug is rendered inactive in the gut so it is ineffective as a decongestant. (AP/Jonathan Poet) AP/Jonathan Poet

Changes are coming to the cold and cough aisle of your local pharmacy: American officials are moving to phase out the leading decongestant found in hundreds of over-the-counter medicines, concluding that it doesn’t actually relieve nasal congestion.

Phenylephrine is used in popular versions of Sudafed, Dayquil, and other medications, but experts have long questioned its effectiveness. Last month the Food and Drug Administration formally proposed revoking its use in pills and liquid solutions, kicking off a process that’s likely to force drugmakers to remove or reformulate products.

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