FDA Panel: Phenylephrine Oral Decongestants Like Sudafed No Better Than Placebo, Recommends Removing From Store Shelves
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The FDA expert panel unanimously voted that phenylephrine, the main ingredient in many popular decongestants like Sudafed, is no more effective than a placebo for relieving nasal congestion.
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The panel recommended that the FDA remove oral phenylephrine products from store shelves, which would force consumers to use pseudoephedrine products behind the pharmacy counter or phenylephrine nasal sprays/drops.
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The panel reviewed new studies from 2016-2022 finding no benefit of phenylephrine pills over placebos for congestion relief.
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Phenylephrine was approved in the 1960s-70s based on small, outdated studies; the FDA now says it does not meet modern effectiveness standards.
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If the FDA follows the recommendation, it would update its over-the-counter drug monograph for the first time since 1995 to remove ineffective phenylephrine oral decongestants.