Pseudoephedrine was first isolated from ephedra in 1889 by German chemists Ladenburg and Oelschl�gel. The hydrochloride form, C10H15NO�HCl, was later developed to improve its stability and solubility in pharmaceuticals. Pseudoephedrine has a similar structure to ephedrine, but with a different stereochemistry of the hydroxyl group (-OH) on the side chain of the benzene ring. This subtle difference results in the compound's ability to effectively relieve nasal congestion without the strong central nervous system (CNS) stimulation of ephedrine.
Pseudoephedrine hydrochloride is commonly used as an over-the-counter decongestant. It relieves nasal congestion caused by colds, allergies, and sinusitis by stimulating alpha-adrenergic receptors to constrict nasal blood vessels, reducing swelling and mucus production.
Pseudoephedrine hydrochloride is available in a variety of forms, including tablets, extended-release capsules, and syrups. The typical adult dose is 30 mg to 60 mg every 4 to 6 hours, with extended-release formulations providing relief for up to 12 hours. It is often combined with an antihistamine or analgesic for multi-symptom cold remedies.
Pseudoephedrine hydrochloride acts primarily on alpha-adrenergic receptors in the respiratory tract, causing vasoconstriction. This reduces blood flow to the nasal mucosa, reducing inflammation and congestion. Unlike ephedrine, pseudoephedrine has minimal effects on beta-adrenergic receptors and is less stimulating to the heart and central nervous system, making it more suitable for general use.
Despite its effectiveness, pseudoephedrine is regulated because of its potential use in illegal methamphetamine production. In the United States, the sale of pseudoephedrine is restricted, and purchases are tracked to limit the amount a consumer can purchase. Most pharmacies require identification and keep pseudoephedrine behind the counter. Pseudoephedrine hydrochloride is safe when used as directed. Common side effects are insomnia, nervousness, and increased blood pressure. It is contraindicated in patients with severe hypertension, heart disease, or those taking monoamine oxidase inhibitors (MAOIs).
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