GENERIC NAME: PHENYLPROPANOLAMINE - ORAL (FEN-ill-pro-puh-NOLL-uh-meen)
BRAND NAME(S): Accutrim, Dexatrim
USES: Phenylpropanolamine (PPA) is used to treat nasal congestion associated with the common cold, allergies, hay fever, or other respiratory illnesses (e.g., rhinitis, sinusitis). It has also been used as a nonprescription diet-aid for weight loss.
HOW TO USE: Take this medication by mouth exactly as prescribed by your doctor. Do not increase your dose or take this medication more often than directed. The dosage is based on your medical condition and response to therapy. Long-acting (delayed-release) products must be swallowed whole. Do not crush or chew. When used for an extended period, this medication may not work as well and may require different dosing; your treatment may also be stopped or changed. Talk with your doctor if this medication stops working well.
SIDE EFFECTS: Dizziness, headache, loss of appetite, nausea, dry mouth, restlessness, or trouble sleeping may occur. If any of these effects persist or worsen, notify your doctor. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. Tell your doctor immediately if any of these serious side effects occur: irregular heartbeat, vision problems, rash, nervousness, increased nasal congestion. Tell your doctor immediately if any of these unlikely but serious side effects occur: one-sided weakness, slurred speech, confusion, chest pain, difficulty urinating. Tell your doctor immediately if any of these highly unlikely but very serious side effects occur: mental/mood changes. If you notice other effects not listed above, contact your doctor or pharmacist.
PRECAUTIONS: Tell your doctor your medical history, especially of: kidney problems, heart disease, high blood pressure, lung problems (e.g., asthma, emphysema), thyroid problems, diabetes, glaucoma, prostate trouble, depression, allergies (especially drug allergies). This drug may make you dizzy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: This drug is not recommended for use with other "stimulant" drugs (e.g., amphetamine, caffeine, methylphenidate, other decongestants), MAO inhibitors (e.g., furazolidone, moclobemide, phenelzine, procarbazine, linezolid, selegiline). Ask your doctor or pharmacist for more details. Tell your doctor of all prescription and nonprescription medication you may use, especially of: tricyclic antidepressants (e.g., amitriptyline, nortriptyline), reserpine, NSAIDs (e.g., ibuprofen, naproxen). Do not start or stop any medicine without doctor or pharmacist approval.
OVERDOSE: If overdose is suspected, contact you local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include chest tightness, severe mental/mood changes, unusually fast heartbeat (tachycardia), and seizures.
NOTES: Do not share this medication with others. Laboratory and/or medical tests may be performed to monitor your progress.
MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
STORAGE: Store at room temperature between 36 and 86 degrees F (2 to 30 degrees C) away from light and moisture. Do not store in the bathroom.
Related Disease Conditions
Chronic Rhinitis and Post-Nasal Drip
Chronic rhinitis and post-nasal drip symptoms include an itchy, runny nose, sneezing, itchy ears, eyes, and throat. Seasonal allergic rhinitis (also called hay fever) usually is caused by pollen in the air. Perennial allergic rhinitis is a type of chronic rhinitis and is a year-round problem, often caused by indoor allergens, such as dust, animal dander, and pollens that may exist at the time. Treatment of chronic rhinitis and post nasal drip are dependent upon the type of rhinitis condition.
Obesity and Overweight
Obesity is the state of being well above one's normal weight. A person has traditionally been considered to be obese if they are more than 20% over their ideal weight. That ideal weight must take into account the person's height, age, sex, and build.
The common cold (viral upper respiratory tract infection) is a contagious illness that may be caused by various viruses. Symptoms include a stuffy nose, headache, cough, sore throat, and maybe a fever. Antibiotics have no effect upon the common cold, and there is no evidence that zinc and vitamin C are effective treatments.
Hay Fever (Allergic Rhinitis)
Hay fever (allergic rhinitis) is an irritation of the nose caused by pollen and is associated with the following allergic symptoms: nasal congestion, runny nose, sneezing, eye and nose itching, and tearing eyes. Avoidance of known allergens is the recommended treatment, but if this is not possible, antihistamines, decongestants, and nasal sprays may help alleviate symptoms.
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You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.