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phenylpropanolamine (PPA)

FDA has removed phenylpropanolamine from the market 12/2000. Isolated cases of hemorrhagic stroke in young women have been associated with phenylpropanolamine. [4] Dosage: 25 mg PO every 4 hours. Tabs: 25 & 50 mg. Sustained-release: 75 mg PO every 12 hours. Tabs: 75 mg. Pharmacokinetics: 1) metabolized in liver to largely inactive metabolites 2) metabolites excreted by the kidney Adverse effects: 1) insomnia 2) agitation 3) nervousness 4) hyperthermia 5) hyperventilation 6) hypertension 7) convulsions 8) hemorrhagic stroke in young women (rare) Drug interactions: - may cause false positives in immunoassays for amphetamines in urine Mechanism of action: 1) CNS stimulants 2) appetite suppressant 3) decongestant

Interactions

drug adverse effects of sympathomimetic(s)

General

adrenergic neuron stimulant amine aromatic compound decongestant

Properties

MISC-INFO: elimination route LIVER therapeutic-range 50-100 NG/ML toxic-range >5 UG/ML pregnancy-category C safety in lactation -

Database Correlations

PUBCHEM correlations

References

  1. The Pharmacological Basis of Therapeutics, 9th ed. Gilman et al, eds. Permagon Press/McGraw Hill, 1996
  2. Clinical Guide to Laboratory Tests, 3rd ed. Teitz ed., W.B. Saunders, 1995
  3. Kaiser Permanente, Northern California Drug Alert, 11, 2000
  4. Phenylpropanolamine Information Page http://wwwfda.gov/cder/drug/infopage/ppa/default.htm

Component-of

brompheniramine/codeine/phenylpropanolamine brompheniramine/dextromethorphan/phenylpropanolamine brompheniramine/phenylpropanolamine (Dimetapp) caramiphen/phenylpropanolamine (Tuss-Ornade, Spansule) chlorpheniramine/dextromethorphan/phenylephrine/phenylpropanolamine chlorpheniramine/guaifenesin/phenylpropanolamine chlorpheniramine/hyoscyamine/phenylephrine/phenylpropanolamine/scopolamine chlorpheniramine/phenylephrine/phenylpropanolamine/phenyltoloxamine (Naldecon, Naldelate, Par Decon) chlorpheniramine/phenylpropanolamine (Contac 12 hour, Ornade, Decongestant DT, Dura-Tap, Spansule) chlorpheniramine/phenylpropanolamine/pseudoephedrine citrate/pheniramine/phenylpropanolamine/phenyltoloxamine/pyrilamine clemastine/phenylpropanolamine dextromethorphan/guaifenesin/phenylpropanolamine dextromethorphan/guaifenesin/phenylpropanolamine/pyrilamine guaifenesin/phenylephrine/phenylpropanolamine (Entex) guaifenesin/phenylpropanolamine (Entex LA, Ami-Tex LA) hydrocodone/pheniramine/phenylephrine/phenylpropanolamine/pyrilamine hydrocodone/phenylpropanolamine (Hycomine, Codamine) pheniramine/phenylpropanolamine/phenyltoloxamine/pyrilamine pheniramine/phenylpropanolamine/pyrilamine phenylpropanolamine/pyrilamine (Triaminic) Triaminic