Dr. Howard Smith Oncall

  Vidcast:  https://youtu.be/09PJvwH_bgE   The FDA now issues a warning that the nasal decongestant Benzedrex and its generic propylhexedrine may cause cardiovascular and psychiatric complications which could be fatal.   The agent is marketed in a nasal inhalation device to be used for the common cold and nasal allergies.  The proper dosage is 2 inhalations per nostril every 2 hours for adults, children older than 6 years, and teens.   Misuse including overuse, ingestion, or even injection has lead to a 7-fold rise in poisoning.  Symptoms include rapid heart rate, agitation, hypertension, chest pain, tremors, hallucinations, delusions, nausea, and vomiting.   Those with heart disease or taking MAO inhibitors should not use Benzedrex.   https://www.fda.gov/drugs/drug-safety-and-availability/fda-warns-abuse-and-misuse-nasal-decongestant-propylhexedrine-causes-serious-harm   https://www.fda.gov/safety/medical-product-safety-information/benzedrex-propylhexedrine-drug-safety-communication-fda-warns-abuse-and-mis