International Journal of Molecular Sciences Review Pseudoephedrine—Benefits and Risks Krystyna Głowacka * and Anna Wiela-Hoje ´nska Department of Clinical Pharmacology, Wroclaw Medical University, Borowska 211a St., 50-556 Wroclaw, Poland;
[email protected] * Correspondence:
[email protected]; Tel.: +48-71-784-05-93 Abstract: Pseudoephedrine (PSE) is a drug with a long history of medical use; it is helpful in treating symptoms of the common cold and flu, sinusitis, asthma, and bronchitis. Due to its central nervous system (CNS) stimulant properties and structural similarity to amphetamine, it is also used for non-medical purposes. The substance is taken as an appetite reducer, an agent which eliminates drowsiness and fatigue, to improve concentration and as a doping agent. Due to its easier availability, it is sometimes used as a substitute for amphetamine or methamphetamine. Pseudoephedrine is also a substrate (precursor) used in the production of these drugs. Time will tell whether legal restrictions on the sale of this drug will reduce the scale of the problem associated with its misuse. Keywords: pseudoephedrine; sympathomimetic; adverse reactions; non-medical use 1. Introduction Citation: Głowacka, K.; Pseudoephedrine (PSE) and ephedrine (E) are alkaloids derived from various species Wiela-Hoje´nska,A. of Ephedra spp. of the Ephedraceae family. The most common source of their extraction is Pseudoephedrine—Benefits and Ephedra sinica, also known as Ma Huang. The history of the use of Ephedra products in Risks. Int. J. Mol. Sci. 2021, 22, 5146. medicine is very long; they have been used in China for over 5000 years and in the Middle https://doi.org/10.3390/ East for over 2000 years in the treatment of bronchial asthma, fever, coughs and colds, hay ijms22105146 fever, oedema, bronchitis, urticaria, chronic hypotension, and rheumatism.